Company Information
Name of Corporation: *
ACRA Registration Number: *
Unique Entity Number (UEN): *

Type of Licence Application
Type of Organization: *	---Select--- Limited Corporation Unlimited Corporation
Branch(es) of Engineering: *	---Select--- Chemical Civil Electrical Mechanical Civil, Electrical Civil, Mechanical Mechanical, Electrical Civil, Mechanical, Electrical
List of Services Proposed to be Offered by Applicant:  *  (max at 255 characters)

Address and Contact
Address Registered with ACRA: *
Country: *	Singapore
Postal Code: *
Contact No. : *  (8 Numeric input)
Principal Place of business:
Other Places of business:

Information About Employees
No. of Registered PEs employed with Practising Certificate: *
No. of Other Professionals: *  (e.g. architects, surveyors, quantity surveyors, non-registered engineers, etc.)
No. of Sub Professional Staff: *  (e.g. technican, draughtsman, etc.)
No. of Clerical Staff: *  (e.g. accounts staff, admin staff, etc.)
Others: *

Proportion of the Company Directors
No. of Board Directors who are Professional Engineer (PE) with PC: *
No. of Board Directors who are Allied Professional with PC : *  (e.g registered Architect, Land Surveyor)
No. of Board Director as non PE / non Allied Professional: *	Click here to proceed

Board of Directors

Share Capital and Shares
	Ordinary	Preference	Others
	S($)	S($)	S($)
Authorised Share Capital: *
Issued Share Capital: *
Paid-up Share Capital: *
Nominal Value Per Share: *

List of Shareholders/Members

Name: *        Residential Address (as indicated in ACRA record):  *        Occupation:  Certifcate of Registration No.(if any):  No. of Shares Owned: *

Particulars on Professional Indemnity Insurance
Name of Insurance Company: *  (max at 255 characters)
Address: *  (max at 255 characters)
Limitation of Indemnity: *
Scope of Indemnity: *  (max at 255 characters)
Term of Policy: *	dd mm yyyy   To  dd mm yyyy
Policy No.: *

Other Requirements

Download checklist for submission (print on company letterhead)