ASSOCIATION of CONSTRUCTION PROJECT

MANAGERS MALAYSIA (ACPM)

TEL : 603-78047862 FAX : 603-78046530

email: secretariat@acpm.my
MEMBERSHIP APPLICATION FORM
Year/Tahun : ______

Recent Passport
Sized Photograph

ACPM Use :
Date :
Receive Stamp :

MEMBERSHIP APPLICATION (Thick where appropriate) for:

Certified Member

Member

Associate Student

Notes:
CERTIFIED MEMBER - Any person who is a Certified Construction Project Manager by CIDB Malaysia or such
qualification and experience approved by the Membership Committee.He has more than 15 years experienced in
construction industry, has demonstrated skills, knowledge and competency to perform in the role of a Project Manager
or a Programme Director.
MEMBER - Any person who have the qualification and experience approved by the Membership Committee.He has
more than 5 years experienced in construction industry, has demonstrated skills, knowledge and competency to
perform in the role of a Project Manager.
ASSOCIATE - Any person working in the construction industry,approved by ACPM Membership Committee, with a
degree/diploma in construction related fields, has demonstrated skills, knowledge and competency to perform in the
role of a project team member,
STUDENT - Any student enrolled at any faculty or institution, approved by ACPM Membership Committee, undertaking
a project management or a related construction course or interested in construction indusrty. Evidence of enrollment
from the course provider is required to be provided at the time of application and each time renewal is due.

I. PERSONAL PARTICULAR
Full Name:
Gender :

I.C/Passport No. :

Marital Status :

Date of Birth:

Citizenship :

E-Mail :

Telephone No. :

Mobile No. :

Correspondence Address :
Telephone No.:
Permanent Address :
Telephone No. :
II. EMPLOYMENT
Current Employer :
Position :

Department :

Office Address :

Telephone No. :

Fax No :

Office E-Mail :
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Your Current Project Management Role (Describe briefly) :

Period of Employment
From

To

Place of Employment

Brief of Work Experienced

Please insert papers for more previous working experienced.

III. ACADEMIC BACKGROUND
School / College /
From - To
University

Certificate / Diploma / Degree

Grade/Specialisation

IV. PROJECT MANAGEMENT TRAINING / PROFESSIONAL AFFILIATION

Please insert papers for more trainning records.

V. DECLARATION
I certify that the information that I have given in this application form is correct. I agree to the condition that
ACPM has the right to reject this application, if any information given is found to be incorrect. I also observe
and ensure payment of all fees and other liabilities.

Signature :___________________________________
DOCUMENT TO BE SUBMITTED TOGETHER WITH FORM:

Date: _____________
Checklist

i) Copy Certificate(s) of Diploma/Degree/Master/PhD & training.

Remark
All photostated
documents submitted
together with this
application must be
Certified-True-Copy.

ii) Photocopy of birth certificate / identity card./ Passport

iii) Passport size photo-(please write your name & ID number).
iv) Attach your full CV. (Applications without CVs will not be processed)

VI. FOR ACPM USE

Recommended by: ______________________________
Name :_____________________________________
Application Status :
Renew
Process
Recommendation
Next Step :
More Information/Supporting Documents
Trainning

Date
Position

: __________________
: ___________________

Reject
Interview
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