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Foreign Special License
PCAB checklist and forms for foreign special license (updated as of 2017)
Your Browser Doesn't Support Canvas. Showing the Text Content of the PDF Instead: Department of Trade & Industry Philippines
Construction Industry Authority of the Philippines
PHILIPPINE CONTRACTORS ACCREDITATION BOARD
NEW SPECIAL LICENSE BY A FOREIGN CONTRACTOR APPLICATION
PCAB-F-SVD-007. Revision No. 00, 11/18/2018 | This Form is NOT for sale. Reproduction is Allowed
Instruction: Read Important Reminders (page 19). The following pertinent documents and information shall be submitted in support to New Special
License of a Foreign Contractor Application.
Checklist of Requirements
A. LEGAL
A.1.
Duly accomplished and notarized application for Special License by a Foreign Contractor (page 3);
A.2.
PCAB Integrity Pledge (page 4);
A.3.
General Information Sheet (page 5);
A.4.
SEC Certificate of Registration, Articles of Incorporation or Partnership, showing construction as one of
the primary purposes of the corporation and By-Laws and subsequent amendments thereto by the
Securities and Exchange Commission (SEC) for corporate or partnership applicant;
A.5.
Board Resolution authorizing its Authorized Managing Officer (AMO)/Resident Alien Representative
(RAR) in the Philippines to act for and in behalf of the company, and defining the scope and/or
limitations of the powers of the RAR/AMO;
A.5.1 Copy of Appointment paper/contract of employment of RAR to current position in the firm
authenticated by the Philippine Embassy in the home country of the RAR;
A.6.
Original NBI Clearance for newly nominated Filipino AMO and for RAR who resided in the country for
six (6) months and longer, or certified true copy of NBI Clearance Equivalent of RAR duly authenticated
by the Phil. Embassy in the home country of the RAR;
A.7.
Affidavit of undertaking of the RAR/AMO (page 6);
A.8.
Alien Certificate of Registration and current working visa of the RAR;
A.9.
Authenticated diploma and/or transcript of records as well as PRC ID/certificate of registration or
equivalent (for new RAR professional);
A.10. Board Resolution appointing and authorizing the Filipino Resident Agent to accept summons and other
legal processes in behalf of the foreign contractor applicant, and authorizing PCAB, in the absence of
the Filipino Resident Agent, or where such agent cannot be found at his address of record, or upon
cessation of business of the foreign contractor in the Philippines, to accept summons or legal
processes as if the same were made upon the firm at its home office;
A.11. Original or certified true copy of valid Contractor’s License/Permit/Authority issued by the appropriate
government agency duly authenticated by the Philippine Embassy in the home country of the foreign
contractor applicant;
A.12. Certification from the appropriate Tendering Agency that the project is foreign financed/internationally
funded and that international bidding is required, or the participation of foreign contractors is allowed
under the terms of the Bilateral Agreement entered into by and between the Philippine Government
and the Foreign/International Financing Institution; or Certification that the project is to be implemented
in accordance with the Expanded BOT Law or RA No. 7718, or other laws of similar nature, and that
other requirements, under existing laws, have been waived in the loan agreement, if any (page 7);
A.13. Original or certified true copy of “Invitation to Bid” or “Invitation to Bidders” or “Notice to Bidders” or
original ad/clipping of the project applied for showing the date of bidding;
A.14. Back-to-back guarantee from the parent company if the applicant is a subsidiary of a foreign contractor;
B. FINANCIAL
B.1.
Financial as of the end of the taxable year immediately preceding the filing of application duly filed with
the BIR Statements (duly audited and signed on every page by a PRC-BOA accredited external
auditor) and a CD-R (compact disc recordable) containing the firm’s Audited Balance Sheet & Income
Statement in the prescribed template to be uploaded in the CIAP database. The PCAB Financial
Statement Forms A & B (A. Balance Sheet / B. Income Statement) can be downloaded at CIAP
website, www.ciap.dti.gov.ph;
B.1.1. If increase is due to additional capital infusion
B.1.1.1. Cash - Original copy of Bank Certification/Bank statement of account certified by
Bank Manager of cash deposits as of the Balance Sheet date; (Note: Amount in
excess of 1% of the Networth per Audited Balance Sheet or P 500,000.00
whichever is higher, reflected as “Cash” or “Cash on Hand” will be deducted
from the Networth);
B.1.1.1.1. Authorization to Depository Bank (page 8);
B.1.1.2. Land and Building - List of Land and Building/s owned by the company and
registered in its name (page 10);
B.1.1.2.1. Certified true copy of TCT including back page for newly acquired land
and/or condominium which were not previously reported/submitted to
PCAB
B.1.1.3. Transportation & Construction Equipment - List of Construction and/or
Transportation / Delivery Vehicles/Equipment/Machineries/Plants owned by the
company and registered in its name (page 11);
B.1.1.3.1. Certified true copy by the LTO of the LTO Certificate of Registration and
current Official Receipt of Registration of newly acquired registrable
Construction and/or Transportation/ Delivery Vehicles/Equipment
B.1.1.3.2. Certified true copy of Deed of Sale or sales invoices/official receipts for
newly acquired non-registrable construction equipment / machineries /
plants, or newly acquired construction equipment
Remarks
New Special License by a Foreign Contractor Application
PCAB-F-SVD-007. Revision No. 00, 11/18/2018
This Form is NOT for sale. Reproduction is Allowed
Page 2 of 19
Checklist of Requirements
Remarks
B. FINANCIAL
B.1.1.4.
B.1.2.
B.1.3.
Other Assets - (i.e. investment in Banks and / or Shares of stocks and other
accounts);
B.1.1.4.1. Certified true copies of certificates of Stock, time deposits, & other
pertinent proofs of ownership of other assets;
If increase is due to appraisal of properties - Independent Appraisers Report duly licensed
by the Professional Regulation Commission;
Schedule of Receivables - If the value of the applicant's receivables exceed more than 50%
of the contractor’s Networth duly signed by AMO and certified by the firm’s PRC BOA
accredited CPA, otherwise, the amount in excess of said account shall be deducted from
Networth (page 12);
C. TECHNICAL
C.1.
List of Sustaining Technical Employee/s - STEs (page 13) supported by the following documents for
each STE:
C.1.1. Completion of 40-hour Safety Seminar (COSH) of at least one of the listed qualified Sustaining
Technical Employees;
C.1.2. STE Affidavit/s with recent passport size picture/s (page 14);
C.1.3. Certified true copy of valid PRC ID of STE as licensed professional;
C.1.4. Original NBI Clearance/s of nominated STE/s;
C.1.5. STE Affidavit/s of Construction Experience (page 16)
C.1.6. Personal Appearance Form duly accomplished and signed by the STE/s appearing before the
designated officer of the PCAB or the nearest DTI regional / provincial office (page 17)
C.1.7. Special PRC Permit, Alien Certificate of Registration and current working visa for foreign STE,
if any
C.2.
Certificate of DOLE-accredited Safety Practitioner for Category “AAA” applicants (for additional credit
points);
D. TRACK RECORD
D.1.
Copy of single largest relevant construction contract or subcontract agreement completed and/or
Change Order/ Supplemental Agreement, if any, certified true by the Project Owner or Prime
Contractor for sub-contract work. If project was undertaken outside of the Philippines, the aforesaid
documents must be duly authenticated by the Philippine Embassy or Consulate Office in the country
where project is located;
D.2.
Copy of Certificate of Completion/Acceptance certified true by the Project Owner or Prime Contractor
for sub-contract work. If project was undertaken outside the Philippines, the aforesaid documents must
be duly authenticated by the Philippine Embassy or Consulate office in the country where project is
located;
D.3.
For privately owned projects only - Certified True Copy of Certificate of Creditable Income Tax
Withheld (Form 1743.1/ 1743.750/2307) stamped received by the BIR for each contract/subcontract.
E. OTHERS
E.1.
Firm’s Authorized Representatives (note: must be an employee of the firm) Affidavit with recent
passport size picture (page 18);
E.1.1. Copy of company ID of the Authorized Representatives;
E.1.2. Latest CCL - formerly SSS Form R-3 (for below 60 years old) or Certificate of Income Tax
Withheld - BIR Form 2316, formerly BIR W-2 (for 60 years old and above) of the
representatives;
E.2.
Original signature of RAR/AMO on each and every page of the application forms including supporting
documents;
E.3.
Certified documents. In lieu of certified copies, photocopies may be accepted provided original copies
are presented for authentication;
E.4.
AMO Examination;
E.5.
The Board may require the RAR/AMO interview and submission of pertinent documents/information
other than the above in order to fully determine the qualifications of the applicants;
E.6.
Self-stamped envelopes for verification of supporting documents (one self-stamped envelope per
supporting document);
E.7.
Mode of Release of License (please check only one): [ ] Mail using the attached prepaid courier pouch;
[ ] Claim at PCAB Makati; [ ] Claim at CIAP Window / DTI ROG Office ________________________.
FOR PCAB / DTI-ROG USE ONLY
1st Prescreening
Item
No.
[ ] PCAB Makati [ ] DTI-ROG ______
Prescreener:
Date:
[ ] Accepted [ ] Comply lacking items
2nd Prescreening
3rd Prescreening
4th Prescreening
[ ] PCAB Makati
[ ] PCAB Makati
[ ] PCAB Makati
[ ] DTI-ROG ______
[ ] DTI-ROG ______
[ ] DTI-ROG _____
New Special License by a Foreign Contractor Application
PCAB-F-SVD-007. Revision No. 00, 11/18/2018
This Form is NOT for sale. Reproduction is Allowed
Page 3 of 19
APPLICATION FOR SPECIAL LICENSE BY A FOREIGN CONTRACTOR
In behalf of
(Name of Applicant)
I respectfully request that said Company be issued a Special License to prequalify for, bid on and undertake
the construction of the specific project described below:
Project Title
Project Location
Implementing Agency
State if project is covered by:
Bilateral Agreement calling for international competitive
[ ]
bidding
Funded by
[ ]
Expanded BOT Law or other existing laws of similar
nature
Loan Agreement
Date “Notice to Bidders” was published or Date “Invitation to Bidders” was received by the applicant
Date of Bidding
Special License Category and Classification/s applied for
Category
Classification/s
Project Kind and Size Range applied for
Project Kind
Size Range
The documents and information in support of this license application as per checklist are hereby submitted.
I hereby declare that all the information and documents contained in this application are true and correct of
my own personal knowledge. I am fully aware that I shall be personally held liable for any
misrepresentation that may be found herein.
Resident Alien Representative (RAR) /
Authorized Managing Officer (AMO)
(Signature over Printed Name)
Republic of the Philippines )
Province of ______________)
City/Municipality of ___________) S.S
SUBSCRIBED AND SWORN TO before me this ________ day of ___________________ 20____ at
________________________________________________; affiant exhibited to me his Community Tax
Certificate No. _______________ issued at __________________ on _________________ 20 _______.
Doc. No.
Page No.
Book No.
Series of 20 __.
NOTARY PUBLIC
Until December 20 ____
New Special License by a Foreign Contractor Application
PCAB-F-SVD-007. Revision No. 00, 11/18/2018
This Form is NOT for sale. Reproduction is Allowed
Page 4 of 19
PCAB INTEGRITY PLEDGE
We believe that the construction industry is one of the most susceptible to all forms of corruption that hampers the
noble objectives towards national progress and global competitiveness.
As frontrunners of nation-building, we acknowledge our major role and responsibility in ensuring that we carry out
our tasks guided by ethical standards and equipped with the necessary capability for the successful prosecution of
our contracts.
In view thereof, we pledge the following:
We will present only true qualifications to PCAB so that we may be evaluated properly and be given the
category and classification where we should rightfully belong;
We will uphold the dignity of the license and not be instruments for unlicensed contractors to undertake
construction projects through license lending nor through false joint ventures/consortium or pseudo
combinations which is inimical to the public safety/interest;
We will not employ unlicensed sub-contractors/specialty contractors which is a clear circumvention of the
requirement that all contractors must be licensed;
We will absolutely shun away from any form of collusion that destroys the very essence and integrity of
biddings;
We will not engage in bribery or do any act which constitutes graft or corrupt practice which is the root
cause of bloated contract amounts;
We will not use sub-standard materials which will in any way compromise the safety, reliability and
performance of the built environment;
We will not abandon our contracts and we will implement our projects faithfully in accordance with the
prescribed specifications thereof;
We will provide the necessary resources, financial and technical capability in carrying out our contractual
obligations, and as far as possible, within the stipulated time of completion;
We are aware that we will be imposed disciplinary action should we violate any of the commitments hereof
or the PCAB Code of Ethics or be found to be a party to corruption.
_____________________________________
Resident Alien Representative (RAR) /
Authorized Managing Officer (AMO)
(Signature over Printed Name)
_____________________________________
Name of Company
Republic of the Philippines
)
Province of _________________)
City/Municipality of ___________) S.S
SUBSCRIBED AND SWORN to before me this ________ day of ___________________ 20____ at
____________________________________________________________; affiant exhibited to me his/her
Community Tax Certificate No. _______________ issued at __________________ on _________________ 20 ___.
NOTARY PUBLIC
Until December 31, 20 ____
Doc. No.
Page No.
Book No.
Series of 20 __.
New Special License by a Foreign Contractor Application
PCAB-F-SVD-007. Revision No. 00, 11/18/2018
This Form is NOT for sale. Reproduction is Allowed
Page 5 of 19
CONTRACTOR’S GENERAL INFORMATION
Note: Please use additional sheets if necessary.
Name of Firm: (as per SEC or DTI)
Office Address in the Philippines
Telephone/Fax No. (include area code)
Office Address in the Home Country
Website
E-mail Address (required)
Mobile No.
Type of Firm (please check only one)
Equity
[ ] Sole Proprietorship [ ] Partnership [ ] Corporation
Filipino:
%
Foreign:
%
Nationality:
International Organization for Standardization (ISO) Certification (please check, if any)
[ ] ISO 14001:2004 [ ] OSHAS 18001:2007 [ ] ISO 9001:2008 [ ] ISO 9001:2015
SEC / Business Name Registration No.
Firm’s SSS No.
Registration Date (mm/dd/yyyy)
Tax Identification No.
Expiry Date (mm/dd/yyyy)
PhilHealth No.
PAG-IBIG No.
Category Applied for
[
[
[
[
Principal Classification Applied for
Other Classification/s Applied for
(please check only one)
(please check only one)
(please check, if any)
] AAAA
] AAA
] AA
]A
[
[
[
[
]B
]C
]D
] E/Trade
[ ] General Engineering [ ] General Building
[ ] Trade [ ] Specialty (please specify below):
[ ] General Engineering [ ] General Building
[ ] Specialty (please specify below):
2-day AMO Seminar
Participant
Host/Organizer
Inclusive Dates
Venue
40-hour Safety Seminar ( [ ] COSH / [ ] BOSH with Construction Safety Components )
Participant
Company Position
Course Provider
Inclusive Dates
Venue
Owners / Stockholders / Officers (for corporation / partnership)
Name
Position
Nationality
Capital Subscription
Paid-up Capital
Affiliation With Other Licensed Contractors
Name of Affiliated Firm/s
Nature of Affiliation
Certified correct by:
Resident Alien Representative (RAR) /
Authorized Managing Officer (AMO)
(Signature over printed name)
New Special License by a Foreign Contractor Application
PCAB-F-SVD-007. Revision No. 00, 11/18/2018
This Form is NOT for sale. Reproduction is Allowed
Page 6 of 19
RAR/AMO AFFIDAVIT
Picture of
RAR/AMO
see Important
Reminders
(page 19, item
no. 4) for
specification
Note: Please accomplish this affidavit properly. Please use additional sheets if necessary.
Republic of the Philippines )
Province of ______________)
City/Municipality of ________) S.S
Last Name
I,
Citizenship
and residing
in the
Philippines
at:
Born on
First Name
dd
mm
yyyy
Ext. Name (Jr/Sr, if any)
Last Name
Single /
Married to
Middle Name
First Name
Middle Name
Room/Floor/Unit/Bldg. Name, Lot/Block/Phase No., Street, Subdivision, Barangay, City/Municipality, Province, Zip Code
having duly sworn to in accordance with law depose and say:
1. That I am the Resident Alien Representative (RAR) / Authorized Managing Officer (AMO) of :
________________________________________________________________________________________
(Name of Firm)
with position of:
___________________________________________________________________________________________________
(Position in the Firm)
empowered to render general management and administrative decisions.
2. That I possess the following educational qualifications (attach additional sheet if necessary)
Name of School
Address
Course
Inclusive Dates
3. That I possess at least two (2) years experience in the construction industry as follows (Ref. Sec. 20 of IRR of R.A. 4566)
(attach additional sheet if necessary)
Designation / Position
Company / Nature of Business
Address
Job Description
Dates of
Employment
4. That I possess knowledge of the building, safety, health , & lien laws of the Republic of the Philippines & the rudimentary
administrative principles of construction contracting from my work experiences in item 3 above and from the following
training/seminars (Ref. Sec. 20 of IRR of R.A. 4566) (attach additional sheet if necessary):
Training/Seminar
Conducted by
Address
Inclusive Dates of Training
5. That I am not involved in any construction malperformance suggestive of negligence, incompetence or malpractice or any act of
omission liable for disciplinary action by myself or in collaboration with any other person (Section 4.2 of IRR of R.A. 4566)
6. That I have not been convicted by a court of competent jurisdiction of any offense involving moral turpitude (Section 4.2 of IRR
of R.A. 4566)
7. That I am fully aware that my failure to notify PCAB of my disassociation with my present employer shall cause my
disqualification to be an Authorized Managing Officer, a Sustaining Technical Employee or a license applicant with PCAB .
8. That I authorize the PCAB to verify and investigate any or all information in this instrument from whatever sources PCAB may
consider appropriate
9. That I certify under pain of perjury that all information on this affidavit are true and correct.
FURTHER AFFIANT SAYETH NAUGHT.
____________________________
Affiant
SUBSCRIBED AND SWORN to before me this _____ day of __________________________________________________ 20___
at ___________________________________________________________________________; affiant exhibited his/her Community
Tax Certificate No. _____________ issued at _________________________________________ on ______________ 20________.
NOTARY PUBLIC
Until December 31, 20 ___
Doc. No.
Page No.
Book No.
Series of 20 ___
New Special License by a Foreign Contractor Application
PCAB-F-SVD-007. Revision No. 00, 11/18/2018
This Form is NOT for sale. Reproduction is Allowed
Page 7 of 19
CERTIFICATION FROM THE APPROPRIATE TENDERING AGENCY
This is to certify that the project ____________________________________________________________
funded under Loan Agreement No. _________, is subject to international competitive bidding or is covered by
the BOT Law.
This is to further certify that the following requirements under existing laws have been waived in the loan
agreement:
Specific Requirement Waived
Provision in the Loan Agreement waiving the
requirement
______________________________
Certifying Officer / Position
(Signature over Printed Name)
______________________________
Name of Agency
______________________________
Date
New Special License by a Foreign Contractor Application
PCAB-F-SVD-007. Revision No. 00, 11/18/2018
This Form is NOT for sale. Reproduction is Allowed
Page 8 of 19
AUTHORITY TO VERIFY BANK ACCOUNT
Note: To be submitted in two (2) copies.
THE MANAGER
_________________________________
_________________________________
_________________________________
Subject: Bank Account # _______________________
Sir:
Please provide the Philippine Contractors Accreditation Board (PCAB), a government agency
under the Department of Trade and Industry, any information they need regarding the subject
account with your bank.
I am applying for a contractor's license from PCAB and part of their evaluation process is the
verification of bank deposits and other assets of an applicant.
This will serve as your authorization to release any information that may be requested by PCAB
regarding the above subject account.
Thank you.
Very truly yours,
Name of Firm:
____________________________
____________________________
By: _________________________
Signature over Printed Name of
Resident Alien Representative /
Authorized Managing Officer or
Authorized Signatory with the Bank
Date:_______________________
New Special License by a Foreign Contractor Application
PCAB-F-SVD-007. Revision No. 00, 11/18/2018
This Form is NOT for sale. Reproduction is Allowed
Page 9 of 19
AUTHORITY TO VERIFY FROM GOVERNMENT AGENCY/IES
AUTHORIZATION
The Philippine Contractors Accreditation Board (PCAB) is hereby authorized to verify and
secure information and/or copies of documents submitted by or in the name of the firm to any or all
of the following agencies relative to its application filed with the PCAB:
1. Securities and Exchange Commission (SEC)
2. Land Registration Authority (LRA)
3. Land Transportation Office (LTO)
4. Social Security System (SSS)
5. Professional Regulation Commission (PRC)
6. Philippine Health Insurance Corporation (PhilHealth)
7. Home Development Mutual Fund (Pag-IBIG)
________________________
Signature over Printed Name of
Representative Alien Representative /
Authorized Managing Officer
Date:______________________
New Special License by a Foreign Contractor Application
PCAB-F-SVD-007. Revision No. 00, 11/18/2018
This Form is NOT for sale. Reproduction is Allowed
Page 10 of 19
LIST OF CONSTRUCTOR’S REAL PROPERTIES
Note: Please use additional sheets if necessary.
REAL PROPERTIES OF THE FIRM AS OF THE BALANCE SHEET DATE
COMPLETE
DESCRIPTION
(Type of land/building)
*TCT-CLT/
CCT/TD
NUMBER
LOCATION
(Street No., Barangay,
Municipality/City, Province)
*LEGEND:
TCT – Transfer Certificate of Title
CCT – Condominium Certificate of Title
TD – Tax Declaration
CLT – Certificate of Land Title
________________________
Signature over Printed Name of
Resident Alien Representative/
Authorized Managing Officer
Date:________________________
ACQUISITION
COST
ACQUISITION
DATE
New Special License by a Foreign Contractor Application
PCAB-F-SVD-007. Revision No. 00, 11/18/2018
This Form is NOT for sale. Reproduction is Allowed
Page 11 of 19
LIST OF CONSTRUCTOR’S PLANTS, VEHICLES AND EQUIPMENT
Note: Please use additional sheets if necessary.
A. DELIVERY AND TRANSPORTATION EQUIPMENT OF THE FIRM AS OF BALANCE SHEET DATE
COMPLETE DESCRIPTION
Vehicle Brand / Type
Plate No.
Year
Model
ACQUISITION
OR No. / Date
Date
Cost
(in Php)
Php
OVERALL TOTAL VALUE
BOOK
VALUE
(in Php)
Php
B. MACHINERIES/PLANTS AND OTHER CONSTRUCTION EQUIPMENT OF THE FIRM AS OF
BALANCE SHEET DATE
COMPLETE
DESCRIPTION
OVERALL TOTAL VALUE
________________________
Signature over Printed Name of
Resident Alien Representative /
Authorized Managing Officer
Date:_________________________
ACQUISITION
SERIAL NO.
BOOK
VALUE
(in Php)
Cost
(in Php)
Date
Php
Php
New Special License by a Foreign Contractor Application
PCAB-F-SVD-007. Revision No. 00, 11/18/2018
This Form is NOT for sale. Reproduction is Allowed
Page 12 of 19
SCHEDULE OF RECEIVABLES
Note: To be accomplished if the applicant's receivable accounts (accounts/contracts & other receivable) exceed 50% of the total
networth/equity as of the latest audited balance sheet submitted in support of its application. Please use additional sheets if
necessary.
Name of Projects
Amount Due for
Collection
Age
Client Name / Complete Address
Certified Correct by:
_______________________________________
Printed Name and Signature of External Auditor
______________________________
Printed Name and Signature of AMO
New Special License by a Foreign Contractor Application
PCAB-F-SVD-007. Revision No. 00, 11/18/2018
This Form is NOT for sale. Reproduction is Allowed
Page 13 of 19
LIST OF NOMINATED SUSTAINING TECHNICAL EMPLOYEES
Name of STE
Previously Nominated
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
Newly Nominated
1.
2.
3.
4.
5.
6.
7.
8
9.
10.
________________________
Signature over Printed Name of
Resident Alien Representative /
Authorized Managing Officer
Date:________________________
Prof.
PRC Registration
Date of
License
Number Registration
Validity
Date
Position
Employed in the Firm
New Special License by a Foreign Contractor Application
PCAB-F-SVD-007. Revision No. 00, 11/18/2018
This Form is NOT for sale. Reproduction is Allowed
Page 14 of 19
SUSTAINING TECHNICAL EMPLOYEE AFFIDAVIT
Picture of
STE
see Important
Reminders
(page 19, item
no. 4) for
specification
Note: Please accomplish this affidavit properly. Refer to the next page for STE qualification requirements.
Republic of the Philippines )
Province of ______________)
City/Municipality of ________) S.S
Last Name
I,
Born on
and
residing at
with
mm
dd
First Name
yyyy
Ext. Name (Jr/Sr, if any)
Last Name
Single /
Married to
First Name
Middle Name
Middle Name
Room/Floor/Unit/Bldg. Name, Lot/Block/Phase No., Street, Subdivision, Barangay, City/Municipality, Province, Zip Code
Telephone / Mobile No. (required)
Email Address (required)
having been duly sworn in accordance with law depose and say:
1.
That I am a duly licensed ____________________________________________ and holder of PRC License No. __________
(Profession)
valid up to _______________, as evidenced by a copy of my PRC ID posted below;
That I hold a Bachelor's Degree in
2.
Given at:
3.
4.
Name of School
6.
7.
8.
9.
10.
11.
Given on:
Inclusive Dates
That my Tax Identification Number is :
and my Social Security System Number:
Name of Firm
That I am employed on a regular and full-time
basis by:
Position in the Firm
With the position of
5.
Course / Profession
CFY
as STE for
That I am not presently employed by either a private company or any government office or government owned/controlled
corporation, nor a full time instructor, nor working abroad;
That I am not a holder of a valid contractor's license;
That I am not involved in any construction malperformance suggestive of negligence, incompetence or malpractice or any
act or omission liable for disciplinary action by myself or in collaboration with any other person;
That I have not been convicted by a court of competent jurisdiction of any offense involving moral turpitude;
That I am fully aware that my failure to notify the PCAB of my disassociation from my present employer within 30 days from
such disassociation shall cause my disqualification from being a Sustaining Technical Employee, an Authorized Managing
Officer and an applicant for a contractor’s license with PCAB;
That I authorize the PCAB to verify and investigate any or all information in this affidavit from whatever sources PCAB may
consider appropriate;
That I am executing this affidavit to attest to the truth of the foregoing.
FURTHER AFFIANT SAYETH NAUGHT.
____________________________
Affiant
SUBSCRIBED AND SWORN to before me this _____ day of ___________________, 20___ at ___________________________;
affiant exhibited his/her Community Tax Certificate No. _____________ issued at __________________ on ______________ 20___.
Doc. No.
Page No.
Book No.
Series of 20 ___
NOTARY PUBLIC
Until December 31, 20 ___
PASTE
PASTE
PROF. I.D. CARD
PROF. I.D. CARD
VALID FOR
VALID FOR
CURRENT YEAR
CURRENT YEAR
(Front)
(photocopy)
(Back)
(photocopy)
New Special License by a Foreign Contractor Application
PCAB-F-SVD-007. Revision No. 00, 11/18/2018
This Form is NOT for sale. Reproduction is Allowed
Page 15 of 19
QUALIFICATION REQUIREMENTS FOR STE
1. A technology professional, such as engineer or architect, duly licensed by the Professional
Regulation Commission (PRC).
2. Holder of a valid PRC I.D.
3. With three (3) years minimum actual construction experience.
4. A full-time employee of the nominating contractor, not associated professionally or by
employment with any other party, particularly a party engaged in construction or constructionrelated activities.
5. Have none of the following disqualifications:
a) Involvement, in any capacity, in any construction malperformance of grave consequence,
suggestive of his negligence, incompetence and/or malpractice;
b) Involvement, by himself or in collaboration with any other person or firm, in any act or
omission liable for disciplinary action of which he/she is or the other person or firm was
found guilty by the PCAB Board ;
c) Conviction by a court of competent jurisdiction of any offense involving moral turpitude; and
d) If formerly a Sustaining Technical Employee or an Authorized Managing Officer of any
construction firm but disassociated there from, failure to notify the Board of his
disassociation in accordance with paragraph 5 and 6 of the Affidavit of Undertaking.
This is to certify that I have verified with PRC the abovestated professional eligibility/registration of
the Sustaining Technical Employee. Affiant herein and found the same to be true and correct.
__________________________________________
Resident Alien Representative /
Authorized Managing Officer
(Signature over printed name)
__________________________________________
Date
New Special License by a Foreign Contractor Application
PCAB-F-SVD-007. Revision No. 00, 11/18/2018
This Form is NOT for sale. Reproduction is Allowed
Page 16 of 19
AFFIDAVIT OF STE CONSTRUCTION WORK EXPERIENCE
Note: Please use additional sheets if necessary.
Republic of the Philippines )
Province of ______________)
City/Municipality of ________) S.S
I, _________________________________, single/married, Filipino, of legal age, with postal address at
________________________________________________, having been duly sworn in accordance with law depose
and say that the projects enumerated below constitute my full & complete construction experience.
Name and
Complete Address of Employer/
Name & Location of Projects Undertaken
Work
Classification
(GE, GB, SP)
Nature/Scope of Work
Assignment
(Proj. Engr.)
Project Duration
(mm/dd/yyyy)
From
To
That I authorize the PCAB to verify and investigate any or all information in this affidavit from whatever sources PCAB
may consider appropriate;
That I am executing this affidavit to attest to the truth of the foregoing.
FURTHER AFFIANT SAYETH NAUGHT.
_________________________________
Affiant
SUBSCRIBED AND SWORN to before me this ________ day of ___________________________________ 20_____
at ______________________________________________________________; affiant exhibited his/her Community
Tax Certificate No. ______________ issued at ___________________________ on ____________________ 20___.
NOTARY PUBLIC
Until December 31, 20 ___
Doc. No
Page No.
Book No.
Series of 20 _____.
New Special License by a Foreign Contractor Application
PCAB-F-SVD-007. Revision No. 00, 11/18/2018
This Form is NOT for sale. Reproduction is Allowed
Page 17 of 19
STE PERSONAL APPEARANCE
Note: To be accomplished by the STE. The STE Personal Appearance is valid only for three (3) months from the date
signed by the PCAB/DTI Personnel.
Name of STE
Last Name
First Name
Ext. Name (Jr/Sr, if any)
PRC ID No.
Profession
Middle Name
Expiration Date
Present Employer
I hereby confirm the following:
1. The veracity of the information reflected on the STE Affidavit and Affidavit of Construction Experience
that I executed in favor of the above present employer;
2. That I am fully aware that my failure to notify the PCAB of my disassociation from the above-stated
nominating firm and any misrepresentation in the attached forms shall cause my disqualification as
sustaining technical employee, or authorized managing officer, or a licensee applicant with PCAB per
Board Resolution No. 401, Series of 2001.
3. That I have been previously connected with the following companies and disassociated therefore:
Previous Employers
Date of
Employment
Date of
Resignation
Position
4. Other Remarks:
_____________________________________________________________________________________
_____________________________________________________________________________________
Valid I.D.(s) Presented:
1. ________________
No: ______________
2. ________________
________________________
STE’s Signature
No: ______________
________________________
Date Signed
----------------------------------------------------------------------To be filled out by PCAB/DTI ROG Personnel
STE’s Specimen Signature (during interview):
Signature over Printed Name
Date:
PCAB/DTI Office:
Date:
New Special License by a Foreign Contractor Application
PCAB-F-SVD-007. Revision No. 00, 11/18/2018
This Form is NOT for sale. Reproduction is Allowed
Page 18 of 19
AUTHORIZED REPRESENTATIVES AFFIDAVIT
Note: To be accomplished by the AMO.
Republic of the Philippines
)
Province of ______________)
City/Municipality of ________) S.S
Last Name
I,
born on
mm
dd
First Name
yyyy
Single /
Married to
Ext. Name (Jr/Sr, if any)
Last Name
Middle Name
First Name
Middle Name
Room/Floor/Unit/Bldg. Name, Lot/Block/Phase No., Street, Subdivision, Barangay, City/Municipality, Province, Zip Code
and
residing
at:
having duly sworn to in accordance with law depose and say:
1.
That I am the
Resident Alien
Representative /
Authorized
Managing
Officer of :
Name of Firm
Room/Floor/Unit/Bldg. Name, Lot/Block/Ph. No., Street, Subdivision, Barangay, City/Municipality, Province, Zip Code
with office
address at:
That I appoint two (2) representatives, whose pictures and signatures appear below:
Name of Representative and
Position in the Firm
Picture
See Important Reminders (page 19,
item no. 4) for specification
Signature of Representative over
Printed Name
A.
2.
B.
3.
4.
5.
to transact business with PCAB; i.e, present for pre-screening my application for contractor’s license or any
application related thereto, file/follow-up, submit documents, receive notices/license in connection with the said
application and the like.
That I am aware that I am responsible/liable for any or all acts/representation made by my representatives in
connection with the functions stated herein.
That I undertake to notify PCAB in the event that this appointment is modified, amended or revoked.
That I have read and fully understood and complied with the requirements of PCAB Board Resolution No. 515 s.
2011 (copies of required documents are attached).
____________________________
Affiant
(Authorized Managing Officer of Firm)
SUBSCRIBED AND SWORN to before me this _________ day of ____________________________, 20_____ at
_____________________________________________________; affiant exhibited his/her Community Tax Certificate
No. _____________________ issued at _____________________________ on ________________ 20_________.
NOTARY PUBLIC
Until December 31, 20 ___
Doc. No.
Page No.
Book No.
Series of 20 ___
New Special License by a Foreign Contractor Application
PCAB-F-SVD-007. Revision No. 00, 11/18/2018
This Form is NOT for sale. Reproduction is Allowed
Page 19 of 19
IMPORTANT REMINDERS
1.
2.
All required information in the application forms should be properly filled out. Do not leave an item blank. If an item is
not applicable, indicate “N/A”.
The recommended paper size in printing the application forms is 8.27” x 11.69” (A4 size).
3.
Application forms and its corresponding supporting documents/attachments should be:
a. arranged according to page number with index tabs;
b. fasten in a long size folder.
4.
The required picture specification for the RAR/AMO / STE / Authorized Representatives Affidavit as follows:
a.
b.
c.
d.
e.
f.
taken within the last three (3) months prior to filing of application;
Philippine passport size (4.5 cm x 3.5 cm or 1.78” x 1.38”);
colored, with white background and printed on good quality photo paper;
in standard close-up shot, taken in full-face view directly facing the camera;
in bare face (with no eyeglasses or any accessories that may cover the facial features), showing left and right
ears;
with handwritten (not computer-generated) name tag legibly showing signature over printed full name in the
format: First Name, Middle Initial, Last Name and Extension Name, if any;
5.
All applicants are required to pay non-refundable upfront fees for all types of license applications upon acceptance
(Board Resolution No. 313, s. 2011).
6.
Only the Authorized Managing Officer or one of the two (2) Authorized Representatives of the Firm is allowed to
transact with PCAB (Board Resolution No. 515, s. 2011).
7.
Filing/submission of application/s can be done at PCAB Makati / CIAP Windows / DTI Regional or Provincial Offices /
PCAB Accredited Contractors’ Associations & Professional Organizations.
Application Forms (i.e. ARC, Amendments, Special License, etc.), Citizen’s Charter, Board Resolutions, Advisories
and other relevant information about PCAB application can be downloaded at www.ciap.dti.gov.ph.
Fee Structure:
8.
9.
Fee Particulars
Filing Fee
Classification Fee
Principal
Other/s (chargeable for
each classification)
Categorization Fee
License Fee
Documentary Stamp Tax
Legal Research Fund
Grand Total (P)
New Special License – Foreign Application
Category
AAA
AA
A
B
1,200
1,200
1,200
1,200
C
1,200
D
1,200
E/Trade
1,200
4,800
2,400
480
240
144
48
nil
2,400
1,200
240
120
72
24
nil
43,200
100
15
12
51,727
21,600
100
15
12
26,527
7,200
100
15
12
9,247
4,800
100
15
12
6,487
2,400
100
15
12
3,943
1,200
100
15
12
2,599
nil
100
15
12
1,327
10. For further inquiries or clarifications, please communicate with us thru email or thru contact numbers below:
Department of Trade & Industry Philippines
Construction Industry Authority of the Philippines
PHILIPPINE CONTRACTORS ACCREDITATION BOARD
5F Executive Building Center, 369 Sen. Gil J. Puyat Ave.,
Makati City 1209
Tel/TeleFax: 895-4258 / 895-4220 / 09178482427
E-mail Address: ciappcab.main@gmail.com, pcab@dti.gov.ph
Note: Do not include this page in your application folder. For reference use only.