Who can join the ?

1 He/She holds any CHED-approved bachelor's degree.

2 He/She is entitled to the following type of membership:

a. The title “regular member” refers to an individual who i. holds a CHED-

approved baccalaureate degree in computer engineering, ii. practices
his/her profession actively, iii. has paid the annual dues and iv. satisfies
other requirements set and approved by the ICpEP.

b. The title “life member” refers to an individual who i. has been a

regular member for at least one (1) year, ii. is a member of good
standing, iii. has paid an equivalent to ten (10) times of the annual
dues of a regular member and iv. satisfies other requirements set and
approved by the ICpEP.

c. The title “associate member” refers to an individual who i. holds any

CHED-approved baccalaureate degree ii. practices his/her profession
actively, iii. has paid the annual dues and iv. satisfies other requirements
set and approved by the ICpEP.

3 He/She has completed the membership procedure stated on the worksheet named "Procedure."
 How to become an (Region ___ ) member?
1 Fill in the necessary fields on the worksheet named "Form" with your correct information.

2 Pay the membership fee at:

Bank Name-Branch : ________________________

Account Name: _____________________________
Account Number : __________________________

3 Prepare a digital copy of your proof of payment.

4 Prepare a digital copy of your 1.5"x1.5" ID picture with white background.

5 E-mail your completed membership form, proof of payment and ID picture. Refer to details below.
To: ___________________________
Cc: ___________________________
Subject: Membership Application
n ___ ) member?

fer to details below.

 Institute of Computer Engineers of the
Philippines (ICPEP), Inc.

Membership Form
PERSONAL INFORMATION

Name(LN, FN, MI): Lamoste, Dwight Kenjie Baluis Date of Birth:

10/9/2000

Present Address: P-2 Brgy. Mabini, Surigao City Civil Status:

Single

Gender:
Male 1.5 x 1.5
Picture
Permanent Address: P-2 Brgy. Mabini, Surigao City Place of Birth: Ladgaron, Claver

Religion: UCCP

Email Address:
dwight.kenjie.lamoste@gmail.com Region

Contact Number Information: Type of ✅ New Renewal

Home No.:
Application:

Business No.: Associate Php400.00/year Associate Php 1000/3 yrs

Type of (Non-CpE
Mobile No.: 09384480438 Membership: Grad.) Php1,000.00/3 years Regular PhP 1500/3 yrs
(Please put a
Payment Date: check on the Regular Php600.00/year Lifetime Php 5000.00
approriate box) (CpE Grad.)
Php1,500.00/3 years

Current Company/Business Name:

Company/Business Address:

Position: Specialization:

EDUCATIONAL ATTAINMENT

School Degree Inclusive Date (Year)

Tertiary:
Surigao State College of Technology

Graduate Studies

Master's:

Doctoral:

WORK EXPERIENCE

Company Position Inclusive Date (Year)

NOTIFICATION AND AGREEMENT

I certify that the facts contained in this form are true and correct. Any false information will disqualify my application.

Date:
Signature:
\gst