UNITED ARCHITECTS

STANDARD BIO-DATA FORM OF THE COFNOM

OF THE PHILIPPINES NOMINEE FOR ELEVATION TO THE
COLLEGE OF FELLOWS 04
COLLEGE OF
FELLOWS

FAMILY NAME GIVEN NAME MIDDLE NAME

NOMINEE’S PROFILE
Nominees For: ARCHITECTURAL PRACTICE: GOVERNMENT PRACTICE

I. PERSONAL DETAILS
Date of Birth Birthplace

Nationality Status

Name of Spouse Occupation

Children (Please state name, age and if professionals, state profession)

Home Address
Contact No. Fax No.

Business Address
Contact No. Fax No.

TIN Email Address

Mobile No. Website

II. EDUCATIONAL QUALIFICATIONS

Academic Degrees College/ University Year Graduated

Post Baccalaureate

Baccalaureate

BS Architecture

High School
III. LICENSURE AND REGISTRATION(Architecture)

UAP Registration No.

PRC Registration No.

IAPOA No. Registered Date:_________________

Date Registered in UAP: _________________

Validity:
Chapter:______________

Annex B Attach photocopy of current IAPOA Annex C Attach photocopy of PRC I.D
certificate
IV. PROFESSIONAL EXPERIENCE
 Summary of Accomplishments
Architectural Practice: Government Practice
A.1 Positions held in Government
Position No. of Years Inclusive dates Remarks Supporting
Document
1. Professional (Non- Supervisory) with Annex A.1
plantilla position: Architect I, Architect II, Bldg.
Inspector Certificate of
2. Middle Mngmnt, (Supervisory) Division Employment Issued
Manager up to Department Manager with by the HRMD/
plantilla position: Architect V, Blg Bldg. Agency
Regulations Coordinator
3. Senior Mngmnt. (Managerial & Executive)
Architect V, Bldg. Official & other related
positions higher than BO

Annex A.2
A.2 Length of Service to the Government
Service Record
Issued by HRMD/
Agency

A.3 Projects Handled

Project/ location Project Building No. of Floor Project Year Role Annex D
Owner Type Storey’s Area Cost Complete of
d Archit
Photos of Project
ect
Completed (not CAD
drawing) with
Certificates of
Completion and
Final Acceptance of
concerned
office/agency
A.4 Crafted. Formulated Policy / Design guidelines that are related to the profession and to the mandate of the office /
authorship of manual’s books, etc.

Tittle of Guidelines Year Crafted Role of Architect Annex E

Ex: Design Standards for gender & 2014 writer/ contributor Co-author, Photocopies of
development, PWD’s, Accessibility etc. design standard/
any document/
manuals
A.5 Awards / Scholarship's Received

Tittle Date Received Award Given by ( state if Annex F

Ex: Loyalty, Corporate employee from, International, Local or
Barangay Level Photocopies of
Awards
A.6 Membership in Government, Technical Panels, Inter-Agency Committees & Award Committee, Gender & Development,
ISO/QMR

Name of Committee Year Position/s Held Annex G

Copies of office
orders showing
Ex: BAC 2014 Member
designation of
nominees to specific
B. Related Professionals Capabilities
B.1 Public Service

Barangay Municipal Regional National

Annex H Indicate participation in advocacy with great social relevance & outreach projects and programs for enhancement
of the quality of life through Architecture & community service.

B.2 Updated Learnings and Studies

Project Building Type No. of storeys Floor Area Project Cost Role of the
Architect

Annex I
C. Professional Ethics
(Annex J) Certification from his/her agency that nominee has no pending case from his/her employer in case in active service,
and a clearance in case of a retiree.

D. Membership
(Annex K) Certificate from UAP Secretariat of Membership of Good Standing (copy of COFNOM Form 02 Rev. 07.15)

E. Service to the Organization

(Annex L) Indicate positions/ appointive positions in UAP, UIA, ARCASIA, EAROPH & others various social/ civic
organizations.

MEANS OF VERIFICATION
Supporting Documents
All documents, arranged in the following sequential order, must be photocopied on A4 paper & must be submitted in
hardbound cover (maroon color)
TABLE OF ANNEXES
ANNEX A: A1, A2 A1 Certificate of Employment from the office/agency, A2 Service Record Issued by HRMD

ANNEX B Copy of IAPOA CERTIFICATE

ANNEX C Copy of PRC ID

Submit photos of compete project (not CAD drawing) with Project description (max 5
ANNEX D
sentences) & certificate of completion & final acceptance from concerned office/agency

ANNEX E Photocopies of standards/manuals formulated

ANNEX F Photocopies of awards, certificates, medal, etc.

ANNEX G Photocopies of office orders/memo, showing designation of nominee to specific committee

ANNEX H Photos & certificates of CSR Projects

ANNEX I

Certification from HR or personnel office indicating nominee has no pending case while in
ANNEX J
active service. This also applies if nominee is a retiree.

ANNEX K Certificate from UAP Secretariat of membership in good standing

Annex L Photocopies of certificates/ appointment