PE Form 2.1

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6. Summar Provide the number of months you were inchs ry of ificant Engineering Work-minimum 2 years in responsible char «a briet summary of each project (typically using $0 words} for which you were personally wc oF the work countable and state your position, Work | Position of Responsi Months Nature of Project, its Verifier"s Name & No significance, your functions, Signature responsibilities, achievements, practical innovations, original applications of theory Total number oF months Note: The person verilying your summary and claims af eompeteney must be an experienced professional engines ‘work described above. Applicants may submit supplementary sheets in the above format if necessary familiar with the

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