PHILIPPINE CONSTRUCTORS ASSOCIATION, INC.

3rd Floor, Padilla Building, Emerald Avenue, Ortigas Center, Pasig City, Philippines
Tel. Nos.: 631-3135/ 631-2778/ 635-9278 Fax: 631-2788/ 633-4989/ 635-9278
Email: email@philconstruct.com Website: http://www.philconstruct.com

APPLICATION FOR MEMBERSHIP

Date: _______________________
1. (a) NAME OF APPLICANT: ____________________________________________________________
(b) TYPE OF MEMBERSHIP:
( ) Regular
( ) Affiliate
( ) Life
( ) Honorary
( ) Chapter
( ) Affiliate
(c) DATE OF ESTABLISHMENT: _______________________________________________________
(d) NATIONALITY: __________________________________________________________________
2. (a) BUSINESS ADDRESS: ____________________________________________________________
__________________________________________________________________________________
(b) MAILING ADDRESS: P.O. Box No.: _____________________ Tel. No.: _____________________
Fax No.: _____________________
3. PCAB CONTRACTORS LICENSE: (For Regular Membership)
NUMBER: ____________ DATE: _____________ REPRESENTED BY: ____________________
CLASSIFICATION: ____________________________ CATEGORY: ________________________
4. (a) TYPE OF ORGANIZATION:
( ) Corporation

( ) Partnership

( ) Single Proprietorship

(b) NET WORTH: ____________________________________________________________________

5. NUMBER OF MEMBERS: (For affiliate/ Chapter Membership) _________________________________
6. OFFICERS OF ORGANIZATION/ COMPANY:
NAME
PROFESSION
1. ______________________________ ______________________
2. ______________________________ ______________________
3. ______________________________ ______________________
4. ______________________________ ______________________
7. BOARD OF DIRECTORS OF ORGANIZATION/ COMPANY:
1. _________________________________________
2. _________________________________________
3. _________________________________________
4. _________________________________________
5. _________________________________________
6. _________________________________________
7. _________________________________________

DESIGNATION
______________________
______________________
______________________
______________________

8. NAME(S) OF REPRESENTATIVE(S) IN ASSOCIATION MEETINGS:

1. _________________________________________
2. _________________________________________
3. _________________________________________
4. _________________________________________
9. TWO REFERENCES: (PCA MEMBERS; VOTING REPRESENTATIVE ONLY)
1. _________________________________________
2. _________________________________________
I HEREBY CERTIFY THAT THE FOREGIONG IS TRUE AND CORRECT:
__________________________________
(Signature of Applicant)
For Affiliate/ Chapter Membership
RECOMMEND TO THE MEMBERSHIP COMMITTEE:
By:
CHAPTER/ AFFILIATE COMMITTEE

RECOMMEND TO THE BOARD:

By:
MEMBERSHIP COMMITTEE

_____________________________
Director-Chairman

___________________________
Director-Chairman

DATE APPROVED BY THE BOARD:

_____________________________

2 X 2 PHOTO

PHILIPPINE CONSTRUCTORS ASSOCIATION, INC.

3rd Floor, Padilla Building, Emerald Avenue, Ortigas Center, Pasig City, Philippines
Tel. Nos.: 631-3135/ 631-2778/ 635-9278 Fax: 631-2788/ 633-4989/ 635-9278
Email: email@philconstruct.com Website: http://www.philconstruct.com

DATE SUBMITTED: ____________________

BASIC INFORMATION
Name of Company: _____________________________________________________________________________
Name of Representative: ________________________________________________________________________
Position in the Company: ________________________________________________________________________
Home Address: ___________________________________________________ Telephone No.: ________________
Civil Status: ______________________________________________________ Date of Birth: _________________
Number of Children: ______________________ Name of Wife (If married): _________________________________
Graduated at: ___________________________ Degree/s Obtained: ______________________________________
Other Affiliation/s and Position/s Held (If any): ________________________________________________________
_____________________________________________________________________________________________

2 X 2 PHOTO

PHILIPPINE CONSTRUCTORS ASSOCIATION, INC.

3rd Floor, Padilla Building, Emerald Avenue, Ortigas Center, Pasig City, Philippines
Tel. Nos.: 631-3135/ 631-2778/ 635-9278 Fax: 631-2788/ 633-4989/ 635-9278
Email: email@philconstruct.com Website: http://www.philconstruct.com

DATE SUBMITTED: ____________________

BASIC INFORMATION
Name of Company: _____________________________________________________________________________
Name of Representative: ________________________________________________________________________
Position in the Company: ________________________________________________________________________
Home Address: ___________________________________________________ Telephone No.: ________________
Civil Status: ______________________________________________________ Date of Birth: _________________
Number of Children: ______________________ Name of Wife (If married): _________________________________
Graduated at: ___________________________ Degree/s Obtained: ______________________________________
Other Affiliation/s and Position/s Held (If any): ________________________________________________________
_____________________________________________________________________________________________

PHILIPPINE CONSTRUCTORS ASSOCIATION, INC.

3rd Floor, Padilla Building, Emerald Avenue, Ortigas Center, Pasig City, Philippines
Tel. Nos.: 631-3135/ 631-2778/ 635-9278 Fax: 631-2788/ 633-4989/ 635-9278
Email: email@philconstruct.com Website: http://www.philconstruct.com

DATE: _______________________
The Board of Directors
Philippine Constructors Association, Inc.
Thru the Membership Committee
PCA Secretariat, Pasig, Philippines
Gentlemen:
We have the honour to apply for ___________________________________ (REGULAR/ ASSOCIATE/
LIFETIME/ AFFILIATE/ CHAPTER) Membership in the Philippine Constructors Association, Inc.
This also confirms that we have read the Constitution and By-Laws of the Association, as amended on June
29, 1982.
Attached are our application forms and check.
We hereby solemnly swear that if this application is approved, we shall abide by the Constitution, By-Laws
and Objectives of the Association.

Very truly yours,

_____________________________________________
_____________________________________________

1st ENDORSEMENT

DATE: _______________________

Respectfully forwarded to the Board of Directors thru the Executive Director. In accordance with the results
of the committee meeting held on ___________________________, the application for ______________________
membership of _____________________________________ is recommended for approval.

MEMBERSHIP COMMITTEE:
_______________________________
_______________________________
_______________________________
_______________________________
_______________________________
_______________________________

BOARD ACTION
APPROVED/ DISAPPROVED ____________________________________________ DATE: __________________

For the Board of Directors:

_________________________________________
Executive Director

PHILIPPINE CONSTRUCTORS ASSOCIATION, INC.

3rd Floor, Padilla Building, Emerald Avenue, Ortigas Center, Pasig City, Philippines
Tel. Nos.: 631-3135/ 631-2778/ 635-9278 Fax: 631-2788/ 633-4989/ 635-9278
Email: email@philconstruct.com Website: http://www.philconstruct.com

PCAB LICENSE DETAILS

DATE OF ORIGINAL LICENSE:
LICENSE NUMBER:
PRIMARY CLASSIFICATION:
(Please check one)
( ) General Engineering
( ) General Building
( ) Specialty Contractor
CURRENT CATEGORY:
(Please check one)

(_____/_____/_____)
_________________
OTHER CLASSIFICATIONS:
(Please check all applicable)
( ) General Engineering
( ) General Building
( ) Specialty Contractor
( ) AAA
( ) AA
( )A

( )B
( )C

( )D
( ) Trade

LINE OF BUSINESS: (Check all that apply)

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) Airport and/ or Air Navigation Facilities

) Air Conditioning, Ventilation and/ or Refrigeration
) Building (High Rise)
) Building (Medium Rise)
) Carpentry Works
) Communication Facilities
) Concrete Aggregates
) Concrete Pre-casting, Pre-stress or Post tensioning
) Dam, Reservoir or Tunnelling
) Demolition Works
) Dredging
) Electrical and/or Instrumentation Works
) Engineering Consultancy Works
) Engineering Design Works
) Equipment Rental
) Finishing and Interior Design Works
) Foundation and/or Piling Works
) Golf Courses and/or Resorts
) Industrial Plants
) Insulation and/or Fireproofing Works
) Irrigation and/or Flood Control
) Land Development Works
) Malls and/or Commercial Complexes

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) Manpower Contractor
) Masonry Works
) Mechanical Works
) Non-Destructive Testing and Stress Relieving
) Painting Works
) Parks, Playground and/or Recreational Works
) Piping & Plumbing
) Port, Harbor and/or Offshore Engineering
) Power Generation, Transmission, and/or Distribution Facilities
) Railways and/or Light Rail System
) Residential Housing
) Roads, Highways, Pavements and/or Bridges
) Sanitary Works
) Sewerage and/or Sewage System
) Steel Fabrication Works
) Structural Steel Works
) Tank Erection
) Tiling Works
) Water Treatment Plant and/or Distribution System
) Others: (Please specify)
__________________________________
__________________________________
__________________________________

Note: Upon completion, kindly fax this form to the PCA Secretariat at (632) 631 2788 or (632) 633 4989.

PHILIPPINE CONSTRUCTORS ASSOCIATION, INC.

3rd Floor, Padilla Building, Emerald Avenue, Ortigas Center, Pasig City, Philippines
Tel. Nos.: 631-3135/ 631-2778/ 635-9278 Fax: 631-2788/ 633-4989/ 635-9278
Email: email@philconstruct.com Website: http://www.philconstruct.com

DIRECTORY FORM FOR REGULAR MEMBERS

NAME OF COMPANY: ______________________________________________________________________________________
DATE ESTABLISHED: ______________________________________________________________________________________
BUSINESS ADDRESS:______________________________________________________________________________________
TELEPHONE NO/S.: _____________________ FAX NO.: ___________________ EMAIL ADDRESS: ______________________
AUTHORIZED REPRESENTATIVES:
Name
_________________________________________________
_________________________________________________
_________________________________________________

Designation
___________________________________________
___________________________________________
___________________________________________

PCAB LICENSE NO.: _______________________________

CERTIFICATION OF RENEWAL: _____________________
CLASSIFICATION:
(a.) General Engineering
( )
(b.) General Building
( )
(c.) Specialty
( )
(d.) Combination
( )

DATE OF ORIGINAL LICENSE: ___________________

VALIDITY PERIOD: _____________________________

SPECIALTY (If applicable): ______________________________

CATEGORY: _________________________________________
PROJECTS UNDERTAKEN (e.g. roads, bridges, dams, irrigation works, civil works, buildings, residential, warehouse, industrial
complex, plumbing, electrical, painting, fireproofing, etc.):
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
BUSINESS AFFILIATION/S (sister firms, subsidiaries, tie-ups, etc. and their addresses):
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
KEY OFFICIALS:
Name
________________________________________________
________________________________________________
________________________________________________
________________________________________________

Designation
___________________________________
___________________________________
___________________________________
___________________________________

IT IS AGREED THAT THE INFORMATION PROVIDED ON THIS SHEET WILL BE THE EXACT DATA TO BE PRINTED IN THE
PCA DIRECTORY.

___________________________________
AUTHORIZED REPRESENTATIVE
(Print Name and Sign)

PHILIPPINE CONSTRUCTORS ASSOCIATION, INC.

3rd Floor, Padilla Building, Emerald Avenue, Ortigas Center, Pasig City, Philippines
Tel. Nos.: 631-3135/ 631-2778/ 635-9278 Fax: 631-2788/ 633-4989/ 635-9278
Email: email@philconstruct.com Website: http://www.philconstruct.com

ROSTER UPDATE FORM 2

Note: Please fill-out in print or block letters. Please complete all applicable fields.
GENERAL DETAILS
COMPANY NAME:
DATE ESTABLISHED:
BUSINESS ADDRESS:

_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
MAILING ADDRESS:
_____________________________________________________________________
_____________________________________________________________________
P.O. BOX NUMBER:
_____________________________________________________________________
TELEPHONE NO. 1:
_______________________
ZIP CODE: _________________________
TELEPHONE NO. 2:
_______________________
FACSIMILE: _________________________
TELEPHONE NO. 3:
_______________________
TYPE OF ORGANIZATION:
( ) Corporation
( ) Partnership
( ) Single Proprietorship
MEMBERSHIP TYPE:
( ) Regular
( ) Associate
( ) Affiliate
( ) Chapter
( ) Honorary
( ) Lifetime
CORPORATE EMAIL ADDRESS: _____________________________________________________________
CORPORATE WEBSITE URL:
_____________________________________________________________
VOTING REPRESENTATIVE:
_____________________________________________________________
POSITION:
_____________________________________________________________
EMAIL:
_____________________________________________________________
CONTACT NUMBER: _____________________________________________________________
VOTING ALTERNATE 1:
_____________________________________________________________
POSITION:
_____________________________________________________________
EMAIL:
_____________________________________________________________
CONTACT NUMBER: _____________________________________________________________
VOTING ALTERNATE 2:
_____________________________________________________________
POSITION:
_____________________________________________________________
EMAIL:
_____________________________________________________________
CONTACT NUMBER: _____________________________________________________________
SIZE OF COMPANY:
( ) Less than 10 employees
( ) 101-500 employees
( ) 10,001-15,000 employees
( ) 10-25 employees
( ) 501-1,000 employees
( ) 15,001-20,000 employees
( ) 26-50 employees
( ) 1,001-5,000 employees
( ) More than 20,000 employees
( ) 51-100 employees
( ) 5,001-10,000 employees

PHILIPPINE CONSTRUCTORS ASSOCIATION, INC.

3rd Floor, Padilla Building, Emerald Avenue, Ortigas Center, Pasig City, Philippines
Tel. Nos.: 631-3135/ 631-2778/ 635-9278 Fax: 631-2788/ 633-4989/ 635-9278
Email: email@philconstruct.com Website: http://www.philconstruct.com

ROSTER UPDATE FORM

Note: Please fill-out in print or block letters. Please complete all applicable fields.
GENERAL DETAILS
COMPANY NAME:
DATE ESTABLISHED:
BUSINESS ADDRESS:

_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
MAILING ADDRESS:
_____________________________________________________________________
_____________________________________________________________________
P.O. BOX NUMBER:
_____________________________________________________________________
TELEPHONE NO. 1:
_______________________
ZIP CODE: _________________________
TELEPHONE NO. 2:
_______________________
FACSIMILE: _________________________
TELEPHONE NO. 3:
_______________________
TYPE OF ORGANIZATION:
( ) Corporation
( ) Partnership
( ) Single Proprietorship
MEMBERSHIP TYPE:
( ) Regular
( ) Associate
( ) Affiliate
( ) Chapter
( ) Honorary
( ) Lifetime
CORPORATE EMAIL ADDRESS: _____________________________________________________________
CORPORATE WEBSITE URL:
_____________________________________________________________
VOTING REPRESENTATIVE:
_____________________________________________________________
POSITION:
_____________________________________________________________
EMAIL:
_____________________________________________________________
CONTACT NUMBER: _____________________________________________________________
VOTING ALTERNATE 1:
_____________________________________________________________
POSITION:
_____________________________________________________________
EMAIL:
_____________________________________________________________
CONTACT NUMBER: _____________________________________________________________
VOTING ALTERNATE 2:
_____________________________________________________________
POSITION:
_____________________________________________________________
EMAIL:
_____________________________________________________________
CONTACT NUMBER: _____________________________________________________________
SIZE OF COMPANY:
( ) Less than 10 employees
( ) 101-500 employees
( ) 10,001-15,000 employees
( ) 10-25 employees
( ) 501-1,000 employees
( ) 15,001-20,000 employees
( ) 26-50 employees
( ) 1,001-5,000 employees
( ) More than 20,000 employees
( ) 51-100 employees
( ) 5,001-10,000 employees
PRODUCTS AND SERVICES OFFERED: (Please check all that apply.)
( ) Adhesives
( ) Air Conditioning, Ventilation & Refrigeration
( ) Asphalt
( ) Blocks
( ) Boards
( ) Cement Products
( ) Chemicals
( ) Compressors
( ) Computer Hardware
( ) Computer Software
( ) Concrete Aggregates
( ) Concrete Products
( ) Consultancy Services
( ) Electrical Products, Wires and Cables
( ) Electronic Equipment
( ) Equipment, Heavy
( ) Equipment, Mining
( ) Glass & Mirrors
( ) Insulation Products
( ) Insurance & Bonds
( ) Management Services
( ) Manpower Services
( ) Metal Sheets
( ) Paint Materials & Equipment
( ) Petroleum Products

(
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) Pipes and Tubing

) Plumbing Materials
) Retailer, Construction Materials
) Roofing Products
) Rubber Products
) Scaffolding & Formworks
) Soundproofing Materials
) Steel Bars, Reinforcing
) Steel Fabrication
) Steel Products
) Surveying Equipment
) Telecommunications Equipment
) Tiles, Ceramic
) Tiles, Marble and/ or Granite
) Tiles, Vinyl
) Tires
) Tools, Carpentry
) Tools, Power
) Wallpaper
) Waterproofing
) Wood Products
) Others: (Please specify.)
_________________________
_________________________
_________________________

Note: Upon completion, please fax this form to the PCA Secretariat at (632) 631 2788 or (632) 633 4989.