Scribd
Upload
64 views

CPD Declaration Form and CPD Record Form 2023

HKIE

Uploaded by

funnylearn00
Copyright
© © All Rights Reserved
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
64 views

CPD Declaration Form and CPD Record Form 2023

HKIE

Uploaded by

funnylearn00
Copyright
© © All Rights Reserved
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
You are on page 1/ 2

Continuing Professional Development (CPD) Declaration Form

Summary of CPD activities (1 January 2023 to 31 December 2023):

Category Total no. of hours Total no. of hours Total no. of hours in
attended through attended through this category
Self-learning participating in CPD
activities activities
Discipline-Specific
Technical Matters (DSTM)
(min. 5 hours)
Broader Areas of Study
(BAS) / General
Professional Matters (GPM) (min. 5 hours)
Health & Safety (H&S)
(must include Occupational
Safety & Health) (min. 3 hours)
Others

Total

(max. 10 hours) (min. 30 hours)

I declare that the above information is true and correct. The details of CPD activities are listed in the
CPD Record Form. I understand that I may be asked to provide supporting information to the Continuing
Professional Development Committee in relation to the above. I also understand that if I am considered
to have not complied with the CPD requirements for the year in question, I will be asked to submit my
CPD record again for the following year.

Please tick  as appropriate:

I have met the CPD requirements for the year.

I have not met the CPD requirements for the year.

Reasons:

Signature: Date:

Name: Membership No.:

Name of Current Company*: Position*:

*Members are reminded to update their information in Members login area in the HKIE website.
Continuing Professional Development (CPD) Record Form
CPD activities from 1 January 2023 to 31 December 2023

Note a: Please use “(S)” to specify self-learning activities such as reading or watching videos.
Note b: Abbreviations may be used for relevant categories, e.g. DSTM, H&S, GPM, BAS etc.
Name:
Note c: Supporting document may include: enrolment confirmation, attendance certificate, programme rundown etc.

Membership No:

Date(s) Start & End Time Name of CPD Activity Organiser(Note a) Category(Note b) CPD Hours Supporting
Claimed Document Ref.
(Note C)

You might also like