HRVATSKA KOMORA INŽENJERA STROJARSTVA Ulica grada Vukovara 271
CROATIAN CHAMBER OF MECHANICAL ENGINEERS 10 000 Zagreb; CROATIA
EIN: 2539071 VAT No: 26023027358 T +385 1 7775-570
F +385 1 7775 -574

Application for the Recognition of Foreign Professional Qualification

FILLED OUT BY THE CROATIAN CHAMBER OF MECHANICAL ENGINEERS SECRETARIAT

Form 21

Date received: / CLASS:
CLASS: / FILE No: / 503-
FILE No.: / 503- / Decision date:
Administrative fee:
1. / PERSONAL INFORMATION
First name: / Last name:
Nationality: (please check):
AT - Austria / BE - Belgium / BG - Bulgaria / CY –Cyprus / CZ -CzechRepublic
DK - Denmark / EE - Estonia / FI - Finland / FR - France / GR – Greece
IE - Ireland / IS - Iceland / IT - Italy / LV–Latvia / LI– Liechtenstein
LT- Lithuania / LU - Luxembourg / HU - Hungary / MT - Malta / NL - Netherlands
NO - Norway / DE - Germany / PL - Poland / PT - Portugal / RO - Romania
SK – Slovakia / SI – Slovenia / ES - Spain / SE - Sweden / GB – Great Britain
CH -Switzerland / HR - Croatia / Other(please specify):
Personal document (please check): / Identity card / Passport / Certificate of citizenship
Personal document No.: / Date of expiry(MM/YYYY) :
Place of issue: / Country of issue:
SEX(please check): / MALE / FEMALE / VAT No.:

Personal taxpayer number ( TIN / OIB / MBG / ID No.)

Date of birth: / Place: / Country:
Personal contact data in the home country(mandatory):
Address (street and number, postal code and city):
Telephone /GSM number (with dialling code):
E-mail:
Contact data in the Republic of Croatia(optional):
Address (street and number, postal code and city):
Telephone /GSM number (with dialling code):
E-mail:
Contact data on the company of employment:
Company name:
Telephone /GSM number (with dialling code):
E-mail:
Contact person:
First and last name:
Telephone /GSM number (with dialling code):
E-mail:
Remark(company name):
2. / REGULATED PROFESSION
I hereby apply for the recognition of my qualification to pursue the following regulated profession from the Register of Regulated Professions or Professional Activities in the Republic of Croatia:

(Specify in detail the name and number from the Register of Regulated Professions or Professional Activities in the Republic of Croatia)

Are you qualified to pursue the abovementioned regulated profession in your home country?(please check) / YES / NO
(If YES, please specify a document enclosed herewith proving the qualification and the name of the institution that issued it)
Is this profession regulated in your home country?(please check) / YES / NO
(If YES, please state the full name of the authority regulating the profession)
Is there a formally organized education for performance of the abovementioned profession in your
home country that qualifies you to pursue this profession?(please check) / YES / NO
Have you been authorised to pursue the regulated profession in another EU Member State? / YES / NO
If YES, please name the state and the full name of the authority that issued the authorization (evidence must be enclosed)
3. / EDUCATION AND TRAINING DATA *
Name of educational institution (in native language):
Address and country of educational institution:
Professional title in native language:
Duration of education and training:
Enrolment date: / Graduation date:
ECTS credits acquired: / Education level acc. to EQF (European Qualifications Framework):
Certificate of eligibility to pursue the regulated profession issued by the competent authority of the country (please enclose proof thereof): / YES / NO
Other evidence of formal education (please enclose): / YES / NO
Proof of contents and course of training – fields and subjects (please enclose): / YES / NO
Proof of other qualifications (please specify which and enclose): / YES / NO
Qualifications according to EQF – European Qualifications Framework (please check):
primary education – Level 1 (8 years) / Level 1+ vocational training for simple jobs– Level 2
vocational education – Level 3(1-2 years) / general secondary education – Level 4 (4 years)
professional higher education studies – Level 5 (120 to 179 ECTS credits /more than 2, less than 3 years)
undergraduate university studies and undergraduate professional studies – Level 6(180 to 240 ECTS credits / 3 – 4 years)
graduate university studies, specialist graduate professional studies and post-master specialist university studies – Level 7 (1-2 years)
postgraduate research master of science studies– Level 8 (2 years) / postgraduate university doctoral studies
Level 8 (at least 3 years)
4. / PROFESSIONAL EXPERIENCE
Professional activity in home country:
Describe professional experience:
Please enclose references on professional experience for the previous 10 years, and detail references for the previous 2-3 years.
Self-employed / YES / NO / or Employee / YES / NO
From (date): / To (date):
Company full name
Job title:
Job description:
Self-employed / YES / NO / or Employee / YES / N0
From (date): / To (date):
Company full name
Job title:
Job description:

Please specify your employers and submit the Employers’ certificate of employment (employment dates, job title...)

5. / REMARKS(Please explain the reasons for submitting the Application)
6. / POWER OF ATTORNEY: By signing this Application I authorise the below named person as my
representative to receive the documents issued by the Chamber with regard to my Application!
First and last name of the representative:
Telephone /GSM number (with dialling code):
E-mail:
BY SIGNING THIS APPLICATION:
  1. I SOLEMNLY DECLARE, UNDER PENALTY OF PERJURY, THAT THE INFORMATION HEREIN CONTAINED AND THE DOCUMENTS AND ENCLOSURES HERETO ARE TRUE AND CORRECT.
  2. I AGREE THAT MY PERSONAL DATA MAY BE COLLECTED, PROCESSED AND KEPT BY THE CROATIAN CHAMBER OF MECHANCIAL ENGINEERS IN ACCORDANCE WITH THE PROVISIONS OF THE PERSONAL DATA PROTECTION ACT.
  3. I AM FAMILIAR WITH LAWS AND REGULATIONS GOVERNING THE ACTIVITIES IN THE FIELD OF PHYSICAL PLANNING AND CONSTRUCTION, AND WITH THE STATUTE AND OTHER ACTS OF THE CROATIAN CHAMBER OF MECHANICAL ENGINEERS.
  4. I ACCEPT THE COMMITMENT TO CONDUCT MY ACTIVITIES PURSUANT TO THE AUTHORITIES STIPULATED BY THE LAW, CHAMBER' INTERNAL RULES AND REGULATIONS, SPECIAL LAWS AND REGULATIONS ENSUING FROM SUCH LAWS.
  5. I AGREE THAT MY PROFESSIONAL DATAFROM THE DIRECTORY OF THE CROATIAN CHAMBER OF MECHANICAL ENGINEERS BE MADE PUBLICALLY AVAILABLE.

Place and date: / Applicant’s signature:
DOCUMENTATION– ENCLOSURES are submitted in certified translation into the Croatian language accompanied by certified copies of the original documents:
  1. A copy of the university diploma / secondary school leaving certificate and diploma / certificate supplement,
  2. A copy of personal identification document (valid ID card and/or valid passport and/or certificate of citizenship),
  3. An evidence of authorisation to pursue the regulated mechanical engineering profession in the home county (not older than 6 months),
  4. An evidence that the applicant has not been sanctioned with a measure of temporary and/or permanent ban to perform the regulated profession by the relevant authority in the home country (not older than 6 months),
  5. Documentation / enclosure as under Items 3 and 4 of this Application*
  6. Administrative fee of HRK 70.00 (duty stamps of the Republic of Croatiato be enclosed with the Application),
  7. An evidence of payment of the applicationfee of HRK 6,000.00 (for physical and legal persons from the Republic of Croatia the fee is increased by VAT).

The payments made by legal or physical persons from the EU Member States or third countries are not increased by VAT, thus it is necessary to submit the payer’s VAT identification number used for deliveries or acquisition of goods and services.

PAYER VAT Identification Number ______

(mandatory)

FEE PAYMENT DATA:

Hrvatska komora inženjera strojarstva (Croatian Chamber of Mechanical Engineers):

Account No.: HR5623600001102094156, Zagrebačka banka d.d.

Payment description: LAST AND FIRST NAME – Fee for Chamber procedure

Reference number:00 – VAT Identification number of the payer

For international payments SWIFT: ZABAHR2X

Notes:

-The VAT is not payableif the service user is a taxable person in the EU Member Statesor third countries.

-If the service user is a non-taxable person (physical person) in the EU Member States or third countries, the VAT on the services is paid at the principal place of business of the taxable person who provided the services or the fees are increased by the amount of VAT.

-All documents should be submitted in certified translations into the Croatian language and Latin alphabet accompanied by certified copies of the original documents.

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