CEng Application Form - SFLB
CEng Application Form - SFLB
Step 2: SPONSORS
Applicants for CEng registration should be sponsored by two Chartered Engineers registered with the Engineering Council (UK) and personally familiar with the work of the applicant. Sponsors must also complete the separate sponsor form. I will be supporting this application and thus recommending the applicant to the Trustee Board as worthy of membership. Having read the By-Laws, I am of the opinion that the applicant should be considered for election to the class indicated. Sponsor 1 Title: Mr/Mrs/Miss/Ms/Dr Forename Surname Date of birth Membership / ECUK number Class of membership and Institution (if not IMECHE)
Country Postcode Home email Home tel Mobile Company name Job title Work address
Address
Surname Date of birth Membership / ECUK number Class of membership and Institution (if not IMECHE) Address
Indicate three locations of your choice in the order of preference where 1 is your first choice.
Aerospace Army Automobile industry Bio-medical Building services Computers & IT in engineering Consulting engineers / Local Govt Control & instrumentation Defence industry systems Environmental man. Systems Gas industry Govt inspectors & engineers Health and safety officers Higher education Machine tools Maintenance engineering Management consultants Manufacturing industries Mining and quarrying National health service Nuclear engineering Oil industry & offshore engineers Power / Non-nuclear Process industries Railway engineering Royal navy Royal air force Shipping & general insurance Steel production / drilling Telecommunications Water industry Other (please specify)
News and updates from the Institution Events and training opportunities Services from third party partners
Your personal data is stored on our membership database and treated with the highest confidentiality in line with current data protection legislation. For more information visit www.imeche.org/privacypolicy
Step 9: Engagement
To be signed by applicant. Please read carefully. I, the undersigned, certify these statements are true, and do hereby agree that in the event of my election I will be governed during my membership by the Royal Charter and By-Laws of IMechE, as they are now formed or as they may hereafter be altered, and that I will not use any titles, abbreviated titles or descriptions associated with IMechE except those to which I am entitled under the By-Laws. I further undertake that I will pay an annual subscription as prescribed in the By-Laws, and if at any time I shall desire to withdraw from the Institution, I will forthwith pay all arrears of subscription or other payments due from me.
Signature Date Please return completed forms to: Membership applications IMechE 1 Birdcage Walk London SW1H 9JJ T 0845 226 9191 F 020 7090 1001 E [email protected] International callers +44 (0)20 7304 6999 www.imeche.org
For office use only Fee received AAC Case no ACK Q 1st Q 2nd NQ 1st NQ 2nd IPD OK IPD not OK IND INT PRC Other Date Signed