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Institution of Structural Engineers (ISE) : Membership Application Form To, General Secretary, ISE

This document contains a membership application form for the Institution of Structural Engineers (ISE). The form requests information such as name, address, date of birth, gender, educational qualifications, experience, membership of other associations, and payment of lifetime membership fees of Rs. 10,000 or Rs. 15,000. It also includes an undertaking that the applicant will abide by ISE's constitution, code of ethics and bylaws if selected for membership. Instructions are provided on how to fill the form and submit payment.

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33 views2 pages

Institution of Structural Engineers (ISE) : Membership Application Form To, General Secretary, ISE

This document contains a membership application form for the Institution of Structural Engineers (ISE). The form requests information such as name, address, date of birth, gender, educational qualifications, experience, membership of other associations, and payment of lifetime membership fees of Rs. 10,000 or Rs. 15,000. It also includes an undertaking that the applicant will abide by ISE's constitution, code of ethics and bylaws if selected for membership. Instructions are provided on how to fill the form and submit payment.

Uploaded by

sonofalexander
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Institution of Structural Engineers (ISE)

First Floor, Parivartan Complex, Ashram Road, Uruli Kanchan.


Pune – 412 202 (M.S.) India.
Ph No.: +91 9028 686 786
www.ceindia.org
Email ID: [email protected]

MEMBERSHIP APPLICATION FORM

To,
General Secretary, PHOTO
ISE
Please enroll me as a Member of the Institution of Structural Engineers (ISE)

Name of the Applicant: ………………………………………………………………………………...............

Name of the Firm: .……………………………………………………………………………………..………

Designation: Proprietor Partner Associate Director

Date of Birth: …………………………………… Age: …………………………………………………….

Gender: Male / Female

Permanent Address : Present Address:


…………………………………………………… ………….………………………………………
…………………………………………………… ….………………………………………………
…………………………………………………… ….………………………………………………
…………………………………………………… …………………………………………………
…………………………………………………… …………………………………………………
Telephone: …………………………………..…. Telephone: …………………………………..….
Mobile No.: ………………………………. Mobile No.: …………………..……………..….

E-mail ID: ………………………………………………………………………………………………….….


(Please Tick appropriate for correspondence address)

Educational Qualifications (Give Details from School Onwards)


…………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………
Experience: for experience attach a separate sheet

If you belong to any other Association / Society / Institution please list them here.
…………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………

Membership Fees: Any candidate who would like to become the member of the Institution shall have to
pay the Rs. 10000.00 /- (Rs. In words Ten Thousand Only) including Entrance Fee, life time fees etc.

Please enter the attached documents below:


………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………
Structure Of Fees :
LifeTime Membership Fees for Certified Engineer Title (C.Eng.): Rs. 10,000/-
LifeTime Membership Fees for Chartered Engineer Title (C.Eng.): Rs. 15,000/-

UNDERTAKING
In the event of my selection to any grade to membership of the Institution of Structural Engineers
(ISE). I promise to abide the by the constitution, code of ethics and bye-laws of the Institution of Structural
Engineers (ISE). I declare that the particulars given above are true and correct to the best of my knowledge.

Signature of Applicant with Name: ……………………………………………………..


…………………………………………………………………………………………………………………
FOR OFFICE USE ONLY

Application verified and approved at the council meeting held on …………………………………….……

Membership No. allotted ………………………………………………………………………………….….

Received Cash /Cheque / Demand Draft of Rs. …………..…………….. No ………………………….. of

Bank Name……………………………………………………………………………………………………...
Instructions for Filling up the form
 Fill up entire form in Capital Letters only.
 Attach Certified /Attested copies of other Institutional memberships also.
 Affix latest passport size photograph with two extras.

Please inform the change in address for correspondence, if changed any time during the membership to
avoid inconvenience to each other.
Demand Draft should be in favour of “Confederation of Engineers and Appraisers” payable at Pune only.
Note:-

* Fees once paid will not be Transferable of Refundable in any circumstances.

* The Application Form should be sent by Govt. Registered/Speed Post only

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