SRI LANKA

ASSOCIATION OF CONSULTING ENGINEERS, SRI LANKA

Founded 1980, Incorporated by Act of Parliament No. 42 of 2003

APPLICATION FOR ENROLEMENT AS A MEMBER

01. NAME OF APPLICANT (Surname)

(Other Names)

02. DATE OF BIRTH

03. NATIONALITY

04. POSTAL ADDRESS

05. TELEPHONE (Office)

(Residence)

(Mobile)

(E mail)

06. ACADEMIC QUALIFICATIONS

07. PROFESSIONAL QUALIFICATIONS

(Give Names of Institutions, Country,
Membership Grade and date of election)

08. PROFESSIONAL STATUS

(1) Independent Consulting Engineer Yes/No

(2) Partner./Director of a Firm Yes/No

(If Yes, give Name & Address of Firm)

(3) Senior Engineer, entitled to private practice,

of a Government Department or State
Corporation or Authority Yes/No
(If Yes, give Designation and Name and Address
of Department/Corporation/Authority)
10. MAIN AREA OF ENGINEERING SPECIALITY (Please circle)

CIVIL STRUCTURAL MECHANICAL

ELECTRICAL BUILDING SERVICES INFRASTRUCTURE

GEOTECHNICAL WATER SUPPLY & DRAINAGE ENVIRONMENTAL

HYDROPOWER & HYDROLOGY OTHER (Please specify)

11. Give statement of engineering experience as a professional and details of consultancy services provided (Use
separate sheet if necessary)

I declare that:-

i. I have no interests in any Company, Firm or Partnership carrying on any contracting or

manufacturing business dealing with the class of work to which my practice relates.

ii. If elected as a member of the Association, I undertake to abide by the Articles of Association,
Rules and Code of Conduct which I have read.

……………………………….. …………………………………
Date Signature of Applicant

PROPOSED BY name …………………………… signature ………………………………..

SECONDED BY: name ………………………….. signature …………………………………

Note: Both Proposer and Seconder shall be Members of the Association of Consulting Engineers, Sri Lanka

FOR OFFICE USE

DATE REFERRED TO MEMBERSHIP COMMITTEE

Recommendation / Comments of Membership Committee

……………………………… …………………………………… …………………………

Signature Signature Signature
Date…………………………….

Application approved/rejected by Council at the Meeting on…………………………………

………………………………………. …………………………………
President Hony. Secretary

Applicant informed accordingly on ………………… …………………………………..

Hony Secretary