Form FIN-04

ENGINEERING COUNCIL OF NAMIBIA

ENGINEERING PERSONNEL REMITTANCE ADVICE – FOR PAYMENTS MADE TO THE ENGINEERING COUNCIL OF NAMIBIA

PERIOD: DATE OF THIS STATEMENT:

Company Name: Company Reg. No.:

Engineering Disciplines: Postal Address:
Physical Address: Contact Person:
Contact No.: E-mail:

LIST ALL ENGINEERING PERSONNEL AND PAYMENT DETAILS BELOW. ALL FIELDS ARE MANDATORY:

Personnel Name ECN Reg. No. Invoice No. Invoice Date Invoiced Paid to ECN Allocation Remarks/
Amount (N$) (N$) Code* Comments

TOTAL AMOUNTS:
AMOUNT PAYABLE TO ECN:
*See Form FIN-05 for relevant allocation codes
YOUR COMPANY OFFICIAL
NOTE: All amounts due to ECN must be paid into ECN’s Standard Bank Account No. 041481410, Windhoek Branch. STAMP
This statement must be completed correctly and submitted to together with the corresponding proof of payment
to finance@ecn.org.na or at ECN offices in Windhoek. Use your company’s name as reference when paying.