Form AM/S

THE INSTITUTION OF ENGINEERS, SRI LANKA PROPOSAL FOR ELECTION AS ASSOCIATE MEMBER OR STUDENT MEMBER AND FOR TRANSFER TO THE CLASS OF ASSOCIATE MEMBER
The Institution of Engineers Sri Lanka 120/15, Wijerama Mawatha, Colombo 07. Tel. : 2685490 2698426 2699210 Fax 2699202

Before completing this form please read the notes on page 4 App.No 1. Candidate
Applying for Associate Member Student Transfer to AM
Title or Rank (e.g. Mr./ Names denoted by initials Ms./Dr./Prof.) Names denoted by initials Surname with initials

Civil Mechanical

Electrical Chemical

Agricultural Other (specify) .

Designatory letters (Degrees etc.)

Date of Birth

Age at date of signing years Yes

Permanent Address

NIC No. If Yes Class and Number

Class Membership No.

Do you hold any class of membership of IESL?

Address for communications

No

Phone Numbers Home Business

E-mail:

2. Statements by the Supporters (Please refer notes on page 4)

All the Supporters must be Corporate Members of the IESL. They should be personally familiar with the work of the candidate. The Supporters are requested to confirm the accuracy of the statements of the Candidate by initialling in the margin.

By signing this form as a Supporter, each supporter would be considered as recommending the Candidate to be worthy of Membership of the Institution in the Class applied for.
Title or Rank (e.g. Eng. Mr. Ms. Dr. Prof.) Name (Block Letters) Class (F) or (M)

Address

Signature

Membership No.

Period for which you have known the Candidate

years

Initials

Date

Title or Rank (e.g. Eng. Mr. Ms. Dr. Prof.)

Name (Block Letters)

Class (F) or (M)

Address

Signature

Membership No.

Period for which you have known the Candidate

years

Initials

Date

Form AM/S

3. Candidate
Title of Rank (e.g. Eng. Mr. Ms. Dr. Prof.) Surname with initials

Names denoted by initials

Designatory letters (Degrees etc.)

Date of Birth

Age at date of signing years

4. General Education
School(s) Attended Duration of Course From Mth/yr. To Mth/yr Examination/Course Examination Results Subjects Offered Grades

5. Technical Education
Duration of Course University/Technical College From Mth/yr. To Mth/yr Examination/ Course Full Time/ Part Time Examination Results Subjects Offered Grades

6. Practical Training (In-Plant, Vacation Training etc.)

From Mth Yr Mth To Yr Names of Organisations, positions held, dates and concise account of training Verifying initials of Supporter

Form AM/S

7. Experience (if any) subsequent to training

From Mth Yr Mth To Yr Names of Organisations, positions held, dates and concise account of work of candidate Verifying initials of Supporter

8. Present Appointment
Title of Post Rank or Grade where appropriate

Name of firm or organisation

Date of Appointment

Address

Nature of Business indicating products &/or services

9. Awards, Membership of other Engineering and scientific Bodies

10. Obligation and Certificate

(To be completed by the candidate before this form is sent to the Secretary)

I, the undersigned, certify the statements made above are true, and do hereby agree that in the event of my election, I will be governed during my membership of any class in the INSTITUTION OF ENGINEERS, SRI LANKA, by the by-laws and other rules & regulations of the Institution, as they now are, or as they may hereafter be altered and that I will advance the objects of the Institution as far as shall be in my power; provided that whenever I shall signify in writing to the Secretary that I am desirous of withdrawing from the Institution, I shall, after the payment of arrears which may be due by me at that period, be free from this obligation. I am of Nationality. Signature : . Name with Initials :
Form AM/S

Date : .

NOTES 1. Notes for the guidance of Supporters. 1.1 Supporters are particularly requested to satisfy themselves, before signing a proposal form, that the candidate is worthy of admission to the Institution. 1.2 Supporters are required to determine that the candidate complies with the relevant clauses of either By-Law 7 or By-Law 9 as appropriate to the class of membership applied for. Only Corporate Members of this Institution who currently hold a valid membership are eligible to sign as supporters for candidates for Corporate Membership. Supporters 1.4.1 The supporters must be Corporate Members of the Institution. A minimum of 2 signatories are required. 1.4.2 Candidates applying for transfer to the class of Associated Member are not required to be proposed. 1.4.3 The Supporters are requested to initial particulars of the Candidates qualifications and experience, of which they have personal knowledge.

1.3

1.4

2.

Notes for the guidance of candidates. 2.1 Candidates applying for transfer to the class of Associated Member are not required to be proposed. 2.2 It is from the particulars set out in this Form AM/S supplemented by supporting documents, that the Council can decide whether the candidate meets the requirements of the Institution. It is therefore essential that adequate information be given by the candidate and include detailed information regarding his education and training. Documentation. 3.1 To avoid delay in processing please ensure that : 3.1.1 This form is filled accurately. 3.1.2 All supporting documents are enclosed/submitted. 3.1.3 The correct payment has been made. 3.2 Originals of certificates of (1) Birth, (2) Educational, and/or professional qualifications must be submitted with Photostat copies. The originals will be returned after the copies are verified and certified for filing. Entrance Fee, Deposit against first annual subscription and Exemption Fees if any, should be made to this Office. Exemption from Parts I & II (Civil, Mechanical and Electrical) Professional Review Fee Professional Review Fee (AM)

3.

3.2

EXTRACTS FROM THE BY-LAWS

By-Law 7 Associate Members shall comprise every person who has been admitted to the Class of Associate Member so long as his name is on the Roll as such. Every Candidate for admission or transfer to the class of Associate Member shall satisfy the Council, (i) that he/she is more than 21 years of age; (ii) (a) that he/she has followed a regular course of higher education approved by the Council for the purpose of this by-law, which, if part time, was undertaken while he /she was concurrently engaged in apprenticeships or in other practical work in engineering approved by Council. or (b) that he/she has been a Student of the Institution for more than three years. and (iii) that he/she has passed such sections of the Institution Examinations as may be prescribed by the Council or such exempting examinations as the Council may approve from time to time. By-Law 9 Students shall comprise every person who has been admitted into the Class of Student so long as his name is on the roll as such. Every candidate for admission to the Class of Student shall be over 16 years of age, and shall satisfy the Council; (i) that he/she has passed such qualifying examination or sections of an examination as may from time to time accepted by the Council. and (ii) (a) that he/she is under going regular course of further education approved by the Council for the purpose of this By-Law; or (b) has in denatured himself as an apprentice under the supervision of a Corporate Member of the Institution in a manner acceptable to Council. By-Law 10 A person may remain on the Roll as a Student or join the Institution as a Student after he/she reaches the age of 35 years provided he/she pays the appropriate transfer/entrance fee and annual subscriptions under By-Law 34.