The Engineering Professions

Association of Namibia
PO Box 21885 Windhoek Namibia

MEMBERSHIP APPLICATION FORM

CORPORATE /ASSOCIATE / STUDENT MEMBERSHIP (delete whichever not applicable - see notes below)
N.B.: Your application will only be considered by Council if accompanied by the appropriate entrance fee.

1.

Surname

___________________________________________________________

2.

Christian name(s) in full

___________________________________________________________

3.

Postal Address

___________________________________________________________

4.

Residential Address

___________________________________________________________

5.

Telephone Numbers

Work _______________________ Home _________________________

6.

Facsimile Number

______________________ Email _______________________________

7.

Date of Birth

______________________ ID No. ______________________________

8.

Employer

___________________________________________________________

9.

Academic Qualifications

___________________________________________________________

10. Are you registered with the Engineering Council of Namibia? _________________________________________
11. If so, as what?

___________________________________________________________
(A photocopy of your registration certificate must be attached)

12. Engineering Discipline :

________________________ (Civil, Electrical, Mechanical, Chemical etc.)

13. Memberships of other Institutions:

___________________________________________________________

___________________________________________________________________________________________
Date : ____________________________

Signed : ___________________________________________________

ANNUAL MEMBERSHIP FEE SCALES

Corporate Members
Associate Members
Student Members

Entrance Fee
N$ 50-00
N$ 25-00
N$ 10-00

Subscription Fee
N$ 240-00
N$ 180-00
N$ 50-00

NOTES:
a) A Corporate member is one who is registered with the Engineering Council of Namibia as a Professional Engineer, Incorporated
Engineer, or Engineering Technician.
b) An Associate Member is one who is registered with the Engineering Council of Namibia as a Professional Engineer in training, or
Incorporated Engineer in training or Engineering Technician in training, or any graduate not registered with the Engineering Council
of Namibia. Also persons who do not qualify for registration with the Engineering Council of Namibia but who are involved in any
other profession closely related or supportive to the engineering profession, and who are engaged in work supportive of the
engineering profession, may be granted Associate membership as non-registrable members.
c) A Student member is one who is studying at any institution to become a Professional Engineer, Incorporated Engineer, or
Engineering Technician, but who is not yet registrable as an Associate member.