Professional Documents
Culture Documents
PE APE Registration Form NEW
PE APE Registration Form NEW
Registrationof
ProfessionalEngineer(PE)/AssociateProfessionalEngineer(APE)
APPLICATIONFORM
SerialNo. ______________
1. PersonalParticulars
1.1 Name(InCapitalLetters)
(AsinEngineeringdegreecertificateorequivalent)
PasteLatest
Passportsize
Photograph
1.2.DateofBirth
(dd/mm/yyyy)
___/___/_____
Nationality
___________________
Other
1.3Male
1.4Single
Married
PlaceofBirth(City/State)
___________________
Female
1.5:PresentOrganisation/WorkPlaceNameandAddresswithPincode:
____________________________________________________________________________________________________
____________________________________________________________________________________________________
PresentPositioninOrganisation/WorkPlace_____________________________________________________________
Tel.
____________________________________
Fax ______________________________________________
Email: ____________________________________________________________________________________________
1.6 ResidentialAddress
____________________________________________________________________________________________________
____________________________________________________________________________________________________
Tel.
Mob
Emai: __________________________________________________________________________________________
1.7 Correspondence Address: Residential Address
Organisation Address
2. EngineeringQualification(s)forRegistration
Engineering
Institute/University
Qualifications
Disciplines/MajorSubjects
Yearof
Completion
5. ContinuousProfessionalDevelopmentProgramme/Activitiessinceengineeringgraduationorlastsixyears(whichever
isless)(DetailsofeligibleCPDactivitiesavailableonECIwebsitewww.ecindia.org)
5.1 RecognisedTrainingProgramme,Conferences,Seminar,Workshop,TechnicalPresentationsAttended/Participated
Title/Subject
Duration
NatureofParticipation
ConductingOrganisation
5.2 Books/Articles/Research/TechnicalReportswritten/Talks/ProgrammesconductedbyCandidates
Title
Date
SubjectPublishedby/Conductedat
6. ProfessionalExperience
Describeyourexperienceinthefollowingformat,foreachperiodofyouremployment/involvementinretrospectiveorder
i.e.startingfrompresentpositionindescendingsequence.Ifselfemployed,writeselfemployedunderPosition,andgive
detailsofexperience.Pleasealsounderlinetheexperienceinaresponsiblepositionofsignificantengineeringactivity.
FromtoPositionOrganisationBriefDescription
7.
8.
StateDiscipline/BranchForProfessionalEngineer/APE/SERegister
StateFieldofyourSpecialisation(s)
Specifydisciplineofspecialisation(s)anditssubdiscipline,underwhichyouwouldliketoberegistered.Anoteoutlining
justificationistobeattached.
___________________________________
__________________________________ ______________________________
9. RegistrationFeesBanktransfer/draft/PayorderinthenameofEngineeringCouncilofIndia(Accountdetailswillbegiven
onrequest)
AmountinRs.MulticityCheque/datedBank
Bankdraftno.
i)Fee:TheinitialregistrationfeewillbeRs.3000forPE,Rs.2000forAPE,Rs2000forApE/GE,Rs2000forJrApE,Rs1000
forSEandRs.1000forDipSE.Thefeestructureissubjecttochangeinfuture.Theregistrationissubjecttorenewalafter5
years.
(Note:ServiceTax(atpresent15%)isextra,andneedstobeaddedtotheRegistrationFeepayable)
ii)TheDD/ChequeofthefeewillbeinfavourofEngineeringCouncilofIndiapayableatNewDelhi
iii)TheNEFTdetailsforonlinepaymentare:
Name:EngineeringCouncilofIndia
Bank:HDFCBankLtd.,ConnaughtPlaceBranch,NewDelhi
IFSCcode:HDFC0001220
Bankbranchcode:110240140
S/BA/cno.12201000019756
iv)Thefeeisnonrefundable.
10)Declaration:
Iagreetoabideby,theprofessionalCodeofEthicsestablishedbyEngineeringCouncilofIndia,andtobeheld
individuallyaccountableformyaction.
I undertake to send reports of Professional Experience and Continuing Professional Development as on 31st
MarchofeachfollowingyearregularlysoastoreachECIby30thJune.
IagreethatdecisionoftheECIonRegistrationandTerminationshallbebindingonme.
Iherebyconfirmthatthecontentsoftheitemsdescribedinthisapplicationdocumentsaretrueandcorrect.
Enclosures:
1.
Onepassportsizephoto
2.
SelfattestedcopiesofallEducationalQualificationCertificates
3.
SelfattestedcopiesofallCertificatesofmembershipofProfessionalBodies
4.
RegistrationFee(MulticityCheque/BankDraft/NEFTdetails).
5.Namesanddetailsofthetworeferees.
11.Iamknowntothefollowingtworeferees(engineers):
1)Name:
Address:
ContactDetails:Email:
TelephoneNo.:
MobileNo.:
Knowssince(Period):
2)Name:
Address:
ContactDetails:Email:
TelephoneNo.:
MobileNo.:
Knowssince(Period):
ApplicantsSignature:_________________________________
ApplicantsName:_________________________________
Place:..............................Date:dd/mm/yyyy:________________________