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ENGINEERING COUNCIL OF INDIA

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

___________________ _________________________ ________________________________________ __________


___________________ _________________________ ________________________________________ __________
___________________ _________________________ ________________________________________ __________
3. OthernonengineeringPostGraduationprofessionalqualifications.
___________________ _________________________ ________________________________________ __________
4. NameandCategoryofMembershipinEngineeringrelatedProfessionalInstitutions/Associations/Societies
___________________ _________________________ ________________________________________ __________
___________________ _________________________ ________________________________________ __________
___________________ _________________________ ________________________________________ __________

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:________________________

Please send to: Engineering Council of India


1304, Hemkunt Chambers,
89, Nehru Place.
New Delhi (India) -110019.

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