Form No: CEOO-SE/FO/12
|APPUCATION FORLISING THE NAMES OF REGISTERED STRUCTURAL ENGINEERS FOR CONTINUATION AND NEW
‘REGISTRANTS (UPTO 4 FLOORS IN THEDIRECTORY OF STRUCTURAL ENGINEERS
lotes to Apolcants(F e
‘The applicant are requested to pay a fee of Rs. 1500/-o got their nares iste in the now Drectoy
of suructural Engines and become eile To carry out the Structural desis of bulags in er
‘spective categories,
wil be mandatory for stracturalengnners to use the sel sued by the Insiion fn their oficiat
Correspenderce and nthe certification of drawings. Sats wl be sted by the Istiuton on equest
fara Yee of Fs. 1,000. Ths seal wl not cay ay oesy date. The aplicarts are stronly adie 2
retrain tam ug the sel ance he/she cesses tobe 8 member of te Insti for nonpayment of
$Sbseriptin fos or a dctrysround,
If the applicant doesnot posses a seal, t can be obtained by making an application using form no
DeS'SFO/10 svalable at the Payment Section of the ESL Secretariat or conmlcadable om Our
webstart the form: CEOO'S/FO/10}.
ane we ta (a lock apa EgsoeouNeNeiae —DMTCB
AYAWARDHANA
Merberaip Number: = 19.95 Pave, UV A
ling categories Please tck the appropriate box)
Upto ios La Re)
beam 5108 ors, ot neue (rere Rs)
Fram 919 12a, oe neue ae Re)
4 Fram 13:020Fleos ben sve (gh Re)
4 More than 20 ors hgh Re - ited)
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Siratue
asso film the folowing etal they ae diferent from what have been provided agar our
rare nthe current Directory. For new applicants providing this Information ix mandatory.
Te (tee:
Payment of Bs 1500) was recelved a the anal Fe fr liting in the Directory of Structural
Engineers. Al sibseiption Fes up to and ncudng the eurant year have been cette,
‘Signature ofthe cashier ‘ate