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Refer to notes on page 2 to fill up this application form

COUNCIL OF REGISTERED PROFESSIONAL ENGINEERS


Application Form for Registration Stage1: Eligibility
(required before applying for Registration Stage2: Registration)

Family Name First Name(s)

…………………………………………........................................................
GLUE
.....................................................................................
ONE FORMAL
…………………………………………………………………………….. PASSPORT
…………………………………………………………..
PHOTOGRAPH
…………………………………………………………………………….
HERE
Title of qualification Awarding body

…………………………………………………….…………………………………… ……........................................................…………………………

…….……………………………………………………………..……… ……………………………………………………………………….

Year of starting the engineering programme………………….………… Year of Award ………………….……… Month of Award ….………………….
Class and Division (if any) …………………………………………………………

My Postal Address My email address My other contact details


ONLY PRINTED VERSION OF THIS APPLICATION FORM WILL BE ACCEPTED.

Phone (Mobile)
…………………………………………………………………………..……………

……………………………………………………………………………………… Phone (Home)

……………………………………………………………………………..………

My National ID Card Number (for Mauritian Citizens) My Passport Number (for Expatriates)

Insert below the names of Engineering Institutions or Societies of which Insert below your general experience in an engineering environment, inclusive
you are a member, giving date of election of industrial training (Note 1)

NOTE:
(a) Please take an appointment, by sending an email to the Registrar (engineeringcouncil@mail.gov.mu) to submit your application form. The
subject line of your email should be “Request for Appointment to apply for Registration Stage1”. Your email should also include your full
name (as you wish it to appear on your eventual Letter of Eligibility), full qualification title, including Class and Division (if any) and your
Postal address.
(b) Please note that incomplete or wrongly filled application forms will NOT be accepted.
(c) Applicants are informed that all applications for Registration Stage1: Eligibility will have to be approved by Council prior to the issue of the
Letter of Eligibility. This process can generally take some 4 to 6 weeks, as from the date of application, excluding time for any interview that
may have to be conducted.
(d) All interested parties are advised that applications for Registration Stage1: Eligibility should be made well in advance as such
applications will be dealt with by Council in a period of not less than 4 weeks from the date of application.


THE REGISTRAR, COUNCIL OF REGISTERED PROFESSIONAL ENGINEERS OF MAURITIUS
c/o Ministry of Public Infrastructure, National Development Unit, Land Transport & Shipping, Civil Engineering Section, Phoenix, Mauritius
 (Phone) (+230) 698-8376  (Fax) (+230) 686-4506 @ (E-mail) engineeringcouncil@mail.gov.mu  (website) www.crpemauritius.com
(i) My nationality is ………………………………………………………………. (if you are not a Mauritian citizen, please enclose a copy of your
Work Permit from the Ministry of Employment of Mauritius).

(ii) I solemnly declare that the above particulars are true and I submit herewith the original and one copy each of the following:
1. School Certificate or Equivalent
2. Higher School Certificate or Equivalent
3. Engineering Degree and mark sheets for entire degree programme
4. Birth Certificate and National Identity Card (for Mauritian citizens)
5. Passport with copy of pages showing: photo, visa and entry seal with date (for foreign citizens)
6. Work permit (for foreign citizens) where applicable
7. Any Corporate membership valid at the time of application
8. Non-refundable processing fee of Rs 500.00 for Registration Stage1 (eligibility) application OR
Rs 2,000.00 for Registration Stage1 + Registration Stage2 application (if simultaneous application is being made for both stages)
9. Technical report (in One original and Two copies) , if applying for combined Registration Stage1 and Registration Stage2
(applicable only for expatriates after a minimum of 2 years of supervised engineering training after obtaining a recognised engineering degree)

(iii) I apply for ……………………………………………………………….……….... (Registration Stage1 or Registration Stage 1 + Registration Stage2)
REFEREES
We, the undersigned, acting as referees, certify that Mr / Ms / Mrs ……………………………………….…
………………………………………………………………………………………………... (Full Name of Applicant) GLUE
of …………………………………………………………………………………………………………………… ONE FORMAL
…………………………………………………………………………………....…. (Residential Address of Applicant) PASSPORT
PHOTOGRAPH
and holder of National ID Card Number (Passport Number for expatriates) ..………………….….…………………
is well known to me and is a person of good fame and character.
HERE
ONLY PRINTED VERSION OF THIS APPLICATION FORM WILL BE ACCEPTED.

Name in Address in full Occupation No. of Signature


BLOCK LETTERS (Note 2) (including email address) (include your RPEM years
Number if applicable) known

NOTES FOR COMPLETING THIS APPLICATION FORM


1. State position occupied and duration of service in each position, inclusive of any industrial training; State the nature of
engineering work carried out during each time period.
2. Insert in the column the names of two or more responsible citizens of undoubtful standing*, of whom at least one must be
a Registered Professional Engineer. This page is to be filled by hand and requires your referees’ original signatures.
3. Please glue YOUR OWN identical recent formal passport size photographs in the spaces provided.
* Undoubtful standing: Eligible also to sign for the application of a Mauritian passport

 THE REGISTRAR, COUNCIL OF REGISTERED PROFESSIONAL ENGINEERS OF MAURITIUS


c/o Ministry of Public Infrastructure, National Development Unit, Land Transport & Shipping, Civil Engineering Section, Phoenix, Mauritius
 (Phone) (+230) 698-8376  (Fax) (+230) 686-4506 @ (E-mail) engineeringcouncil@mail.gov.mu  (website) www.crpemauritius.com
APPLICANT’S CHECKLIST (Original and One copy each of each document written in blue below must be provided on application)
School Certificate Higher School Certificate Degree Certificate(s)
Mark sheets for entire degree programme Birth Certificate National ID Card or Passport
Certificate of Experience Corporate Membership Work Permit (for expatriates)
Referees’ signatures Form properly filled Passport Photos glued in position

Full Qualifications Title, including name of Awarding body, Class and Division (if any)

Title of qualification …….……………………………………………………..…………………

………………………………………………………....................................................... GLUE
Awarding body ……........................................................…………………………………….
ONE FORMAL
PASSPORT
Year of Award ……………… Month of award …….…..… Class and Division (if any) ……………… PHOTOGRAPH
Your Postal Address for subsequent correspondence HERE
…………………………………………………………………………..…………………
Your Full Name (Family name in CAPITAL)
…………………………………………………………………………………………….
Family Name ..................................................
…………………………………………………………………………………………….
First Name(s) ..................................................
…………………………………………………………………………………………….
Affix your signature in the space below
National ID Number / Passport Number ..........................................................................

Email address: …………………………………………………………………………


ONLY PRINTED VERSION OF THIS APPLICATION FORM WILL BE ACCEPTED.

Telephone No: .................................................... Mobile ……………………………….

FOR COUNCIL USE ONLY


Application Received on ………………………………………. with the following documents: Originals or Certified Photocopies of
School Certificate Higher School Certificate Degree Certificate(s)
Mark sheets for entire degree programme Birth Certificate National ID Card or Passport
Certificate of Experience Corporate Membership Work Permit
Referees’ signatures Form properly filled Passport Photos glued in position

Action
COUNCIL’S APPROVAL
Accepted for Registration Stage1: Eligibility Accepted for Registration Stage2

 THE REGISTRAR, COUNCIL OF REGISTERED PROFESSIONAL ENGINEERS OF MAURITIUS


c/o Ministry of Public Infrastructure, National Development Unit, Land Transport & Shipping, Civil Engineering Section, Phoenix, Mauritius
 (Phone) (+230) 698-8376  (Fax) (+230) 686-4506 @ (E-mail) engineeringcouncil@mail.gov.mu  (website) www.crpemauritius.com
Towards
HILLCREST /
SODNAC
JUMBO
Phoenix

Towards
PORT LOUIS
JUMBO
roundabout
Towards
VACOAS
La
Bastille
Prison
Towards
PORT LOUIS Indira
Gandhi
Centre
Coca-
Cola
Depot

MPI & CRPE

CRPE

Adventist
College

Towards
GOLF To
COURSE CUREPIPE

To
HIGHLANDS

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