The Computer Society of Sri Lanka

Application for Membership

Please refer to the Notes for the Guidance of applicants before filling this form. You can also download this form from www.cssl.lk/membership.

Category of Membership: (Please Tick) Only Member Associate Affiliate

For Office Use Date Received Date to Council Grade/Numbe r

If you are already a member of the Society, please indicate Present Grade: ... Membership No.:..

Title

(Mr/ Ms./ Mrs/ Dr / )

Surname

Other Name/s

Current employment
Designation Company/ Org.Name Business Address [ ]

Private

Residential Address[ ]

Mobile: Telephone/s:

Email: Fax :

Email: Telephone/s: Fax :

Note: Please tick [] Mailing address

Date of Birth

Dd

Mm

Yyyy

NIC No
Page 2: Please use continuation sheet/s if necessary.

Academic Qualifications
Please list in chronological order, all academic qualifications you have attained starting from secondary school. From
mth/year

To
mth/year

Name of Institution

Qualificati on

Full or Part Time

Date Received
mth/year

Memberships of other Professional bodies

Professional Body Grade of Membership Date Admitted
mth/year

Method of entry Examination/Exempti on

Positions held and experience

The Membership Committee will be unable to consider the application unless this section is completed in detail.
From
mth/year

To
mth/year

Organization

Position Held, Duties & Responsibilities

ICT involvement

I certify that the information contained in this application is true to the best of my knowledge, and acknowledge the fact that if any information given is found to be false it would result in the termination of my membership of the society.

.. Signature of Applicant Page 3:

Date

References
Required for applicants for Member and Associate grades only. Provide the following information of two referees who are currently full members of the CSSL. Else if the declaration of employer/sponsor in the next section is signed by a member of the CSSL then, one referee would be sufficient in this section. Members hip No. Name
(Title & name with initials)

Contact Phone No.

Signature

Declaration of Employer/Sponsor

(to be completed ONLY by your superior /supervisor) I have verified as correct (where possible) the information supplied by the applicant on this form. I agree to supply further information under confidential cover if necessary. Title & Name with Initials : Address : .

Position : Telephone No. :

. .

If you are a Member of the Computer Society of Sri Lanka, please indicate your Membership Number

Date :

... Signature of Sponsor

THE COMPUTER SOCIETY OF SRI LANKA

NOTES FOR THE GUIDANCE OF APPLICANTS
1. Please prepare the application form using a black or blue pen or typed 2. Proof of evidence Documentary evidence of relevant qualifications & experience (photocopies of certificates issued by appropriate authority /organisation) should accompany the application in support of those qualifications and experience claimed. 3. Positions held and experience Brief details of positions held and the periods of these positions including projects undertaken and your contribution to them. 4. Contact details of at least two referees (currently Members of CSSL) who can verify the positions held and the experience claimed in this application. If the declaration of employer/sponsor in the next section is signed by a member of the CSSL, then one referee would be sufficient in this section. Referees nominated by the applicant may be contacted and asked to supply information in support of the application. 5. The application including copies of certificates, other relevant documents and the application fee should be sent to:The Computer Society of Sri Lanka Professional Centre No.275/75,Stanley Wijesundera Mawatha, Colombo 7. (Sri Lanka). Tele: 011- 4713336 6. The application along with the relevant documents should be handed over to the above address with Rs. 150.00. MEMBERSHIP REQUIREMENTS Member (MCS)Graduate or a higher degree (or equivalent professional qualification) holder in ICT with 4 years of professional experience; Or Graduate in a field other than ICT and 5 years professional experience; Or Associate Member of CSSL and 3 years post qualifying professional experience; Or Non-Graduate who has undergone adequate training in ICT and 8 years experience; AND that at the time of membership application he/she is actively engaged in a professional capacity in the use and application of ICT and the techniques related thereto. The applicant should satisfy the Council that the experience referred to above is at a professional level. AssociateGraduate or and higher degree (or equivalent professional qualification) holder in ICT or Graduate in a field other than ICT and 1 year professional experience Non-Graduate who has undergone adequate training in ICT and 4 years experience; AND that at the time of membership application he/she is actively engaged in a professional capacity in the use and application of ICT and the techniques related thereto. The applicant should satisfy the Council that the experience referred to above is at a professional level.

Student-

General Certificate of Education Advance Level Examination conducted by the Government of Sri Lanka with pass in one subject; Or General Certificate of Education Ordinary Level Examination conducted by the Government of Sri Lanka with passes in six subject where one of the subject should be either Arithmetic or Mathematics and three of the passes should be credit passes. This grade is for applicants who have an interest in computing, and are not yet eligible or do not wish to become professional members. This grade is for Corporations and firms whose primary object is connected ICT

AffiliateCorporate-

Acceptable Professional experience:

Coding, implementation and maintenance of computer programs; Systems analysis and design; Database design and Administration; Network design and communication technology; Information systems strategic planning; Evaluation of information technologies; Systems programming; Hardware engineering and maintenance; Information technology research and development; Standards development; Software quality assurance; Auditing of IT systems; Design of safety critical systems; Network management; IT systems security; Pre and post sales technical support; Design and implementation of computer-based training material; Professional training, Supervision and management of any of the above