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Ceng/Ieng Professional Registration: A Your Details

This 3-sentence summary provides the key details from the document: The document is an application form for professional registration with the Institution of Engineering and Technology (IET) that requests information about the applicant's personal details, education, employment history, areas of engineering interest, and requires signatures and supporting statements from two references.

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62 views

Ceng/Ieng Professional Registration: A Your Details

This 3-sentence summary provides the key details from the document: The document is an application form for professional registration with the Institution of Engineering and Technology (IET) that requests information about the applicant's personal details, education, employment history, areas of engineering interest, and requires signatures and supporting statements from two references.

Uploaded by

kooldudzz
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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The Institution of Engineering and Technology

CEng/IEng Professional Registration


Application Form
V7. February 2011
A Your Details
Title First ame Family ame
!ost ominals "ate of #irth
""$%%$&&&&
'ome Address

(ounty$)tate !ostcode (ountry
'ome !hone %obile 'ome Email
!referred Venue for Inter*ie+
ame of !rofessional ,egistration Ad*isor -!,A. -if applicable.
Please specify your gender: %ale Female
B Current Employment
Employer /ob Title
#usiness Address
(ounty$)tate !ostcode (ountry
#usiness !hone #usiness Email
Which address ould you li!e all correspondence sent to" 'ome #usiness

C Your Interests
What are your area#s$ of interest" -tic0 all that apply.1
(onsumer Electronics Transport (ontrol Electronics IT %anufacturing %echanical Engineering
!o+er %anagement (ommunications (onstruction$#uilding )er*ices
D %em&ership
In order to apply for professional registration' you ill first need to &e a mem&er of the IE()
I +ish to apply to become a %em&er of the IET
I am already a %em&er of the IET

%embership umber1
!age 1 of 7
The Institution of Engineering and Technology
CEng/IEng Professional Registration
Application Form
V7. February 2011
E Registration
Please indicate &elo hich category of registration you ish to apply for:
Incorporated Engineer -IEng. (hartered Engineer -(Eng.
!age 2 of 7
* Education
)tart "ate End "ate (ourse$2ualification Title Educational Establishment (lassification FT$!T$)3$
"istance 4earning
+ Professional De,elopment or (raining -chemes #if applica&le$
)tart "ate End "ate (ompany Accreditation number -if applicable.
. Professional -er,ices' Papers Presented etc)
"ate Title
I Accounta&ility Diagram
!age 5 of 7
/ Rele,ant Career .istory
)tart$End
"ate
Employer 6 /ob Title E7perience
!age 8 of 7
ote1 The information pro*ided abo*e +ill be used to carry out an initial assessment of your application. As a result of this
initial assessment you may be re9uired to pro*ide further information to support your application.
0 Declaration
I declare that the statements made on this form are to the best of my 0no+ledge true. I agree to comply +ith the ,oyal (harter
and #ye:la+s and ,ules of (onduct of the Institution of Engineering and Technology -IET. and understand that this is a
commitment to beha*e ethically +ithin my profession. I +ill do my best to promote the interests of the IET. I confirm that I ha*e
not committed any offence of +hich the IET +ould re9uire me to gi*e notice under its ,ules of (onduct.
I understand and consent to the information pro*ided on this form being processed by the IET and the Engineering (ouncil for
registration purposes. I also understand and consent that the information +ill be used by the IET and any of its associated
organisations for the purposes of promoting; deli*ering and impro*ing my e7perience of the IET; its products and its ser*ices; by
post and electronic means.
The ,ules of (onduct and the ,oyal (harter and #ye:la+s are published on the +ebsite +++.theiet.org$byela+s .
)ignature of (andidate "ate
1 -upporters2 Details
3e; the undersigned; support the candidate from personal 0no+ledge; as a person +orthy of consideration for Engineering
(ouncil registration and +e endorse the correctness of this form.
-upporter 3 -mandatory.
ame
-print.
)ignature
-sign.
"ate
Address for communication
!ostcode !hone Email
E( ,egistration type -if applicable. e.g. (Eng; IEng %embership of Engineering Institutions e.g. %IET; FIET
%embership umber -if applicable.
-upporter 4 -mandatory.
ame
-print.
)ignature
-sign.
"ate
Address for communication
!ostcode !hone Email
E( ,egistration type -if applicable. e.g. (Eng; IEng %embership of Engineering Institutions e.g. %IET; FIET
%embership umber -if applicable.
!age < of 7
-upporter 5 -optional.
ame
-print.
)ignature
-sign.
"ate
Address for communication
!ostcode !hone Email
E( ,egistration type -if applicable. e.g. (Eng; IEng %embership of Engineering Institutions e.g. %IET; FIET
%embership umber -if applicable.
6otes for -upporter#s$ 7 #efore signing the application form; you are re9uested to ensure that the presentation of the form is to
the candidate=s best ad*antage and pro*ides ade9uate information to enable the IET to reach a decision. !lease note you +ill be
re9uired to complete an In9uiry Form on the candidate=s eligibility for registration.
Return this form together ith the appropriate fee to: Registration 8 -tandards Department' %ichael *araday .ouse' -i9
.ills Way' -te,enage' .erts' -+3 4AY' :0
!age > of 7
The Institution of Engineering and Technology
CEng/IEng Professional Registration

(hec0list
.a,e you: Yes/6o
1. ,ead the guidance notes document on ho+ to complete your application.
2. (ompleted all sections of the form clearly in #4A(? in0 and on +hite paper only -colour and
grey become unreadable +hen copied and should not be used..
5. Enclosed a copy of your further or higher education certificate-s.; signed by one of your
)upporters as a true copy of the original.
8. (learly mar0ed your position on the Accountability "iagram in )ection I; and put the dates you
held that position.
<. )igned the "eclaration.
>. (hec0ed that your )upporters comply +ith the re9uirements as detailed in the guidance notes.
7. @btained the signatures of your )upporters and re9uested them to complete an In9uiry form.
A. Enclosed the appropriate application fee +hich is payable to the Institution of Engineering and
Technology.
B. ,etained a copy of your application.
Please send your completed form and payment to:
(he Institution of Engineering and (echnology
Registration 8 -tandards Department
-te,enage
.ertfordshire
-+3 4AY
:0
!age 7 of 7

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