Application For Grade of Member of Engineers Australia
Application For Grade of Member of Engineers Australia
Dr
Mr
Mrs
Ms
Miss
Male
Female
month year
Street: ...............................................................................................
Employer: ........................................................................................
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Street: ...............................................................................................
City: ...................................................................................................
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City: ...................................................................................................
Country: ...........................................................................................
Country: ...........................................................................................
Email: ................................................................................................
Mobile:..............................................................................................
Email: ................................................................................................
Mobile:..............................................................................................
Chemical
Civil
Electrical
Environmental
Structural
Mechanical
MEMBER
Private Address
Application for
grade of member of Engineers Australia (continued)
OCCUPATIONAL CATEGORY (please tick RELEVANT BOX)
Professional Engineer
MIEAust
Engineering Technologist
TMIEAust
Engineering Officer
OMIEAust
Company Name:..................................................................................
Authorising Officer:.....................................................................................
Authorising Signature:......................................................................
Date: ........../........../..........
day
month
year
Card No:
Expiry: ............./.............
month
year
Visa
Mastercard
Amount: $.............................
Name on Card:..................................................................................................
Signature:............................................................. Date: ........./........../..........
day
PAGE 2 of 4
Diners
month year
your privacy options (your response will determine how we handle your personal information)
Question 2
I consent to my name and
address information being
used for the purpose of mailing
to me offers by endorsed
partners that participate in
Engineers Australias Member
Benefits Program.
Question 3
I consent to my name and
address information being
used for the purpose of mailing
to me offers by other providers
of goods and services deemed
by Engineers Australia to be of
benefit or interest to me.
Question 4
I consent to my information
being used for the purpose of
receiving the weekly Engineers
Australia electronic newsletter.
Question 1
Third parties include employers, statutory authorities,
customers or members of the public. They could ask
for confirmation of your membership grade, chartered
status or currency of membership. This question does
not relate to registration on the national engineering
registers. To be advantaged by confirming your
membership status tick Agree.
Agree
Do Not Agree
Question 2
Endorsed partners offer you special discounts or benefits
on services such as car hire, home loans, credit cards or
insurance. These offerings are popular and are taken up
by many members. To receive by mail the offering of our
current and future endorsed member benefit partners,
tick Agree.
Agree
Do Not Agree
Question 3
These offerings include products, services and
conferences of a technical nature or in a geographical
grouping targeting engineering consumers and
practitioners. This includes offering from Engineering
Education Australia. We only consent to those requests
that we believe are in the interest of our members. To
receive by mail information on products, services and
conferences aligned to the activities of engineers, tick
Agree.
Agree
Do Not Agree
Question 4
e-news is emailed to members by our wholly-owned
subsidiary Engineers Media. We provide them with a
current membership email listing for this purpose. NB
this does not apply to the magazine or to Division or
college/society newsletters or transactions. To receive the
weekly Engineers Australia electronic newsletter e-news
tick Agree.
Agree
Do Not Agree
Applicants checklist
Relevant payment
Signed Application Form
PDP Registration Authority - optional
Privacy Options completed
Applicants declaration
I agree, if admitted to membership to be bound by the provisions of the Royal Charter and Bye-Laws of Engineers
Australia and the ethical standards set out in Engineers Australias Code of Ethics. I certify that the statements
made by me in this application are correct. I understand that I have an obligation to inform Engineers Australia
of any matter that may affect my fitness for membership. I agree to only use the post-nominals of membership
appropriate to the occupational category and grade of my membership, and only whilst I remain a financial member.
Signature: . ............................................................................................................................................................. Date: ........./........../..........
day
PAGE 3 of 4
month year
MEMBER
Question 1
I consent to the disclosure
to third parties of my
membership status of
Engineers Australia.
Application for
grade of member of Engineers Australia (continued)
Fee Schedule for grade of member of engineers australia
Australian Residents Only (gst inclusive):
Please note: A New Member Admission Fee of $55.00 applies
A Membership Readmission Fee of $55.00 applies
Engineering Officer
Member
$456.50
$232.10
$358.05
Grade/Category
Engineering Officer
Member
$228.25
$116.05
$179.03
Engineering Officer
Member
$415.00
$211.00
$325.50
Engineering Officer
Member
$207.50
$105.50
$162.75
www.engineersaustralia.org.au
Queensland Division
447 Upper Edward Street
BRISBANE
QLD 4000
Ph: (07) 3832 3749
Fax: (07) 3832 2101
Victoria Division
Level 2,
21 Bedford Street
NTH MELBOURNE VIC 3051
Ph: (03) 9329 8188
Fax: (03) 9326 6515
Northern Division
GPO Box 417
DARWIN NT 0800
Ph: (08) 8981 4137
Fax: (08) 8941 3449
Canberra Division
Engineering House
11 National Circuit
BARTON ACT 2600
Ph: (02) 6270 6519
Fax: (02) 6273 2051
Sydney Division
Level 3,
8 Thomas Street
CHATSWOOD NSW 2067
Ph: (02) 9410 5600
Fax: (02) 9410 0000
Newcastle Division
122 Parry Street
NEWCASTLE WEST
NSW 2302
Ph: (02) 4926 4440
Fax: (02) 4929 7121
Tasmania Division
Royal Engineers Building
2 Davey Street
HOBART TAS 7000
Ph: (03) 6234 2228
Fax: (03) 6234 2216
CM0509