Engineering council of south
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Signature of Applicant: _________________________Date: Signature of Mentor / Supervisor: ___________________________________ Name of Mentor/Supervisor printed: Tel. No.: (17/7/2014) Before the Application Form is submitted to the Engineering Council please make sure that the following points have been checked and included: 1. Application fee of R ____________________. 2. First page of Application Form is initialled by the applicant and Commissioner of Oaths. 3. Second page of Application Form is signed by applicant, signed and stamped by the Commissioner of Oaths. 4. The names of a minimum of three referees have been given. [The referee reports (Forms C4) must be sent under separate cover and the people chosen must be registered as either a Professional Engineer, a Professional Engineering Technologist or a Professional Engineering Technician. One referee report must be from a supervisor. Referee reports from your supervisors are preferable, and they should have played some mentoring or supervisory role in your career development.] 5. A photograph has been attached to Application Form C1.1. 6. Training and Experience Reports or Training and Experience Outlines covering ALL the experience gained completed on the forms provided (Forms C2.1 TER, TEO and C2.2 TES). (Photocopies of the blank forms may be made.) 7. Signatures of applicant on each Training and Experience Report or Outline. 8. Signatures of supervisor or employer on each Training and Experience Report. 9. If the applicant has his own business or signatures are unobtainable, the experience report must be accompanied by a Sworn Affidavit providing reasons for not obtaining the signature and stating that the information is true and correct, i.e. the Commissioner of Oaths must stamp and sign each experience report form. 10. Engineering report Form C2.3 ER (paragraph 2.1 of Sheet C.2) indicating the applicant’s own contribution/role and responsibility in his/her work, signed by a supervisor. 11. Details of your Initial Professional Development (IPD) (using Form C5 IPD). 12. Organograms for the respective positions held during the most recent 3 years by the applicant, signed by applicant and employer - Period and position (post held) must be indicated. 13. Certified copies of certificates, diplomas, degrees, etc. 14. Completed Form C1.3 AR, one for each qualification, where applicable. 15. Proof of membership of Institutions must be provided, where applicable. 16. If you are not in possession of the National Diploma awarded by an ECSA accredited university of technology, the completed and signed Educational Development Report (Form C18 EDR). If any of the above, do not accompany the Application Form, your Application will be held in abeyance until receipt of the information.
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