ICMEESA Online membership application

"ASSOCIATE" MEMBERSHIP APPLICATION

Please fill in and submit your details on the online application form below,

or, you may download a membership application form

NOTE: When entering your information into the form below, navigate to the next field using the "TAB" key or the mouse. Use of the "ENTER" key will result in the form being sent prematurely.

Online Application form for "ASSOCIATE" membership

Personal Information:

Initials:

First names:

Surname:

Title:

Date of Birth:

Contact Details:

Telephone Home:

Telephone Work:

Cellular:

Fax:

Email Home:

Email Work:

Primary Postal Address: (the preferred address for correspondence. Home or work)

Postal Code:

Secondary Postal Address:

Postal Code:

The holding of a position of authority in the engineering field for at least five years:
Briefly describe the position held by giving the necessary detailed experience report.

Involvement in the field of electrical or mechanical activities or in the advancement of the mechanical or electrical sciences:
Briefly describe your involvement by giving the necessary detail below.

ECSA registration:

Category: Reg No:

Declaration

In submitting this application I declare that the particulars given in this application are correct and that I agree, that in the event of my admission to the Institution, I will be governed by the Constitution and By Laws of The Institution of Certificated Mechanical and Electrical Engineers, South Africa, as they are now formulated or as they may be hereafter altered. I will advance the objects of the Institution as far as shall be in my power and will so order my conduct to uphold the dignity of the profession of the Engineer, act ethically and uphold the established traditions of the Institution.