Confederation of Engineers ( India )

Second Floor, West Wing,

PMT Building, Hadapsar,
Pune 411028, Maharashtra ( India ).
Phone : + 91 20-65784693 ,
E-mail: postmasterceindia@rediffmail.com

Website : www.ceindia.org

MEMBERSHIP APPLICATION FORM

Photograph of
applicant

To,
The Hon.Gen.Secretary,
Confederation of Engineers (India),
Please enroll me as Member/ Student/ under the category of (please tick)

Architectural Engineering
Aeronautical Engineering
Agricultural Engineering
Chemical Engineering
Civil Engineering
Electrical Engineering
Electronics Engineering
Industrial Engineering
Production Engineering
Mechanical Engineering
Metallurgical Engineering
Mining Engineering
Marine Engineering
Structural Engineering
Nuclear Engineering
Textile Engineering
Tools Engineering
Public Health Engineering
Foundry Engineering
Name of the Applicant ( Mr./ Mrs./.Ms./Dr./Others )
Name of Establishment Firm
Designation :

Proprietor

Date of Birth

Partner
Age

Permanent Address

Associate
Years

Director
Gender - Male / Female

Present Address

Telephone
Telephone
Mobile No. :
E mail:
( Please Tick mark appropriate for correspondence address.)
Educational Qualification: ( Give Details of School, College Name and University )

Experience : ( if any ) Please attach separate sheet

If you belong to any other association / society / institution please list them here

Please enter the attached documents below

Encl:

Structure of Fees :
LifeTime Membership Fees For Certified Engineer Title ( C.Eng.) : Rs. 10,000 /LifeTime Membership Fees For Chartered Engineer Title ( C.Eng.) : Rs. 15,000 /-

UNDERTAKING :
In the event of my selection to any grade to membership of the Confederation of Engineers ( India ),
I promise to abide by the constitution, code of ethics and Bye-laws of the Confederation of Engineers
( India ). I declare that the particulars given above are true & correct to the best of my knowledge.

Signature of Applicant ( in full )

FOR OFFICE USE ONLY :

Application verified by : Hon.Gen.Secretary and found correct.
Application approved at the Executive Committee Meeting held on
Membership No. Allotted
Received Cash/ Cheque / Demand Draft of Rs.

/- No.

Bank

Instructions For Filling Up The Form :

Fill up entire form in Capital Letters Only,
Attach Certified/ Attested copies of other institutional memberships also,
Affix latest passport size photograph on the application, another two photographs,
Please inform change of address for correspondence, if changed any time during the Membership to avoid
inconvenience to each other,
Fees once paid not Transferable or Refundable,
Demand Draft should be in favor of Confederation of Engineers ( India ), Payable at Pune.
No Enquiries regarding the progress of your application within two months will, therefor not be
entertained.