Registration form

    Application Form

    Areas of Engineering Practice










    Personal Information

    Title

    Surname/Family Name

    Given Name/First Name

    Gender

    Date of Birth

    Nationality

    Last 4 digits of NRIC or Passport No.

    Contact Details

    Name of Employer

    Job Designation

    Business Address


    Postal Code

    Office Phone

    Mobile Phone

    Fax

    Email

    Home Address


    Postal Code

    Home Phone

    Academic Qualification Achieved

    Name of School/Institution

    Campus

    Full title of certification/qualification

    Certificate/Qualification

    (Maximum file upload size is 5MB)
    For multiple files, please upload all at once.
    To replace file(s), simple re-upload.

    Date of completion

    Others, please specify

    IES Membership Number (leave blank if you are not IES Member)

    Professional CV

    (Maximum file upload size is 5MB)
    For multiple files, please upload all at once.
    To replace file(s), simple re-upload.

    Other Professional Qualifications (if applicable):

    (Maximum file upload size is 5MB)
    For multiple files, please upload all at once.
    To replace file(s), simple re-upload.

    Identification Photo (Passport or front and back or your NRIC)

    (Maximum file upload size is 5MB)
    For multiple files, please upload all at once.
    To replace file(s), simple re-upload.

    Please upload Chartership Application form here.

    (Maximum file upload size 5MB)

    Please upload proof of payment (Admin Fee):

    (Maximum file upload size is 5MB)
    For multiple files, please upload all at once.
    To replace file(s), simple re-upload.