Registration form

    Application Form

    I am applying for:

    Areas of Engineering Practice

    You can select more than 1.

    You can select more than 1.

    You can select more than 1.

    You can select more than 1.

    You can select more than 1.

    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

    Highest Academic Qualification Achieved

    Name of School/Institution

    Campus

    Full title of certification/qualification

    Certificate/Qualification

    (Maximum file upload size is 128MB)
    For multiple files, please upload all at once.
    To replace file(s), simple re-upload.

    Date of completion

    Others, please specify

    Professional CV

    (Maximum file upload size is 128MB)
    For multiple files, please upload all at once.
    To replace file(s), simple re-upload.

    Other engineering/technical qualifications (if applicable):

    (Maximum file upload size is 128MB)
    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 128MB)
    For multiple files, please upload all at once.
    To replace file(s), simple re-upload.

    Please upload your document (as completed in Step 1) here.

    (Maximum file upload size 12MB)