CEINDIA

Those who are interested to get registered with Institute of Confederation of Engineers are requested to please fill the below mention form and submit it along with mandatory details.

Name of the Applicant* :

(Entered Name will be printed on Certificate)

Date of Birth* :

Gender :

Male

Female

Postal Address of Correspondence :

Pin Code :

State :

GST Number :

Email ID* : (You will receive soft copies of Certificate, Receipt and Letter on this email id after making the payment)

Mobile Number* :

Name of Establishment Firm/Company :

Designation :

Proprietor

Partner

Associate

Director

Educational Qualification *:

Year of Passing* :

Name of College:

Name of University*:

Marks/Grade Obtained :

Uploade Certificate* : Choose file

(File size 2MB, Supported file types - .JPG, .JPEG, .PNG, .PDF only)

If any Membership of organization, Institution or Association :

Membership Name :

Membership No :

Experience Details:

Organization Name* :

Designation *:

Year of Experience* :

Upload Document* :

Choose file

(File size 2MB, Supported file types - .JPG, .JPEG, .PNG, .PDF only)

Aadhar Card* :

(File size 2MB, Supported file types - .JPG, .JPEG, .PNG, .PDF only)

Choose file

PAN Card* :

(File size 2MB, Supported file types - .JPG, .JPEG, .PNG, .PDF only)

Choose file

Passport Size Photo* :

(File size 2MB, Supported file types - .JPG, .JPEG, .PNG only)

Choose file

(Please upload nice and neat a Professional Photo or image to be displayed on the certificate.)

Declaration:

Above given information is True and correct as per my knowledge, if any misleading information is found then CE India has right to terminate my registration For "Professional Engineer" Title without any prior information.

Disclaimer :

* Fees once paid shall not be refundable or adjustable at any circumstances.
* Subject to realization and clearance of Cheque /D.D./P.O. in our Bank A/C.
* Subject to the Jurisdiction of the Hon. Court of Pune City Only.

Undertaking :

In the event of my selection for Professional Engineer Title By the Membership Council of the Confederation of Engineers , I promise to abide by the constitution, code of ethics and Bye-laws of the Confederation of Engineers . I declare that the particulars given above are true & correct to the best of my knowledge.

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Self Assessment Application Form For Professional Engineer Title