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IAESL Membership Transfer Form - Final 2019

This document is an application form for the transfer of membership within the Institute of Automotive Engineers in Sri Lanka, specifically for upgrading membership grades. It requires personal information, employment details, qualifications, and a declaration of truthfulness from the applicant. A processing fee of Rs.3000 is required, and the application must be submitted with supporting documents to the General Secretary.

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kavish malaka
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79 views4 pages

IAESL Membership Transfer Form - Final 2019

This document is an application form for the transfer of membership within the Institute of Automotive Engineers in Sri Lanka, specifically for upgrading membership grades. It requires personal information, employment details, qualifications, and a declaration of truthfulness from the applicant. A processing fee of Rs.3000 is required, and the application must be submitted with supporting documents to the General Secretary.

Uploaded by

kavish malaka
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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THE INSTITUTE OF AUTOMOTIVE ENGINEERS-SRI LANKA

Incorporated by Act of Parliament (Act No 48 of 1992)

APPLICATION FOR TRANSFER OF MEMBERSHIP (Only for UP-GRADING)

Membership No
Present Grade
Date Elected
(Please fill in block letters)

1.TITLE Mr./Mrs./Miss.
(DELETE INAPPLICABLE)

2.NAME WITH INITIALS

3.FULL NAME

(UNDERLINE THE SURNAME)

4.PRIVATE ADDRESS

5.VOICE (Res) : MOBILE : E-MAIL :

6.DATE OF AGE YRS MTHS


BIRTH
D D M M Y Y Y Y

7.NATIONAL IDENTITY CARD NO

1
PRESENT EMPLOYMENT

8.JOB TITLE

9.NAME OF EMPLOYER

10.ADRESS OF PRESENT WORK PLACE

11.VOICE : FAX : E-MAIL :

12.DATE OF APPOINTMENT TO PRESENT


POSITION
D D M M Y Y Y Y

13.NO. OF EMPLOYEES UNDER YOUR CONTROL

14.DESCRIBE FULLY THE


DUTIES &
RESPOSIBILITIES OF YOUR
PRESENT POSITION

QUALIFICATIONS
NAME OF EXAMINATION YEAR
15.EDUCATIONAL

16.TECHNICAL / ACADEMIC
(Degree, NDT, City & Guilds, Diploma etc)

NAME INSTITUTE/UNIVERCITY DATE AWARDED

2
17.PROFESSIONAL
DATE
NAME OF INSTITUTE COUNTRY MEMBERSHIP GRADE AWARDED

18.EXPERIENCE

FROM TO POSITION HELD NAME OF EMPLOYER ADDRESS

19.SPECIAL TRAINING IF ANY

FROM TO ORGANIZATION COUNTRY

20.DECLARATION

I hereby apply for Transfer of Membership of the Institute of Automotive Engineers (Sri Lanka) and
declare that the information given by me in the application is true and correct. If elected, I agree to
abide by the code of conduct and rules & regulations of the Institute of Automotive Engineers (Sri
Lanka) as they now exist and they may hereafter be altered.

Date: ………………………. Signature of Applicant: ……………………………

3
Important: Processing fee of Rs.3000/= should have been paid to the
Institute to consider the Application w.e.f. 01.01.2019.

Mode of payment: -
(a) Cheque / Bank Draft drawn in favour of “Institute Of Automotive Engineers (S L)” should
be attached to the application indicating the following. (Do not send Money Orders )

Chq./B.D. No:- Amount Date

(b) Payment also could be made to any Peoples Bank Branch , credit to Act.No –
014100140112911 of “Institute Of Automotive Engineers (S L)” & attach the original of
the deposit slip to the Application indicating the applicant’s name and Member. No. on top of
the slip. (You may keep a P/copy of the slip for your reference )
N.B:
I. The applications duly completed should be submitted to the General Secretary,
Institute of Automotive Engineers (Sri Lanka), 120/10, Vidya Mawatha, off
Wijerama Mawatha, Colombo 07.
Photo copies of all Certificates in respect of Educational / Technical / Professional
Qualifications and experience along with Certificate of Birth & NIC should be
attached to the Application. The originals will be required to produce at the interview.

II. Application will be scrutinized by a selected panel in keeping with the constitution &
various grades of membership granted after the approval of the council.

III. Grades of Memberships –


Fellow (FIAE), Member (MIAE), Associate Member (AMIAE) , & Non- Corporate:-
Affiliate .

(Application which does not comply with the above requirements will be
rejected & processing fee forfeited)
FOR OFFICE USE ONLY

Recommended for Transfer to :- ……………………… …………………………


(Class of Membership) (Membership No)
Recommended by

……………………… …………………… ……………………………


Chairman/ Membership Member/ Membership Member/ Membership
Committee Committee Committee

Date:……………………………

Approved by the Council on

D D M M Y Y Y Y

Gen. Secretary: ……………………………

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