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APPLICATION
FORM FOR
INDIVIDUAL
MEMBERSHIP
(5070-M)
No. 63-2 & 65-2 Medan Setia 1, Damansara Heights, 50490 Kuala Lumpur, Malaysia.
Tel: (603) 2095 0031 Fax: (603) 2095 3499 E-mail: sec@acem.com.my Website: www.acem.com.my
I,
of
(Name of Firm)
wish to apply for admission to membership of the Association of Consulting Engineers Malaysia.
I have read the Extracts from the Articles of Association attached and the Professional Rules
and Practice and if admitted I undertake to abide by them, as they now exist or as they may
hereafter be altered, amended or added to as long as I remain a Member.
Signature:
Dated this
day of
, 20
Sex: Male/Female
PE Reg. No.:
(e) Name of Firm under which the candidate carries out practice:
BEM Co. Reg. No.:
(f)
Address of Firm:
Tel No.:
Fax No.:
E-mail:
(Preferred e-mail address for correspondence with ACEM.)
Website:
Mobile No:
(g) Date from which the candidate has practised as a Consulting Engineer in his
capacity as a Director/Partner/Principal:
(i)
(j)
A short summary of training and positions held prior to taking up private practice should
accompany this application, and also a statement indicating the more important work upon
which the candidate has been engaged in recent years, showing clearly the character and
magnitude of the work, the degree of responsibility, and if in collaboration, the names of the
associated engineers.
Reviewed by:
Signature:
Verified by:
(in block letters)
Signature:
REMITTANCE
The admission and subscription fees are as follows:
Admission Fee
RM 500.00 per member
Annual Subscription Fee for
1st & 2nd Principal
3rd & 4th Principal
Subsequent Principals
Remittance for admission and subscription fees shall be submitted together with the
application form, prior to the nomination of a candidate. Please make cheque payable to
The Association of Consulting Engineers Malaysia.
If the application is rejected, a refund will be made accordingly.
Please send completed application form and payment to:
The Association of Consulting Engineers Malaysia
No. 63-2 & 65-2, Medan Setia 1, Damansara Heights,
50490 Kuala Lumpur, Malaysia.