EmailMeForm
Singapore Institute of Engineering Technologists
Website-www.siet.org.sg E mail-admin@siet.org.sg
Membership Applications/ Transfer
This form must be fully completed and should be sent with the appropriate remittance to The Chairman (Membership and Qualification) Singapore Institute of Engineering Technologists through IQY Technical College.
For office used only (The candidate must not fill it) Reference Number
For office used only (The candidate must not fill it) Date received)
For office used only (The candidate must not fill it) Grade Granted
For office used only (The candidate must not fill it) Membership Number
For office used only (The candidate must not fill it) Date Member notified
Attach the scan copy of your photograph (jpg or Pdf ) format
(1) To the council of the SINGAPORE INSTITUTE OF ENGINEERING TECHNOLOGISTS, Having read the Membership Regulations, I hereby apply for the membership grade of
FELLOW
MEMBER
ASSOCIATE MEMBER
ASSOCIATE
I have made the telegraphic transfer of the Entrance Fees and Annual Subscription to DBS Account Number 020-900728-6/ DBS Account Name-SIET / Bank Name-DBS Bank / Address- 6 Shenton Way, DBS Building, Singapore 068809 / Swift Address-DBSSSGSG and attach the evidence
I pay Singapore S$ (the amount filled below) being entrance fee and first annual subscription.
(2) APPLICANT
(A)Name in full
Nationailty
(B)Date of birth
Age at the date of signing
(C) Permanent private address of communications
Telephone number
E mail address
(D) Name and address of Company by which you are employed
Telephone number
Present position
(F) Name of person verifying paras D and E
Status of person verifying
Up load the scan copy of Signature of person verifying (JPG or PDF ) File
(3) PROPOSER AND SECONDER
We, the undersigned , from our personal knowledge of the applicant, consider the application a fit and proper person to apply for the above mentioned membership to the Institute.
Name of Proposer
SIET # (# Corporate Members of the other professional bodies eg MIEM,MICE, etc are also acceptable)
Fellow
Member
Up load the scan copy of Signature of Proposer (JPG or PDF) File
Membership Number
Date
Address
Name of Seconder
SIET # (# Corporate Members of the other professional bodies eg MIEM,MICE, etc are also acceptable)
Fellow
Member
Up load the scan copy of Signature of Seconder(JPG or PDF) File
Membership Number
Date
Address
4. ACADEMIC QUALIFICATIONS
1.Date of Award
1.Name of College or University
1.Qualifications Obtained (Degree, Diploma, Certificate Indicate Faculty eg Civil, Mech etc)
Verification by Proposer by selecting the choice
Verified
Not Verified
2.Date of Award
2.Name of College or University
2.Qualifications Obtained (Degree, Diploma, Certificate Indicate Faculty eg Civil, Mech etc)
Verification by Proposer by selecting the choice
Verified
Not Verified
3.Date of Award
3.Qualifications Obtained (Degree, Diploma, Certificate Indicate Faculty eg Civil, Mech etc)
3.Name of College or University
Verification by Proposer by selecting the choice
Verified
Not Verified
4.Date of Award
4.Qualifications Obtained (Degree, Diploma, Certificate Indicate Faculty eg Civil, Mech etc)
4.Name of College or University
Verification by Proposer by selecting the choice
Verified
Not Verified
5.Date of Award
5.Qualifications Obtained (Degree, Diploma, Certificate Indicate Faculty eg Civil, Mech etc)
5.Name of College or University
Verification by Proposer by selecting the choice
Verified
Not Verified
6.Date of Award
6.Qualifications Obtained (Degree, Diploma, Certificate Indicate Faculty eg Civil, Mech etc)
6.Name of College or University
Verification by Proposer by selecting the choice
Verified
Not Verified
7.Date of Award
7.Qualifications Obtained (Degree, Diploma, Certificate Indicate Faculty eg Civil, Mech etc)
7.Name of College or University
Verification by Proposer by selecting the choice
Verified
Not Verified
5. PROFESSIONAL QUALIFICATIONS
1.Date of Admission
1.Membership Grade Obtained
1.Name of Institution
Verification by Proposer by selecting the choice
Verified
Not Verified
2.Date of Admission
2.Membership Grade Obtained
2.Name of Institution
Verification by Proposer by selecting the choice
Verified
Not Verified
3.Date of Admission
3.Membership Grade Obtained
3.Name of Institution
Verification by Proposer by selecting the choice
Verified
Not Verified
4.Date of Admission
4.Membership Grade Obtained
4.Name of Institution
Verification by Proposer by selecting the choice
Verified
Not Verified
5.Date of Admission
5.Membership Grade Obtained
5.Name of Institution
Verification by Proposer by selecting the choice
Verified
Not Verified
6 DETAILED RECORD EMPLOYMENT TO BE COMPLETE BY ALL APPLICANTS
(1)From To
(1)Employer
(1)Address of Employer
(1)Position Held and Detail of Responsibilities
Verification by Proposer by selecting the choice
Verified
Not Verified
(2)From To
(2)Employer
(2)Address of Employer
(2)Position Held and Detail of Responsibilities
Verification by Proposer by selecting the choice
Verified
Not Verified
(3)From To
(3)Employer
(3)Address of Employer
(3)Position Held and Detail of Responsibilities
Verification by Proposer by selecting the choice
Verified
Not Verified
(4)From To
(4)Employer
(4)Address of Employer
(4)Position Held and Detail of Responsibilities
Verification by Proposer by selecting the choice
Verified
Not Verified
(5)From To
(5)Employer
(5)Address of Employer
(5)Position Held and Detail of Responsibilities
Verification by Proposer by selecting the choice
Verified
Not Verified
(6)From To
(6)Employer
(6)Address of Employer
(6)Position Held and Detail of Responsibilities
Verification by Proposer by selecting the choice
Verified
Not Verified
(7)From To
(7)Employer
(7)Address of Employer
(7)Position Held and Detail of Responsibilities
Verification by Proposer by selecting the choice
Verified
Not Verified
(8)From To
(8)Employer
(8)Address of Employer
(8)Position Held and Detail of Responsibilities
Verification by Proposer by selecting the choice
Verified
Not Verified
(9)From To
(9)Employer
(9)Address of Employer
(9)Position Held and Detail of Responsibilities
Verification by Proposer by selecting the choice
Verified
Not Verified
(10)From To
(10)Employer
(10)Address of Employer
(10)Position Held and Detail of Responsibilities
Verification by Proposer by selecting the choice
Verified
Not Verified
(11)From To
(11)Employer
(11)Address of Employer
(11)Position Held and Detail of Responsibilities
Verification by Proposer by selecting the choice
Verified
Not Verified
(12)From To
(12)Employer
(12)Address of Employer
(12)Position Held and Detail of Responsibilities
Verification by Proposer by selecting the choice
Verified
Not Verified
I declare that the particulars I have given in making this application are true to the best of my knowledge and belief and,if elected to membership, I undertake to comply with the Constitution and By-laws of the Institute
Date
Signature of Applicant (Upload the scan copy of Signature in JPG or PDF Format)
Attach Academic Qualification 1
Attach Academic Qualification 2
Attach Academic Qualification 3
Attach Academic Qualification 4
Attach Academic Qualification 5
Attach Academic Qualification 7
Attach Academic Qualification 6
Attach Professional Qualification/ Membership Certificate/Licence 1
Attach Professional Qualification/ Membership Certificate/Licence 2
Attach Professional Qualification/ Membership Certificate/Licence 3
Attach Professional Qualification/ Membership Certificate/Licence 4
Attach Professional Qualification/ Membership Certificate/Licence 5
Attach Employment Reference (If any) 1
Attach Employment Reference (If any) 2
Attach Employment Reference (If any) 3
Attach Employment Reference (If any) 4
Attach Employment Reference (If any) 5
Attach Employment Reference (If any) 6
Attach Employment Reference (If any) 7
Attach Employment Reference (If any) 8
Attach Employment Reference (If any) 9
Attach Employment Reference (If any) 10
Attach Employment Reference (If any) 11
Attach Employment Reference (If any) 12
