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Application form for membership or transfer of class of membership

 

1. General Information

Name in full (Surname First) :
Professional Qualifications:
 
Address for communication:
 
Tel:
Born on the
and being years of age being desirous of Admission into the Uganda Institution of Professional Engineers in the Class of

2. Membership Of Professional Organizations (Where Applicable)

Name of organisation Year joined Class of membership

3. Technical Education

From (Yr) To(Yr) Technical/Polytechnic College Diploma/Certificate(including Class)

4. School Education

(Start with highest attained and work backwards)

From(Year) To(Year) Educational Institution Certificate obtained

5. Industrial Training While In Technical /College

From(Year) To(Year) Industry/Organization

6. Technical Training

From (month/yr) To (month/yr) IndustryOrganization Description of work and name/qualifications of supervisor

7. Experience Subsequent To Pupilage Training

Give dates and the designation of all the posts you have held and a brief description of your personal responsibilities from the time of completion of pupilage.

From (month/yr) To (month/yr) IndustryOrganization Description of work and name/qualifications of supervisor

 

 

 

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