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

THE INSTITUTE OF AUTOMOTIVE ENGINEERS-SRI LANKA

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 BIRTH AGE YRS MTHS

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.1000/= and Member Subscription for Current Year should have been paid to the Institute to consider the Application.

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

4 Gen. Secretary: ……………………………