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Associateship Application Form

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ASSOCIATESHIP APPLICATION FORM

Step 1 of 2

Birth Date*
Date Format: DD slash MM slash YYYY
Passport size pic*
Accepted file types: jpg, png, jpeg, bmp, gif.
Gender*
CNIC*
Accepted file types: jpg, png, jpeg, bmp, gif.
Name*
Full Name
Father's Name*
Father's Name
CNIC Number*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email*
Phone*
PEC Registration NO.*
Category
Category*
Academic Qualifications
bachelors
Discipline/Program
Institution
Country
Start Year
MM
DD
YYYY
End Year

DD
MM
YYYY
Masters
Discipline/Program
Institution
Country
Start Year
MM
DD
YYYY
End Year

DD
MM
YYYY
Others
Discipline/Program
Institution
Country
Start Year
MM
DD
YYYY
End Year

DD
MM
YYYY
Professional Interest(s)
- Structural
- Geotechnical
- Water Resources
- Transportation
- Environmental
- surveying
- Construction Mangement
Employment

Please list your most recent job and two such other positions which you think are most important.
1.
Start Year
MM
DD
YYYY
End Year

DD
MM
YYYY
Still working
Job Title
Employer
2.
Start Year
MM
DD
YYYY
End Year

DD
MM
YYYY
Job Title
Employer
3.
Start Year
MM
DD
YYYY
End Year

DD
MM
YYYY
Job Title
Employer
Affiliations with
Other Professional
Bodies (if any)
Decleration

I, the Applicant, solemnly declare and undertake that:
a) All the information, provided in this Associateship Application Form, is correct to the best of my knowledge and belief.
b) If granted an Associateship of the PSCE, I will duly observe and abide by all the articles, rules, regulations and codes of conduct of the PSCE, for the time being in force.