PE

PE001/Rev03
(For office use)

The Institution of Engineers ( India)

8, GOKHALE ROAD, KOLKATA 700 020
Paste latest
APPLICATION FOR PROFESSIONAL ENGINEER (PE) Photograph
(FRESH/RENEWAL)
.
(To be filled by the applicant in his/her handwriting using black ink only)
(Please refer to the ‘Guidelines for Applicants’ before filling up the form)

1. Name in block letters: First Middle Last

Son/Daughter/Wife of

Address in block letters

City in block letters Pin

State in block letters

E-mail id: …...................................................................……………. Tele No (........….)...............…………….

D D M M Y Y Y Y Mobile No...............................................
Date of Birth: Each item to be
signed by at least one
Nationality: nominator after
personal verification.
2. Academic Qualifications:
BE / B. Tech or Equivalent Discipline University Year of Passing

ME / M Tech or Equivalent Discipline/Specialisation University Year of Passing

Ph D or Equivalent Discipline/Subject University Year of Passing

Any other non-engineering Post Graduation professional qualifications:

...........................................................................................................................................................................
...........................................................................................................................................................................
...........................................................................................................................................................................
Field of specialisation in engineering, if any: -
………………………………………………………………………………………………….......................
Enclose attested photocopies of each of the above certificates

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 PE001/Rev02

3. Name & Category of membership of related engineering professional institution(s) Each nominator
has to sign one
along with membership no. item after due
verification.
(a)....................................................................................................................................
(b)...................................................................................................................................
(c)....................................................................................................................................
(d)....................................................................................................................................

4. Record of engineering experience in chronological order after passing BE/B.Tech or equivalent.

(if required separate annexure may be added).

Employer/Client Major job responsibilities

Dates Job Title
(if self employed/consultant)

5. Continuous Professional Development Programme(s)/Activities for last five years, starting from current
year. (Refer Annexure - IV)
5.1 Recognised Training Programme(s), Conferences, Seminars, Workshops, Technical Presentations
attended /participated. (Refer format Annexure - I)

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 PE001/Rev02

Each nominator is
expected to sign at
least one item after
5.2 Books/Articles/Research/Technical Reports written by applicant due verification.

Title Date of Finalisation Published by/Submitted to

5.3 Professional contributions in emergency works (e.g. Flood Relief, Earthquake, Fire Fighting etc.)
Enclose supporting documents for Sl. No. 5.

6. Discipline of Professional Engineer applied for:

Agriculture Aerospace
Architecture Computer
Chemical Civil
Electrical Electronics & Telecommunication
Environmental Mining
Marine Metallurgy & Material

Mechanical Production

Textile

7. Discipline Specialisation (wherever available) : ……………………………………………………...

8. Self-appraisal for certification as Professional Engineer (Refer format Annexure II)

9. Declaration:
(a) CONFORM TO THE CODE OF ETHICS OF THE ECONOMY WHERE I PRACTICE;
(b) BE ACCOUNTABLE FOR ACTIONS WHERE I PRACTICE;
(c) AGREE TO EXCHANGE OF MY DATA AMONGST MEMBERS.
(d) I WISH TO BE CERTIFIED AS PE (I) IN DISCIPLINE AS MENTIONED IN THE APPLICATION FORM.
(e) I AGREE TO ABIDE BY THE CODE OF ETHICS ESTABLISHED FOR PROFESSIONAL ENGINEERS AND TO BE
HELD INDIVIDUALLY ACCOUNTABLE FOR MY ACTIONS.

(f) I HAVE NO OBJECTION AGAINST MY CERTIFICATION PROCESS BEING STOPPED, SHOULD THERE BE ANY
INACCURACY IN THE SUBMITTED INFORMATION.

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 PE001/Rev02
(g) I HAVE NO OBJECTION AGAINST MY CERTIFICATE BEING TERMINATED AFTER CERTIFICATION
ACCORDING TO PREVAILING RULES ON THE DATE OF TERMINATION AS PROFESSIONAL ENGINEER.

(h) I AGREE THAT THE DECISION ON CERTIFICATION AND TERMINATION SHALL BE BINDING ON ME.
(i) I HEREBY SWEAR THAT THE CONTENTS OF THE ITEMS DESCRIBED IN THIS APPLICAITON ARE TRUE
AND CORRECT.

Date : Applicant’s Signature ........................................

Applicant’s Name ..............................................

Enclosures : 1. Qualification Certificate Nos.

2. Professional Development
Nos.
Programmes’ (CPD) Certificate (s)
3. Bank Draft/Credit Card Rs. DD No.
Authorisation
4. Other please specify

5. Soft Copy of Application in the

form of CD.

Nominations : From personal knowledge of the applicant and in consideration of his/her qualifications as stated in the form,
we recommend him/her as being in every way a fit and proper person to be certified as Professional Engineer.
To be filled by each Nominator and sent separately confidentially to PE Cell in a sealed envelope (Not
required for renewal applications, Refer format Annexure III)

Sl. Membership No., Grade & Signature

Name
No Name of recognised professional Institution
1.

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 The Institution of Engineers (India) Annexure - I
PE Cell
Professional Engineers PE002/Rev000
Format for CPD Report
Name:
CPD
Applicable Credit hour Outcome of the
Sl.No CPD Program Weight
hours(H) obtained(MxH) Program
Factor(M)

Signature of Candidate

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 Annexure - II
The Institution of Engineers (India) PE Cell
Professional Engineers PE003/Rev000
Format for Self Appraisal Report
1. Name:

2. Qualifications:
1.
2.
3.
4.
5.
3. Specialization:

4. Core Competencies:

5. Design/Patents/Innovation/ Major Project Handled Details:

6. Management/Leadership:

7. Special Achievements if any:

Signature of Candidate
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 The Institution of Engineers (India) Annexure - III
Professional Engineer PE Cell
Format for Nominator’s Report PE004/Rev000
CONFIDENTIAL
(Not applicable for renewal of certification)
To be filled by each Nominator and sent separately confidentially to PE Cell in a sealed envelope

Report on Shri/Smt……………………………………………………………………………………………………………………………………….
1. How long have known the applicant? ………. Years
2. In what capacity? Employer Sr. Colleague Mentor
Colleague Friend Client
3. Do you recommend the applicant for certification as Professional Engineer? Yes No
(Please tick)
4. If yes please give your own impression of the candidate and why you consider him/her a fit person to
be certified as professional engineer.
Engineering qualities and core competencies

a) Innovative

b) Analytical
Ability

c) Problem
Solving Ability

d) Core
competency

Signature : ……………………………………………………………………………………………………………………………
Name of the Nominator : …………………………………………………………………………………………………………………………….
Correspondence : …………………………………………………………………………………………………………………………….
Address ……………………………………………………………………………………………………………………………
E-mail id : …………………………………………………………………………………………………………………………….
Fellow No. : …………………………………………………………………………………………………………………………….
P Eng No. : …………………………………………………………………………………………………………………………….
Name of the professional institution/society …………………………………………………………………………………………………….
To
PE Cell For more information please visit our website: www.ieindia.org.
4th Floor,(Membership Department) E-mail: pe@ieindia.org
The Institution of Engineers (India) Phone: 033 40106232/275
8 Gokhale Road, Kolkata – 700 020 Mob: 8961080218

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 Continuous Professional Development For
Professional Engineers Certification
CPD Weight Applicable Credit Hours
Typ
Classification Applicable CPD Program Factor Hours Obtained Remarks
e
(Multiplier)-M (H) (M x H)
Doctorate 2 30 All achievement shall be
supported with records and
Post Graduate Degree 2 25
Formal Education Upgrade In certificates.
Engineering / Management (1) Limit for total of all = 60 hrs
duly recognized by BFC for 5 years
(Upper limit) Post Graduate Diploma 2 20 (For fresh applicant credit
will be given even if done
prior to limit of 5 years)
Formal Education Upgrade in All achievements shall be
Engineering / Management. Post Graduate Correspondence supported with records and
/ Certified online courses certificates.
(2) 1.5 20
offered by reputed Institutes
Limit for total of all = 75 hrs
/Organisations
for 5 years
Authoring books in field of
specializations published by a
2 20
reputed publisher (having
ISBN No.)
Authoring Books (3)
Contribution in Authoring
any Chapter of books 0.5 hrs for
1
published by a reputed each chapter
publisher
1.
Actual
Continuing Education and
(4) 2. 0.5 hours of
Training Activities (No limit)
attendance
3.
Participation in CPD related
Actual
lectures, symposium, studying
(5) 0.5 hours of
tour, National and International
attendance
conferences etc.
Delivered Lecture (being
Actual lecture
(6) invited) or Symposium 1
hours
Panelist Lectures exclude routine
Participation in an academic teaching at institutions and
Hours spent at university
meeting of reputed
Presentation Papers and (7) 1 an academic
Forum/Institute/
other Activities (No limit) meeting
Organisation
Paper publication in Journal
or presentation of paper in
Subject to limit of 20 hours
(8) National / International 1 5 to 10 hours to
per year
Conference with ISSN write one report
Code/Patent
Writing Technical Report (if
(9) confidential undertaking to be 1
given by the applicant)
This is applied only when an
Attending an Expert committee
(10) applicant participates in
meeting e.g. Selection
0.5 active discussions (such as
Committee Meeting like NIT,
at round–table)
IEEE etc.
Subject to limit of 10 hours
Part of Professional contribution
such as Design, Research & Hours spent for
(11) Development, Project 1 professional
Management in the field of contribution
Engineering & Technology
1. Maximum no. of hours that can be claimed in respect of each of the category of CPD are indicated against each category. CPD hours have to be claimed
from at least 3 categories and total no. of hours claimed from each of the category should not be less than 5 (five) hours.
2. Every Professional Engineers will have to plan for a period of five years cycle and will have to cover an average of, 75 hours for Fresh and 125 hours
for Renewal, of CPD in each of the cycle.
3. The record of CPD activity will have to maintain in CPD record book provided by IEI for this purpose.
4. The number of Credit Hours will be calculated by multiplying the number of hours actually spent for the CPD activities by a pre-determined weighted factor.
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