Premium Membership Cev India

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ORGANISATION REGISTERED WITH MINISTRY OF MSME & NITI AAYOG, GOVT.

OF INDIA
AN ISO 9001 TRADE MARK ORGANISATION REGISTERED UNDER SOCIETIES REGISTRATION ACT-XXI OF 1860

PREMIUM MEMBERSHIP APPLICATION FORM (FILL WITH ALL CAPITAL LETTERS)


Type of Membership Applied: ..........................................................................................................................
Name: .......................................................................................................................................................................
Father's Name: ......................................................................................................................................................
Date of Birth: .................................................Gender: Male Female
Address with Pin code: ......................................................................................................................................
...................................................................................................................................................................................
City: .....................................................State: .......................................Pin code: ..............................................
Email: .....................................................................Mobile/ Whatsapp No.: ...................................................................................................
Education Qualification: ...................................................................................................................................................................................

QUALIFICATION EDUCATION NAME YEAR OF PASSING


Diploma / Degree

Pan No.:.......................................................................... Year of Passing: ....................................................


Document Attached (Self Attached )
Degree/Diploma Certificate Post Graduate Degree Certificate PAN Card
Adhaar Card
Institutional Membership Form /Any other: ............................................................................................................
PAYMENT DETAILS
Cheque/DD No. ....................................................................Amount Rs. /- ...........................................................................
Date: .............................................................. Bank Branch: .......................................................................................................

In the favor of "COUNCIL OF ENGINEERS AND VALUERS" Payable at Indian Bank,

Dayal Nagar, Jalandhar. Account No. : 6735398274 IFSC Code: IDIB000D062


Undertaking:-
In the event of my selection as member of the "Council of Engineers & Valuers", I promise to abide by the constitution,
The code of ethics and bye-laws of the "Council of Engineers & Valuers", I declare the particulars given above are true
and correct to the best of my knowledge & all the educational certificates are Genuine and valid on date.

Sign of Applicant: Membership Approved

(Authority Signature)
Administrative Office : 210 Dayal Nagar, Page 1
Near Ashok Nagar, Jalandhar-144001, Punjab, India.
Mobile : +91 9041 263 607
Email : [email protected] Website :www.ceviaf.org
ORGANISATION REGISTERED WITH MINISTRY OF MSME & NITI AAYOG, GOVT. OF INDIA
AN ISO 9001 TRADE MARK ORGANISATION REGISTERED UNDER SOCIETIES REGISTRATION ACT-XXI OF 1860

UNDERTAKING
I son/daughter/wife of .................................................................................................................................................
Address...........................................................................................do here by undertakes & declares as follows:
1. T h a t I w i l l n o t a c t a g a i n s t t h e i n t e r e s t o f t h i s a s s o c i a t i o n a n d m y p r o f e s s i o n .
2. That I shall abide by rules and regulation of "Council of Engineers and Valuers" (Regd)
in the true spirit all the time.
3. T h a t a l l t h e i n f o r m a t i o n p r o v i d e d h e r e i s t r u e a n d n o t h i n g i s c o n c e a l e d h e r e i n .
4. That I shall abide the decision of CORE COMMITTEE of "COUNCIL OF ENGINEERS AND VALUERS" to
enroll/reject me as a member and the decision shall be acceptable on me at all times.
5. That if at any time, my activities in professional capacity are found to be against the moral interests.
And motivates of "Council of Engineers and Valuers" (Regd) the core committee is at liberty to expel my
membership and the decision shall be binding on me.
6. That I have completed my Diploma / Degree/ Degree in Engineering/ Architecture/ Town Planning as
Regular course approved by UGC / AICTE and it is not through distance education program and I shall be
responsible if it is challenged by any court of law.
7. That the membership certificate is the property of "COUNCIL OF ENGINEERS AND VALUERS" (Regd)
And I shall return in the case I am expelled from membership of this association for whatsoever reason.
8. Should there be any dispute I shall try to resolve the dispute in mutual trust and goodwill with in bye laws of
Council of Engineers and Valuers and jurisdiction of all matters training to my membership shall be at
Jalandhar City.
9. I hereby declare that I am not declared unfit for any misconduct for my professional capacity by any court and
will be personally responsible for any such type of misconduct at my end.

Date: ................................................

Place: ............................................... Candidate Signature

FOR OFFICE USE BY LOCAL CHAPTER


Name Yes/No Signature Name Yes/No Signature

HEAD OFFICE

Name Yes/No Signature Name Yes/No Signature

Administrative Office : 210 Dayal Nagar, Page 2


Near Ashok Nagar, Jalandhar-144001, Punjab, India.
Mobile : +91 9041 263 607
Email : [email protected] Website :www.ceviaf.org

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