IntPE

IntPE001/Rev001/Dt22052019
(For office use)

The Institution of Engineers ( India)

8, GOKHALE ROAD, KOLKATA 700 020
Paste latest
APPLICATION FOR Photograph
INTERNATIONAL PROFESSIONAL ENGINEER (IntPE)
(FRESH/RENEWAL)
PART I
(To be filled by the applicant in his/her handwriting using black ink only)
(Please refer to the ‘Systems & Procedures 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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 IntPE001/Rev000/Dt16012017

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.
5.1 Recognised Training Programme(s), Conferences, Seminars, Workshops, Technical Presentations
attended /participated. (Refer format Annexure - I)

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 IntPE001/Rev000/Dt16012017

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 International Professional Engineer applied for:

Civil Electrical

Chemical Mining

Mechanical Electronics & Telecommunication

Textile Marine

Environmental

7. Assessment Examination, if applicable. Yes No

7.1 Choice of Examination Centre
7.2 Discipline Specialisation (wherever available) : ……………………………………………………...
(Please see ‘Assessment Examination’ in www.ieindia.org for the available specialisations in Module 2
(Part II) and choice of Examination Centre)
8. Self-appraisal for certification as International 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 OF INTERNATIONAL RECOGNITION AGREEMENT.
(d) I WISH TO BE CERTIFIED AS INTPE (I) IN DISCIPLINE AS MENTIONED IN THE APPLICATION FORM.
(e) I AGREE TO ABIDE BY THE CODE OF ETHICS ESTABLISHED FOR PROFESSIONAL ENGINEERS AND TOBE
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.
(g) I HAVE NO OBJECTION AGAINST MY CERTIFICATE BEING TERMINATED AFTER CERTIFICATION
ACCORDING TO PREVAILING RULES ON THE DATE OF TERMINATION AS INTERNATIONAL 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 ..............................................

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 BFC Secretariat
Intpe002/Rev000/Dt16012017

Nos.
Enclosures : 1. Qualification Certificate
2. Professional Development
Programmes’ Certificate (s)
3. Bank Draft/Credit Card Rs. DD No.
Authorisation
4. Others

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 International
Professional Engineer. To be filled by each Nominators and sent separately confidentially to BFC Secretariat
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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 Annexure - I
Institution of Engineers (India) BFC Secretariat
Intpe002/Rev000/Dt16012017
International Professional Engineer
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
Institution of Engineers (India)
International Professional Engineer BFC Secretariat
Intpe003/Rev000/Dt16012017
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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 Institution of Engineers (India) Annexure - III
International Professional Engineer BFC Secretariat
Format for Nominator’s Report Intpe003/Rev000/Dt16012017
CONFIDENTIAL
(Not applicable for renewal of certification)
To be filled by each Nominator and sent separately confidentially to BFC in a sealed envelop

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 International 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 International 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
Board for Certification of International Professional Engineer For more information please visit our website: www.ieindia.org.
4th Floor (Membership Department) E-mail: [email protected]
The Institution of Engineers (India) Phone: 033 40106232/275
8 Gokhale Road, Kolkata – 700 020

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 Continuous Professional Development for
International Professional Engineers Certification

CPD Weight
Factor Applicable Credit Hours
Classification Type Applicable CPD Program Hours Obtained Remarks
(Multiplier)-
(H) (M x H)
M
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 Post Graduate All achievements shall be
Engineering / Management. Correspondence / Certified supported with records and
(2) online courses offered by 1.5 20 certificates.
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 each
1
published by a reputed 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, copy of the 1
report may not be submitted)
This is applied only when an
Attending an Expert
(10) applicant participates in active
committee meeting e.g.
0.5 discussions (such as at
Selection Committee Meeting
round–table)
like NIT, IEEE etc.
Subject to limit of 10 hours
Part of Professional
contribution such as Design,
Hours spent for
Research & Development,
(11) 1 professional
Project Management in the
contribution
field of 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. Satisfactory evidence of minimum average of 50 hours of CPD per year over the last 5 years i.e. totaling to minimum 250
hour in a 5 years cycle (minimum 30 hours of CPD in any particular year) as per the format prescribed clearly mentioning
the outcome obtained out of CPD programmes.
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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 weightage factor.

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