THE INSTITUTION OF ENGINEERS, BANGLADESH HEADQUARTERS : RAMNA, DHAKA-1000 Founded in 1948, Registered under Act XXI of 1860 Alfx2 aestes Recognized by the Government of the People's Republic of Bangladesh ‘opote here Phone: 9566336, 9559485, 95561 12,55110330, 55110331, 55110332 Fax: 88-02-9562447; E-mai: [email protected]; Web : www.iebbd.org APPLICATION FORM FOR MEMBERSHIP (FELLOW) (Cerca ses da) Ptr mird [Date of Receive Pannen NAME 1.2. __ FATHER'S NAME 1.3. MOTHER'S NAME: ‘Acknowledgement Copies of Certificates 1.4. SPOUSE NAME (if married) 15,_DATE OF BIRTH soe acorns 15.2, GENDER MALE [i FEMALE Ey (Please tick as appropriate) ‘Name & Signature 1.5.3, AGE vatiigaelvears 1.5.4, BLOOD GROUP 1.5.5. NATIONALITY BE Wasco 15.6. NID (Number caueaton 1.6. MAILING ADDRESS (With postal code) Experience Recommendation Name & Signature Re Training record forlast two years: CIO 1.7. PERMANENT ADDRESS (With postal code) Detailed report of minimum 2000 words on experience demonstrating competencies ‘and abilities ono Name & Signature F/M ‘CHAIRMAN/ MEMBER SECRETARV/ MEMBER, 1.8. PHONE/CONTACT Dasa OFFICE RESIDENCE ‘Accepted [] Rejected [1] (Please tckss appropriate MOBILE EMAIL Name & Signature 19. PRESENT IEB MEMBERSHIP NUMBER (if any) FM eee BOARD/UNIVERSITY/ YEAR OF || piv/c.ass/ EQUIVALENT LEVEL INSTITUTE veonhen passing || cparcere ‘SSC/Equivalent HSC/Equivalent B.Sc.Engg./Equivalent M.Sc,/Ph.D/Equivalent| Transcripts: HSC/Equivalent BSc Engg, 3.0. FIELD OF ENGINEERING : Please Tick in Division Division Chemical Computer | Te» ‘Sub-DivisionTie SL |_PERIOD (ATE) DESIGNATION EMPLOYER BRIEF JOB DESCRIPION NO. [From [TO T 2. 3. 4 5 6 5.0. Please enclose attested copies of certificates of other professional bodies including membership no. (if any) 1 2 6.0. DECLARATION: | declare that the information | have appended herewith and the documents enclosed are complete and correct. If enrolled, | shall conform to the constitution, bye-laws, rules and regulations of the Institution and to the Code of Ethics. Seconder | Seconder II Note -1 : At least two Fellows and one Member for Fellowship. Note -2 : All necessary documents and photos must be attested by Proposer or Seconder. Approved in the......:...th Central Council Meeting, Countersigned by held on Chairman Member Secretary Membership Committee eee ane eene ) Subscription Rate Others Category [Entrance ‘Annual Diploma | 1D card ‘Age in Years Fee(Tk) | Subscription (TK.)] Fee (TK) | Fee (rk) | Total (TK) | "(at ease) | EXPerience (Minimum) Fellow 1000.00 1000.00 200.00 | 100.00 | 2,300.00 37 2 years Experience with 5 Yeas eb Membership 20 years (Non Member Please Enclose attested copies 1, Recent Photo P.P. Size (2 copies 2, Certificates: SSC/Equivalent, HSC/Equivalent, 8 ScEngg /Equvalent. 3, Transcripts: HSC/Equivalent, 8 Se Engg Equivalent, 4. Certificates of other Professional Bodies (if any) 5. NID Photocopy) 6, Recogrized Training record for last two years. 7. 2000 words on experience demonstrating competencies and abiltes.10. " 12, 13, THE INSTITUTION OF ENGINEERS, BANGLADESH (IEB) CODE OF ETHICS (Approved in the 476th Central Council Meeting, IEB, held on 6.8.2003) I solemnly promise that as a member of The Institution of Engineers, Bangladesh | shall upload and advance the integrity, honor and dignity of the engineering profession using my knowledge and skill and shall hold para- mount the safety, health and welfare of the public and shall try to company with the principles of sustainable development in the performance of my professional duties. | shall be honest and impartial and serve with complete fidelity the public, employer and clients. | shall not accept remuneration for services rendered other than that form my employer or with my employer's permission. I shall perform services only in areas of my competence. I shall build my professional reputation on the merit of my services and shall not complete unfairly with others. I shall act in professional matters for my employer or client as faithful agent or trustee and shall avoid conflict of interest and avoid deceptive acts. I shall issue public statements only in an objective and truthful manner, and shall not in a self- laudatory language or in any manner derogatory to the dignity of the profession or professional bodies, neither advise or write articles for publication, nor shall authorize such advertisements to be written or published by any other person. 1, without disclosing the fact to my employer in writing shall not be director of or have a substantial financial inter= est in, nor be an agent for any company, firm or person carrying on any contracting consulting or manufacturing business which is or may be involved in the work to which my employment relates, nor shall | receive directly or indirectly any royalty, gratuity or commission or any article or process used in or for the purpose of the work in respect of which | am employed unless or until such royalty, gratuity or commission has been authorized in writing by the employer. | shall support the professional and technical societies of my discipline, |, in connection with work in country other than my own shall order my conduct according to these rules, as far as they are applicable; but where the country has recognized standards of professional conduct, | shall adhere to them I shall not offer, guide, solicit or receive, either directly or indirectly any political contribution in an amount intend- ed to influence the award of a contract by the public authority. solemnly promise I shall avoid bribery and extortion in any form. If| encounter such acts done by any member. I shall be ethically bound to report it to the Ethical Review Board (ERB) of IEB, (ERB is to be formed). I shall continue my professional development throughout my career, and shall provide opportunities and support for the professional development of the engineers under my supervision. ‘Amember who shall be convicted by a competent tribunal of criminal offence, which in the opinion of the disoi- plinary body renders him unfit to be a member, shall be deemed to have been guilty of improper conduct. Signature of the applicant (as of NID) Name Previous Membership No. M/AMto) Ta rela BNL LOLm =} - promote and advance the science practice and business of engineering in all its branches throughout Bangladesh and abroad. - promote efficiency in the engineering practices and profession. - regulate the professional activities and assist in maintaining high standards in the general conduct of its members. - lay down professional code of ethics and to make it mandatory for its members to abide by the same in their professional conduct. - help in the acquisition and interchange of technical knowledge among its members = promote the professional interests and social welfare of its members. - encourage original research in engineering and conservation and economic utilization of the country’s materials and resources. = foster co-ordination with similar institutions in other countries and engineering universities institutions and colleges in Bangladesh and in other countries for mutual benefits in furthering the objects of The Institution. ~ diffuse among its members information an all matters affecting engineering and to encourage, assist and extend knowledge and information. - promote the study of engineering with a view to disseminating information obtained, for facilitating scientific, engineering and economic development of Bangladesh. - co-operate with various Government Agencies and Industrial and Commercial Enterprises connected with engineering and advising them in matters concerning the profession and practices of engineering and promotion of technical education. Aims and Objectives of IEB are being fulfilled through 18 Centres, 7 Engineering Division 11 Overseas Chapters, 32 Sub-Centres, Bangladesh Professional Engineers Registration Board (BPERB), Engineering Staff College, Bangladesh (ESCB), Board of Accreditation for Engineering & Technical Education (BAETE) & Occupational Safety Board of Bangladesh (OSBB). 4.0 CENTRES 2. DIVISION 4, SUB-CENTRES 4.01 Dhaka 2.01. Civil Engineering Division 4.01 Tangail 421, Fenchuganj 1,02 Chattogram 2.02 Mechanical Engineering Division 4.02 Pabna 4.22 Gopalgonj 1.03. Khulna 2.03 Electrical Engineering Division 4.03 Kushtia 423. Tongi 1.04 Rajshahi 2.04 Chemical Engineering Division 4.04 Patuakhali 4.24 Savar 4.05 Cumilla 2.05 Agricultural Engineering Division 4.05. Kaptai 4.25 Chapai Nawabgonj 1.08 Sylhet 2.08 Textile Engineering Division 4,06 Jamalpur 4.26 Panchagar 1.07. Barishal 2.07 Computer Engineering Division 4.07 Khagrachari_ 4.27 Barapukuria 4,08 Mymensingh 4,08. Sirajgonj 4.28. Nilphamari 1.09 Rangpur 3.0.“ OVERSEAS CHAPTERS 4.03 Bhola 429 Natore 1.10 Ghorasal 3.01 Qatar 4.10 Cox's Bazar 4.30 Baghabari 1.11 Bogura 3.02 AIT 4.11 Naogaon 4.31 Bagherhat 412 Gazipur 3.03 Kuwait 4.12 Hobigoni 4.32 Shariatpur 1.13 Narayangonj 3.04 Malaysia 4.13 Ragamati 1.14 Rangadia 3.05 Riyadh 4.14 Moulvibazar 4.15 Jashore 3.08 Singapore 4.15 Tarakandi 4.18 Ashugonj 3.07 Dubai 4.16 Joypurhat 1.17 Faridpur 3.08 Canada 447 Feni 1.18 Dinajpur 3.09 Oman 4.18 Noakhali 3.10 USA 4.49: Brahmanbaria 3.11 Australia 4,20. Chandpur 5.0 _IEBis the Member of the following International Organization (1) FEIC (2) FEISCA (3) WFEO (4) CEC (5) FEIAP 6.0 Institutional Bilateral Agreement With Foreign Professional Bodies The Institution has bilateral agreement with seventeen foreign professional Institution/Association. 7.0 (a) Provisional Signatory of Washington Accord (WA). (b) Provisional Signatory of International Professional Engineers Agreement (IPEA)