Sample Form and Simple Steps for Filling the Form

STEP-1: Go to the website http://www.ecindia.org

STEP-2: Click on the link “Registration Information &

Process” on the left side of the home-page.

If Student of an Engg. College/Polytechnic, click to download

STEP-3:
the “Student Register Form” for SE/Dip.SE. The link is
provided on the left side of “National Register Information”
Page. Open the downloaded Application form and read the
instructions given in the form carefully and understand them.

If you are a graduate engg./diploma engg./3-year diploma

from a polytechnic or equivalent, then click on “Registration
Form” to download the form. Open the downloaded
Application form and read the instructions given in the form
carefully and understand them.

These instructions, given in the form are to the

complied with, without fail.

STEP-4:
Start filing the form on the desktop/laptop in “word
format” only.
 Engineering Council of India
1304, Hemkunt Chambers, 89, Nehru Place, New Delhi-110019
Phone: +91 11 26283281,+91 11 26283282, Fax: +91 11 26283283
Email: [email protected], Website: www.ecindia.org
Registration Form for Senior Professional Engineer (SrPE)/ Professional Engineer (PE)
APPLICATION FORM INSTRUCTIONS
FOR FILLING THE FORM

1. Form should be downloaded from the website www.ecindia.org, the soft copy filled in and then emailed to
[email protected] in word format only, and a printout of the filled form taken.
2. The above printout should be sent to the concerned member association of ECI or directly to ECI along with the
self-attested copies of the relevant documents.
3. All the details, as required in the form, are essential and need to be provided, except for points no 3,7, 8 and 9.
In these cases, if no details are available, then simply write as Not Applicable/Nil.
4. Correspondence address implies the location at which you would like to receive your letters/certificate.
5. At point 5, description of Branch in Engineering implies the Engineering Branch in which you have qualified and
would like to register.
6. At point 6, Field of Specialisation/s implies the fields or the sectors or areas in which you specialise in. A note
outlining justification is to be attached.
7. At point No. 10, It is essential that the two references are reputed engineers and who are known in society.
They should be willing to vouch for you.
8. Checklist at the end should also be filled in.

Shri Section-A
Mr. (Personal Particulars)
Ms.
Mrs.
Date of Birth (must be as per your High School Certificate)
Dr.
Er.
Brig. Date Month Year
Col.
Maj.
1.1 Name (In Gen. Letters) [Name must be the same as in Engineering Degree/Diploma certificate or equivalent]
Capital

Title/ First Name Middle Name Last Name

Salutation
DR. SANJAY KUMAR KADAM
1.2 Date of Birth (dd/mm/yyyy) 05 10 1977
1.3 Place of Birth (City) KANERI (KOLHAPUR)
(Country) INDIA Paste Passport Size

1.4 Nationality INDIAN Photograph here

1.5 Male Female [Tick on the appropriate Box]

1.6 Single Married [Tick on the appropriate Box]

Photograph

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 Official Postal address
of the place of work Designation in present organisation

Current Employer’s Website address

Name of the organization where you are working at present

1.7 Current Employment Particulars:

Name of Present Organisation / HONDA VEHICLE MANUFACTURERES LIMITED
Work Place
Designation MANAGER – (UTILITIES PLANNING-PROJECTS)
Address: PLOT NO. X-1,PHASE IV,CHAKAN MIDC AREA,VILLAGE – NIGHOJE, TAL: KHED

City CHAMAN
District DHULE
State MAHARASHTRA
Country INDIA
Pin Code 4XXXX1
Country Code 91 STD Code 011 Telephone No. 4XXXXXX7
Fax No. 4XXXXXX8
Mobile No. 9XXXXXXXX1 9XXXXXXXX2
E-mail Id. [email protected] [email protected]
Website www.xyz.com

Current Residential Address Name of the District Where you are currently located for working

Name of the Current City/Village

1.8 Correspondence Address: (to intimate the any change of address, at the earliest)
Name: DR. DEEPAK KUMAR KADAM
Address: FLAT NO., BUILDING NO-BUILDING NAME, FLAT NO., NAME OF THE ROAD,
NAME OF LACALITY
City CHAMAN
District DHULE
State MAHARASHTRA
Country INDIA
Pin Code 4XXXX1
Country Code 0091 STD Code 022 Telephone No. 272XXXX1
Fax No. 272XXXX2
Mobile No. 9XXXXXXXX0 9XXXXXXXX1
E-mail Id. [email protected] [email protected]
1.9 Nearest District Head Quarter where you are located NAME OF THE DISTRICT

Page 3 of 9
 Please provide the self-attested copies of all
educational certificates as per instruction
no.-2.

Section-B
(Educational Qualification and Professional Experience)
2. Engineering Qualification(s) for Registration
Engineering Qualification/s Institute/University Engineering Sub-discipline Year of Year of
Discipline Joining Completion
1. DIPLOMA GOVERNMENT MECHANICAL MECHANICAL 19XX 19XX
POLYTECHNIC, ENGINEERING ENGINEERING
KOLHAPUR
2. Bachelor of Engineering INDIAN INSTITUTION INDUSTRIAL MECHANICAL 20XX 20XX
(B.E.) OF INDUSTRIAL ENGINEERING ENGINEERING
ENGINEERING,
MUMBAI.
3.
4.
5.

Please provide the self-attested copies of all

educational certificates as per instruction
no.-2.

3. Other non-engineering Post Graduation professional qualifications

Qualification/s Institute/University Disciplines Sub-discipline Year of Year of
Joining Completion
1. PH.D. XYZ UNIVERSITY, GENERAL ENERGY 20XX 20XX
PUNE MANAGEMENT MANAGEMENT
2. MBA XYZ, NEW DELHI OPERATIONS OPERATIONS 20XX 20XX
MANAGEMENT MANAGEMENT
3. CERTIFIED ENERGY BUREAU OF ENERGY ENERGY ENERGY 20XX 20XX
MANAGER EFFICIENCY,INDIA MANAGEMENT MANAGEMENT
4. INDIAN GREEN BUILDING INDIAN GREEN GREEN GREEN 20XX 20XX
COUNCIL ACCREDITED BUILDING COUNCIL BUILDING BUILDING
PROFESSIONAL

Page 4 of 9
 Brief Description of
Please provide the self-attested copies of all Responsibilities as per
experience certificates your work profile

4. Professional Experience:
Describe your experience in the following format, for each period of your employment / involvement in retrospective order
i.e. starting from present position in descending sequence without any gap in experience and if any gap in experience please
provide the details of that period. If self-employed, write self-employed under Position, and give details of experience. Please
also underline the experience in a responsible position of significant engineering activity.

S. No. From To Position Organisation Brief Description

1. APRIL TILL MANAGER- UTILITIES XYZ MANUFACTURERES AUTOMOBILE MANUFACTURING
20XX DATE PLANING-PROJECTS LIMITED, CHAKAN, PUNE. INDUSTRY INFRASTRACTURE
PLANNING, DESIGNING,PROJECT
EXECUTION,COMMISSIONING,OP
ERATION AND
MAINTENANCE,ENERGY
MANAGEMENT
2. JULY APRIL DEPUTY MANAGER- ABC LIMITED, BANGLORE FACILITY MANAGEMENT OF XYZ
20XX 20XX TOTAL FACILITY INDIA PVT. LTD., OPERATION &
MANAGEMENT MAINTENANCE OF AUTOMOBILE
MANUFACTURING FACILITY,
ENERGY MANAGEMENT
3. OCT. JUNE DEPUTY MANAGER- ABC INTEGRATED SERVICES FACILITY MANAGEMENT OF XYZ
20XX 20XX ENGINEERING PVT. LTD. PHARMACEUTICALS LTD.,
OPERATION & MAINTENANCE OF
PHARMACEUTICALS
MANUFACTURING FACILITY,
ENERGY MANAGEMENT
4. JAN. AUG. JR. ENGINEER ABC LIMITED, AMBOLI. PROJECT AND MAINTENANCE OF
19XX 20XX FULLY AUTOMATIC FOUNDRY
UNIT.

Write the Discipline/ Branch of Engineering for which you want to get certificate

5. State Discipline/ Branch of Engineering, which is to be registered:

MECHANICAL ENGINEERING

6. Field of Specialisation(s) [Maximum Four)

Specify fields discipline of specialisation(s) and its sub-discipline, under which you would like to be registered. A note
outlining justification is to be attached. RESUME ATTACHED.

Note: You have to complete the CPD requirements for each category of specialisation individually.
1. Structural Engineering
2. Energy Management

Page 5 of 9
3.
4.

Name of the Institution e.g. The Institution of Electronics and Telecommunication Engineers

Section-C
(Others)
7.0 Name and Category of Membership in Engineering - related Professional Institutions / Associations
/ Societies
S.N. Name of Association Category of Discipline Sub-discipline From To
Membership
1. NAME OF THE INSTITUTION ASSOCIATE MEMBER MECHANICAL MECHANICAL YYYY TILL DATE
(AMIE) MEMBERSHIP ENGINEERING ENGINEERING
NO.
2. NAME OF THE INSTITUTION CHARTERED MECHANICAL MECHANICAL YYYY TILL DATE
ENGINEER (C.Eng.) ENGINEERING ENGINEERING
3. NAME OF THE INSTITUTION MEMBER- No. HVAC HVAC YYYY TILL DATE

8. Executive Development Programme/Training Programme/ Conferences, Seminar, Workshop,

Technical Presentations Attended / Participated
S.No. Title/Subject Duration Nature of Participation Conducting Organisation
1. DOING THE THINGS IN 2 DAYS PROJECT MANAGEMENT XYZ PROJECT MANAGEMENT
PROJECT MINDSET PROFESSIONAL INSTITUTE

2. ADVANCED TRAINING ON 2 DAYS GREEN BUILDING PROFESSIONAL ABC COUNCIL

GREEN BUILDINGS

9.0 Books/Articles/Research/Technical Reports written/ Talks/Programmes conducted by Candidates

S.No. Title Date Subject Published by/Conducted at
1. “Barriers in implementation of 05.01.1968 Barriers in International Journal of ABC
Research and Management (XXXX),
Energy Efficient Technologies in implementation of
Volume 2, Issue 9, September YYYY,
Selected Automobile Industries in Energy Efficient pp. 0000-0000, ISSN (e): 0000-0000
(Impact Factor: 0.000)
Pune” Technologies
2. “Opportunities for Energy Efficiency 20.05.1975 Energy Efficiency in Matrix Business Review, Research
Journal, Volume 1, Issue 1, February
in Industrial Utilities” Industrial Utilities
YYYY – August YYYY, Matrix Business
School, Pune, pp. 00-000 (ISSN
0000-0000)
3. “Energy Audit- A tool for Energy 25.10.1986 Energy Audit ABC, XYZ’s management Research
journal, Volume- XX, Issue – 0,
Management”
January YYYY – June YYYY, Shri ABC,
XYXZ, Pune, pp. 00-00. (ISSN
Number: 0000-0000).

Page 6 of 9
 4. Delivered “Talk” as a Chief Guest on 12.11.2010 Expectation from Government Polytechnic , Kolhapur
the occasion of State Level Technical Engineering Diploma
Research Paper Competition. holders by industries.

Names of the two engineer referees who must be either registered Professional Engineer with ECI or
Reputed engineer with minimum 7 years of work experience in a respectable position, please provide the
complete contact details of referees

10. I am known to the following two referees (engineers):

1. Name NAME OF THE PERSON WITH TITLE
Address CURRENT CORRESPONDANCE ADDRESS OF THE PERSON
E-mail [email protected]
Telephone No. COUNTRY CODE – STD CODE – TELEPHONE NO.
Mobile No. 98XXXXXXX6 [10 DIGIT MOBILE NO.]
Knows since (Period) NO OF YEARS
2. Name NAME OF THE PERSON WITH TITLE
Address CURRENT CORRESPONDANCE ADDRESS OF THE PERSON
E-mail [email protected]
Telephone No. COUNTRY CODE – STD CODE – TELEPHONE NO.
Mobile No. 98XXXXXXX6 [10 DIGIT MOBILE NO.]
Knows since (Period) NO OF YEARS

Please provide the copy of the proof in case of

NEFT/online transfer and mention here
Section-D
(Payment Details)
11. Registration Fees- Bank transfer/draft/Pay order in the name of Engineering Council of India
(Account details will be given on request)

Amount in Rs. Multi city Cheque / dated Bank

Bank draft no /NEFT/online
transfer/Cash
Rs.3450/- 000030 10.02.2016 SYNDICATE BANK CHAKAN

i) Fee: The initial registration fee will be Rs. 3000 for PE, Rs. 2000 for APE, Rs 2000 for ApE/GE, Rs 2000 for JrApE, Rs
1000 for SE and Rs. 1000 for DipSE. The fee structure is subject to change in future. The registration is subject to
renewal after 5 years. (Note: - 18% GST extra, and needs to be added to the Registration Fee payable)
ii) The DD/Cheque of the fee will be in favour of “Engineering Council of India” payable at New Delhi
iii) The NEFT details for on-line payment are:
Name: Engineering Council of India
Bank: HDFC Bank Ltd., Nehru Place Branch, New Delhi
IFSC code: HDFC 000 1374
Bank branch code: 1374
S/B A/c no. - 1220 10 000 197 56
iv) The fee is non-refundable

12. Declaration:
 I agree to abide by, the professional Code of Ethics established by Engineering Council of India, and to be held
individually accountable for my action.
 I undertake to send reports of Professional Experience and Continuing Professional Development as on 31st March
of each following year regularly so as to reach ECI by 30th June.
 I agree that decision of the ECI on Registration and Termination shall be acceptable & binding on me.
 I hereby confirm that the contents of the items described in this application documents are true and correct.

Page 7 of 9
 Enclosures:
1. One passport size photo
2. Self-attested copies of all Educational Qualification Certificates
3. Self-attested copies of all Certificates of membership of Professional Bodies
4. Registration Fee (Multi city Cheque/Bank Draft/NEFT details). Take the printout of this form
5. Names and details of the two referees. and sign here

Applicant’s Signature: _

Applicant’s Name: _ DR. SANJAY KUMAR KADAM

Place : PUNE Date: 10.02.2016

Please send to: -

Engineering Council of India
1304, Hemkunt Chambers; 89, Nehru Place; New Delhi (India) -110019
E-mail: [email protected], [email protected]

Take the printout of this form

and send the hard copy along
with the relevant documents
on the given address

Page 8 of 9
 Checklist should be filled carefully and completely, and sent along with the form

Check List

1) Name - Yes No

2) Photo. - Yes No
3) Date of Birth - Yes No
4) Gender - Yes No
5) Married Status - Yes No

6) Organisation name, address and contact Details - Yes No

7) Position in Organisation - Yes No

8) Correspondence Address and Contact Details - Yes No

9) Engineering Qualification/s-Details entered in Section-B at point no. 2.0 Yes No
10) Self Attested photocopies of Engineering Qualifications – Attached - Yes No
11) Other Non-Engineering Professional qualifications-
Details entered in Section-B at point no. 3.0 - Yes No
12) Self Attested photocopies of the other
Non-Engineering Professional Qualifications – Attached - Yes No
13) Membership in engineering related professional bodies-
Details entered in Section-C at point no. 7.0 - Yes No NA
14) Self Attested copies of the certificates of Membership in
engineering related Professional bodies – Attached - Yes No NA

15) Recognised Training Program, Conferences, Seminar etc. - Yes No NA

16) Books/ Articles/Research/Technical reports
written/ talks/programmes conducted - Yes No NA
17) Professional Experience. In Years - No of Years------------------
18) Experience in a responsible position of
Significant Engineering Activity, in years - No of Years------------------
19) Discipline /Branch of Engineering for registration as
Professional Engineer. - Yes No
20) Sub-Discipline of Engineering Specialisation, for registration
as Professional Engineer. - Yes No
21) Registration Fee. Amount in Rupees - Yes No Amount Rs:
22). Two Referees - Yes No

IMPORTANT

In addition, please note:

The GST, presently @ 18.0%, is also applicable on the registration fee, which you need to add to the fee payment, being
made to ECI. - Yes No

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