Page 1 of 9

Form No.: APPLICATION FORM

APP-REG FORM-EEQ Evaluation of Educational
Effective Date:
1 April 2018
Qualifications
Rev no: 2

Ref.: ______________________

Office Use

Please consult the enclosed Information Sheet (Sheet K1.1 & 2) before completing this application.

(Not applicable for educational qualifications covered by a Mutual Exemption Agreement, an approved
International Register or the Washington, Sydney or Dublin Accords .)

1. General Information:
Title & Surname*: First Names*:

Date of birth*: Identity No*.

or

Nationality: Passport No*:

Postal Address*: Country of normal residence:

Home Tel. No.:

(Include area codes)

Cell no.*:

Residential Address: Work Tel. No.:

Fax No.:

E-mail*:

* Mandatory information required

NB: Kindly initial this page in the presence of a Commissioner of Oaths / Justice of Peace.

Commissioner of Oaths/
Applicant: ………………………………….. Justice of Peace: ……………………………………

CONTROLLED DISCLOSURE
It is the responsibility of the user to ensure that the latest version is used. The latest version will be published on Masters.

PDSG-APP-REG-PT: Rev 2 19 March 2018

Page 2 of 9
Form No.: APPLICATION FORM
APP-REG FORM-EEQ Evaluation of Educational
Effective Date:
1 April 2018
Qualifications
Rev no: 2

2. Qualification/s:
Date of final
Educational Institution Qualifications attained Examination Office use
month & year

Recognised 
Not recognised 
Part 

3. Verification of authenticity of Qualification/s:

PLEASE NOTE that your application will only be processed if ECSA is in receipt of a verification certificate for
authenticity from Managed Integrity Evaluation (Pty) Ltd (MIE). The onus lies with you as the applicant to
make contact with MIE and obtain the verification certificate and to include it as one of the prerequisite
documents. Refer to the application information pages for further information.

4. Employment:
Employer Title of Position held: Address

5. Application Fees: (See item 4 of the Information Sheet)

My application fee of R _________________________ (cheque) is enclosed herewith.

Office Use Only

Application fee:
R___________________________ Council’s stamp)

Received by: ____________________________ Date:_____________________

NB: Kindly initial this page in the presence of a Commissioner of Oaths / Justice of Peace.
Commissioner of Oaths/
Applicant: ………………………………….. Justice of Peace: ……………………………………

CONTROLLED DISCLOSURE
It is the responsibility of the user to ensure that the latest version is used. The latest version will be published on Masters.

PDSG-APP-REG-PT: Rev 2 19 March 2018

Page 3 of 9
Form No.: APPLICATION FORM
APP-REG FORM-EEQ Evaluation of Educational
Effective Date:
1 April 2018
Qualifications
Rev no: 2

6. Declaration:

CONTROLLED DISCLOSURE
It is the responsibility of the user to ensure that the latest version is used. The latest version will be published on Masters.

PDSG-APP-REG-PT: Rev 2 19 March 2018

Page 4 of 9
Form No.: APPLICATION FORM
APP-REG FORM-EEQ Evaluation of Educational
Effective Date:
1 April 2018
Qualifications
Rev no: 2

I, ______________________________________________________________ (full names)

ID No. __________________________________, hereby in application to ECSA
 I lawfully declare to abide by all the provisions of the Engineering Profession Act, 2000 (Act No. 46
of 2000) and any Rules published thereunder, including the Code of Professional Conduct.

Now therefore I further declare explicitly to the following:

Item Description Yes No

i. I have been removed from an office of trust on account of improper conduct
ii. has been convicted of an offence in the Republic, other than an offence
committed prior to 27 April 1994 associated with political objectives, and was
sentenced to imprisonment without an option of a fine, or, in the case of
fraud, to a fine or imprisonment or both
iii. never been convicted of an offence in a foreign country and was
sentenced to imprisonment without an option of a fine, or, in the case of
fraud, to a fine or imprisonment or both
iv declared by the High Court to be of unsound mind or mentally disordered,
or is detained under the Mental Health Act, 1973;
v that I have been disqualified from registration as a result of any
punishment imposed on me under this Act
vi Declared rehabilitated insolvent whose insolvency was caused my
negligence or incompetence in performing work falling within the scope of
the category in respect of which I’m applying for registration.

I am cognisant of the fact that should the provisions referred to above as depicted under Section 19(3)(a) of
the ACT be contrary, Council may refuse my application.

I solemnly declare that, to the best of my knowledge, all the information contained in my application is true
and correct.

Signature: ______________________________

I hereby certify that the Applicant has acknowledged that he/she knows and understands the contents of
this declaration which was sworn to and signed before me at _____________________on this...........day
of.............................2018, the regulations contained in Government Notice No. R1258 dated 21 st July
1974, as amended, having been complied with.

Commissioner of Oaths/ Justice of Peace:

……………….……………………………
PRINT NAME

……………….……………………………
SIGNATURE (Commissioner’s stamp)
Sheet K1.1
CONTROLLED DISCLOSURE
It is the responsibility of the user to ensure that the latest version is used. The latest version will be published on Masters.

PDSG-APP-REG-PT: Rev 2 19 March 2018

Page 5 of 9
Form No.: APPLICATION FORM
APP-REG FORM-EEQ Evaluation of Educational
Effective Date:
1 April 2018
Qualifications
Rev no: 2

Information Sheet for Applicants applying for

Evaluation of their Educational Qualifications

A. General:

1. This application form is not applicable to applicants with educational qualifications where the
qualification is covered by a mutual exemption agreement, an approved International Register or the
Washington, Sydney or Dublin Accords.

2. Applicants with educational qualifications, that are neither accredited nor recognised by ECSA, who
intend applying for registration with the Council in one of the professional categories, are required to
have their educational qualifications evaluated. This process will determine the equivalency or
otherwise of their qualification in relation to the South African educational qualifications specified for
each professional category of registration.

Applicants may be required to attend an interview if deemed necessary by the Council. Please note
that all interviews are conducted by volunteers, as per their availability.

After the evaluation, applicants will be advised for which category of registration their educational
qualification will be accepted or otherwise.

To obtain registration in the category indicated, the applicant will then be required to make
application in the prescribed manner.

3. Your application for evaluation of your educational qualification will only be considered only if the
following documents are submitted:
 Completed Application Form (Form K1.1 & 2 including Annexures A and B).
 ALL Qualification documents, as listed in B.2.
 Verification certificate from Managed Integrity Evaluation (Pty) Ltd, http://www.mie.co.za
The purpose of the verification certificate is to confirm authenticity of the qualification
document/s. Please note that the cost for the verification is for the applicant’s expense. It is the
responsibility of the applicant to ensure that the verification certificate is included as part of the
application form. The application will NOT be considered should the verification certificate not
be included.

Please ensure the following:

 The submitted information must be complete and all applicable questions must be answered,
with all requested supporting documents.
 The forms must be typed or printed in black ink.

Application fee must accompany the application form. NB – See item 4 below.

Please note that it is your responsibility to ensure that all documents reach Council’s offices timeously.

B. The Application Form

CONTROLLED DISCLOSURE
It is the responsibility of the user to ensure that the latest version is used. The latest version will be published on Masters.

PDSG-APP-REG-PT: Rev 2 19 March 2018

Page 6 of 9
Form No.: APPLICATION FORM
APP-REG FORM-EEQ Evaluation of Educational
Effective Date:
1 April 2018
Qualifications
Rev no: 2

The following information is given to assist applicants to complete the form - the numbers refer to the
equally numbered sections of the Application Form.
1. General Information:
Ensure that all personal details are correct. Please provide a definite address where Council may contact
you in future.

2. Qualification Documents (A2):

ALL of the following documentation MUST accompany your application:
Please provide the following documentation in regard to your examinations and qualifications.
 Information on the programmes as requested in Annexure A Information Sheet.(Sheet K1.3)
 As much detail as possible of your syllabi (course content), courses (subjects) grouped in
semesters or terms for each year of study, including reference text books.
 Information on the course curriculum as requested in Annexure B (Sheet K1.4) that specifies
the time (in hours) you spent for each course on attending lectures, attending tutorial classes,
doing laboratories, doing projects, writing tests and/ exams, experiential training and /or
industrial exposure, knowledge content, etc.
 A copy of your final year investigation and design project report(s). (Should the project be in a
foreign language, a detailed summary in English, must accompany the copy of the project)
 Provide ECSA with certified copies of your qualification(s)/ degree certificate. (Original copies
to be brought with you when submitting an application, for verification purposes only. ECSA will
not retain your original copies)
 Provide ECSA with a certified detailed academic record/transcript, of all courses completed
during the degree, from the institution.
 MIE verification certificate for authenticity.
NOTE:
Copies of a certified copy are not acceptable.
Translations of foreign qualification documents, including the degree certificate, transcripts, etc, are
required if the originals are not in English.
In the event of the country of origin and qualification designation not appearing on the certificate – this
must be provided separately.
3. Employment:
If not yet employed, but your future employer is known, please fill in this section.
4. Application Fees: Refer below for details on the application fees.
5. Declaration:
You will need the services of a Commissioner of Oaths/Justice of Peace to certify the copies of documents
covered by section 2, as well as for section 5 and the bottom of the first page of the Application Form.
As a guide the following people are Commissioners:
 A policeman in the Charge Office of any SAPS station;
 An Attorney at Law;
 An Officer in the SANDF;
 Certain Public Officials.

PLEASE NOTE: Should any of the requested documents be omitted, your application will NOT be considered!!!
Applications remain pending for a period of 3 months only, should there be outstanding documents.

CONTROLLED DISCLOSURE
It is the responsibility of the user to ensure that the latest version is used. The latest version will be published on Masters.

PDSG-APP-REG-PT: Rev 2 19 March 2018

Page 7 of 9
Form No.: APPLICATION FORM
APP-REG FORM-EEQ Evaluation of Educational
Effective Date:
1 April 2018
Qualifications
Rev no: 2

DISABILITY REGISTER

Disability is defined as: “Persons with disabilities including those who have long-term physical,
intellectual or sensory impairments which in interaction with various barriers may hinder their full
and effective participation in society on an equal basis with others”.

Registration Number: ___________________________________________

Name & Surname: ______________________________________________

Do you have any disability (Please tick):

Yes No

If yes, state nature of Disability:

____________________________________________________

NB: Completion of this form is necessary in order to accurately reflect disability statistics in terms
of Government Policy.

CONTROLLED DISCLOSURE
It is the responsibility of the user to ensure that the latest version is used. The latest version will be published on Masters.

PDSG-APP-REG-PT: Rev 2 19 March 2018

Page 8 of 9
Form No.: APPLICATION FORM
APP-REG FORM-EEQ Evaluation of Educational
Effective Date:
1 April 2018
Qualifications
Rev no: 2

Application and Annual Fees

1 April 2018 to 31 March 2019
(Vat included)

Application Fees (VAT included) - see Note 1 re pro rata annual fees

1. Candidate Categories - See Note 3:

Within one calendar year from the date of Later than one calendar year after the date of
obtaining a qualification recognised for purposes of obtaining a qualification recognised for purposes of
registration registration
746.49 1866.23

2. Foreign Qualification Assessment - See note 3:

All applicants with foreign educational qualifications are required to have their
1866.23
qualifications assessed before applying for registration

3. Professional & Registered Categories – See note 3:

For Applicants with uninterrupted For Applicants not registered
registration as a Candidate in any of the Candidate categories
3732.44 7452.81

4. International Register:
Applicable only to persons already registered with ECSA who are applying for registration
on the ECSA portions of the International Registers. This is a once-off fee. No annual fees R3732.44
are payable.

Annual Fees (VAT included) – see Note 1 re pro rata annual fees

Candidates (4) Professional & Registered Categories

Partial Exemption No Exemption Partial Exemption No Exemption
1354.59 1557.35 3275.11 3867.27

Notes:
(1) Annual fees are payable by all persons registered for as long as they are registered with ECSA. In
the first year a pro rata annual fee from the date of registration to the end of March will be raised.
Thereafter annual fees are raised every year for the period April to March.
(2) Payment details:
a. Banking details: Standard Bank Eastgate Branch, Branch Code 018505, Account No.
221285938. Swift code SBZAZAJJ.
b. The accepted methods of payment are cheque, EFT or deposit made at any Standard Bank branch
into ECSA’s bank account. No cash will be accepted at ECSA’s Offices.
c. Please do not send cheques by post. ECSA will take no responsibility for cheques lost in the
post or intercepted.
(3) No Applications will be considered until payment for the full application fee has been received.
(4) Persons registered in the Candidate category for more than six (6) years pay the same annual fees
as persons registered in the Professional category.
(5) Appeals. When a person wishes to appeal, a fee of R8000.00 is to be paid by all.

CONTROLLED DISCLOSURE
It is the responsibility of the user to ensure that the latest version is used. The latest version will be published on Masters.

PDSG-APP-REG-PT: Rev 2 19 March 2018

Page 9 of 9
Form No.: APPLICATION FORM
APP-REG FORM-EEQ Evaluation of Educational
Effective Date:
1 April 2018
Qualifications
Rev no: 2

(6) An Early bird discount is granted to Registered persons if their annual fees for April to March are
paid on or before 30 June. The discount is R50 for Candidates and R100 for Professionals, VAT
inclusive.
(7) In addition to the annual fees in arrear, an admin fee of R500 is payable when reinstating a
registration within one year of cancellation. After one year of being cancelled persons will need to
re-apply for registration.
(8) Persons who will be residing outside the RSA borders for a year or longer should advise Accounts
of their overseas postal address in order for VAT to be removed from their invoice.
(9) The fee for persons between the ages of 55 and 70 who have been granted the retired
dispensation will be R248.99 (VAT inclusive).

CONTROLLED DISCLOSURE
It is the responsibility of the user to ensure that the latest version is used. The latest version will be published on Masters.

PDSG-APP-REG-PT: Rev 2 19 March 2018