FORM A (2015)

The Chief Executive Officer

CESA
P O Box 68482
BRYANSTON
2021
APPLICATION FOR MEMBERSHIP

(Full name of firm)

of
(Full street address)

hereby apply for admission as a Member of Consulting Engineers South Africa.

1. I/We declare that my/our firm complies with the requirements of the Memorandum of Incorporation (MoI) of
Consulting Engineers South Africa and specifically all the requirements of Clause 1.2 (11).
2. The Form of the firm and the names of the Principals are disclosed on the Annual Declaration form
attached hereto.
3. I /We agree to abide by the MoI and By-laws and acknowledge having read and understood them.
4. I/We agree to adhere to CESA’s Business Management Integrity Guidelines.
5. I am/We are aware that the Council of CESA has the right to accept or reject this application.
6. I/We undertake to complete the Annual Declaration each year as required by Clause 15 of the By-laws.
7. Please provide a copy of the firm’s CIPRO papers and a blank letterhead.

Signed at …………………………………..…. on this ..…….……… day of ….….……………………………..20………..

For and on behalf of:

NAME OF FIRM: ___________________________________________________________________________________

DATE OF FOUNDING OF FIRM: __________________ VAT Registration No: ________________________

(PLEASE NOTE: As a general rule all firms that apply for Membership of CESA should have been in practice for at
least one year)

NAME OF MANDATED PRINCIPAL (in block letters):____________________________________________

SIGNATURE OF MANDATED PRINCIPAL: ____________________________________________________

(N.B. : Please enclose a copy of the resolution appointing the Mandated Principal and a copy of your
firm’s registration papers)

C:\Users\Julia\Downloads\APPLICATION FORM - 2015.doc

This application must be signed by a Proposer and Seconder who are both Mandated Principals of other CESA
member firms that neither hold any interest in nor are in the same owning group as the firm applying for
membership. A Mandated Principal may designate an alternate for this purpose where appropriate, provided this
delegation is in writing and is carried out separately in each and every instance.

1. PROPOSER

Member: _________________________________

Mandated Principal: ___________________________________

Signature: __________________________________ Date: ________________________________

2. SECONDER

Member: _____________________________________

Mandated Principal:____________________________________

Signature: _______________________________________ Date: _____________________________

C:\Users\Julia\Downloads\APPLICATION FORM - 2015.doc