BCE Registration

Please complete the on-line application form below.

NB: Please ensure you have a copy of your CV and proof of qualification/s ready for upload in an electronic format.

Title:
First Name:
Surname:
Preferred Name (Known As):
Are you registered with ECSA?	Yes No
ECSA Category of Registration:
ECSA Number:
Are you registered with another statutory body?	Yes No
If yes, name of statutory body, registration number and category if registration:


ID Number:
Your Age:
Highest Qualification:
Area of Discipline:
Organisation Name (Current Employer):
How long have you worked in a Consulting Engineering Firm?
Previous Consulting Engineering firms you have worked for:
Is the Organisation a CESA Member Firm?	Yes No
CESA Account No:
Your Telephone No:
Your Cell No. :
Your E-mail Address:
Personal E-mail Address (e.g. Gmail):
Designation within Organisation:
Organisation Type:
VAT No:
Order No:
Current Residential Address:	Postal Code:
Work Address:	Postal Code:
Postal Address:	Postal Code:
Preferred Address for Courier Deliveries:
Programme:	Business of Consulting Engineering
Mentor:
First Name:
Surname:
Designation:
Tel No:
Cell No:
Email Address:
HR Manager:
Full Name:
Designation:
Tel No:
Cell No:
Email Address:
Booked By:
Full Name:
Designation:
Tel No:
Cell No:
Email Address:
Documents:
ID:
Photograph:
CV:
Motivational Letter:
Qualification:
Qualification:
Qualification:

Terms and Conditions:

Payment in full and the proof of payment must be paid before attending the first module, otherwise the your registration will be cancelled
The 10% administration fee is payable if you cancel less than 14 working days prior to the start of the module, even if we have not received payment, however a substitute can be made up to 24 hours prior to the course.
In order to secure your place, advance booking is essential.
If you fail to attend the module you will be liable for the 10% administration fee.
CESA reserves the right to change/cancel a specific date, venue without prior notification.
If no e-mail confirmation is received, please call in to confirm.
No booking will be considered confirmed until proof of payment has been received.

I have read and accept the terms and conditions