Singapore Institute of Surveyors and Valuers - SISV

Singapore Institute of Surveyors and Valuers - SISV

Singapore Institute of Surveyors and Valuers 110 Middle Road #09-00 Chiat Hong Building Singapore 188968 Tel: +65 6222-3030 Fax: +65 6225-2453 http://...

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Singapore Institute of Surveyors and Valuers 110 Middle Road #09-00 Chiat Hong Building Singapore 188968 Tel: +65 6222-3030 Fax: +65 6225-2453 http://www.sisv.org.sg

MEMBERSHIP APPLICATION FORM Every section is to be completed by Applicant. Incomplete form and/or omission of relevant supporting documents may cause delay in the process of your application. Please () tick where appropriate.

*New Applicant applying for

 Fellow

 Member

 Probationer

**Mode of entry:  Academic

 Mature-Age

 TechMem

 Student

 Reciprocal #

** refer to Membership Conditions

#  AIQS

*Transfer Applicant

 Stu to Prob  TechM to Prob

 Prob to Mem

 Mem to Fel

Year Elected

Stu…………..

Prob…………..

Mem………………

 API

 HKIS

 NZIQS

#Membership Class………………………………

TechMem…………..

 NZPI

 ISA

RECENT PASSPORT-SIZE PHOTO

#Year Elected………………….

Mem

SECTION 1: PERSONAL PARTICULARS (please print or type all information) Name as in NRIC/Passport (underline surname)

English Name (if any)

Dr / Mr / Mdm / Miss NRIC/Passport No

Date of Birth

Age

Citizenship

Home Address

Marital Status

Home Tel No Mobile No

Postal Code Appraiser Licence No (if any) Personal Email

* Mailing Address

 Home *Division (tick one only)

Office

Current Area(s) of Professional Practice

 Land Surveying

 Cadastral/Land Management  Engineering/Tunnel Surveying  Hydrographic Surveying

 Quantity Surveying

 Building Surveying***  Consultant QS  Contractor QS

 Valuation & General Practice

*Core Area

 Positioning/Measurement  Spatial Planning/Development/Remote Sensing Others:

 Contract Management  M&E QS  Project Management

 Research & Consultancy Others:

Sub Areas

Tick () One only

 Valuation

 Land & Buildings  Plant & Machinery  Business  Taxation Others:

  Property Management

 Estate Management

 Facilities Management  Building Control

 Agency & Marketing

Property Type:  Commercial  Retail  Office  Industrial  Residential  Sales  Leasing/Rental  Corporate Real Estate  Auction

 Corporate Real Estate Others:

Others:  General Practice

 Building Surveying  Planning & Development  Research & Consultancy  Property Finance & Investment Others:

***Admission is based on applicant’s academic qualification

Rev : July 2011

SECTION 2: ACADEMIC QUALIFICATION & DETAILS (Attach copy of relevant certificates only) Name of Polytechnic/College

Place of Study (Campus)

*Mode of Study:

 Full-time

 Part-time

 Distance Learning

Start Date of Course:

Completion Date of Course:

Diploma Obtained

Name of University

Place of Study (Campus)

*Mode of Study:

 Full-time

 Part-time

 Distance Learning

Start Date of Course:

Completion Date of Course:

Degree Obtained (Bachelor degree with or without Honours)

Name of University

Place of Study (Campus)

*Mode of Study:

 Full-time

 Part-time

Start Date of Course:

 Distance Learning Completion Date of Course:

Degree Obtained (Masters and above)

Rev : July 2011

SECTION 3: PROFESSIONAL QUALIFICATIONS (Attach copy of the relevant certificates only) Name of Professional Body

Country

Membership Class

Year Elected

SECTION 4: DETAILS OF POSITION(S) HELD IN THE INSTITUTE (For transfer to Fellow only) Position Held

Year

Service in Council / Divisional Council

SECTION 5: PAST EMPLOYMENT (submit additional info on a separate sheet using the same format if necessary) Name of Company (state country if it is not in Singapore)

Last Position Held

Period (Month/Year) From To

Total No of Year/Month

Rev : July 2011

SECTION 6: PRESENT EMPLOYMENT Name of Company

Address

Postal Code Position Held

Date Joined

Tel No (Main)

Tel No (DID)

Fax No

Office Email:

Employer’s Certification

…………………………………..……………….… Name of Principal/Head of Department/Director

………………………..……… Signature

……………………………..…………. Company’s Stamp

SECTION 7: PROPOSER/SECONDERS

Member: Three Members of the Institute of whom at least one must be a Fellow of the Division appropriate to the applicant; or Two members of the Council of whom one shall be the Divisional President Fellow: Three Fellows of the Institute of whom at least one shall belong to the same Division as the applicant; or Two members of the Council of whom one shall be the Chairman of the Council Name in Full

Membership Class ( CIRCLE where appropriate )

Proposer

FSISV / MSISV

Seconder

FSISV / MSISV

Seconder

FSISV / MSISV

Signature

APPLICANT’S DECLARATION (i) *Have you ever been convicted of any criminal offence in Singapore or elsewhere?

 No

 Yes

(ii) *Have you ever been declared bankrupt in Singapore or elsewhere?

 No

 Yes

If “yes” to (i) or (ii), please give full details including dates on a separate sheet of paper I declare that the information given herein is true and correct, and if elected, I shall abide by the Constitution and Byelaws of the Institute for the time being in force.

Signature of Applicant ……………………………………..…………………..

Date ……………………………….………. Rev : July 2011

OFFICIAL USE

Acknowledgement Date ……………….............…………..

Entry Route

Class of Membership Applied

 Accredited Degree / Diploma

 Student

 To sit for FEPM Exam

 Tech Member

 Reciprocal with ……………………………………

 Probationer ( Acad / RA / Upg )  Member (Mature / Upgrade from Prob )  Fellow

FEPM Index No ……………………….

FEPM Index No ……………………….

FEPM Index No ……………………….

Exam date ……………………………….

Exam date ……………………………….

Exam date ……………………………….

 Pass

 Pass

 Pass

 Fail

 Fail

 Fail

………………………………………..

………………………………………..

………………………………………..

APC Interview (Attempt 1)

APC Interview (Attempt 2)

APC Interview (Attempt 3)

APC Panel .........................................

APC Panel ........................................

APC Panel ......................................

Date ..................................................

Date ..................................................

Date ................................................

 Pass

 Pass

 Pass

 Defer

 Defer

 Defer

Remark

Remark

Remark

APC Panel Chair signature

APC Panel Chair signature

APC Panel Chair signature

..................................................

..................................................

..................................................

Division Council Recommendation  Recommended for :

Date …………………………….…..…  Not Recommended

 Fellow  Member ( MA / Upg )  Probationer ( Acad / RA / Upg )  Tech Mem  Student

(For Fellowship Only) AFC Panel Recommendation  Recommended

Date …………………………..........................

 Not Recommended

Council Approval Date ............................................................  Approved as  Fellow

 Member

 Probationer  Tech Mem

 Student

 Not Approved

Rev : July 2011