APP - A1 Application Form For Registration As A Professional Engineer

Office Use
Page 1 of 27
Form No.:
APP-A1
REGISTRATION AS A
Effective Date: PROFESSIONAL ENGINEER
21 August 2020
Rev no: 1
Form AN1.1
Ref.:
NB: Please consult the Information Sheets (Sheets AN1.1 & AN1.2) before completing this Application.
1. General Information:
Surname: Title and First Names:
PHOTOGRAPH
(Passport-type.
Please paste -
Date of Birth: Identity No: do not staple)
Or Passport No.
Country Passport: Alternatively,
insert
*Race Group Asian: Black: Gender Male Country of normal electronically in
Please tick the Please tick residence: JPEG or similar
the format
applicable block
Coloured: White: applicable Female
block)
Home Address: Postal Address: Name & Address of present

Employer:
Tel. No. (Home): Title of Position held: Tel. No. (Employer):
Tel. No. (Work): (include area codes) Fax No.: (include area codes)
Cell No.: E-mail:
E-mail:
*Completion of this section is necessary to accurately reflect equity statistics in terms of Government Policy. Please cross applicable blocks.
2. Qualifications: (All qualifications at tertiary level) (List of subjects to be provided on Form AN1.3 AR)
Attendance Date of final Office
Educational Institution Qualification from to examination use
It is the responsibility of the user to ensure that the latest version is used. The latest version is published on ECSA website.
QM-TEM-001 Rev 0 – ECSA Policy/Procedure

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Form No.:
APP-A1
REGISTRATION AS A
21 August 2020
Rev no: 1
NB: Kindly initial this page in the presence of a Commissioner of Oaths / Justice of Peace.
Commissioner Of Oaths/
Applicant: …………………………. Justice Of Peace: ………………………………………

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Form No.:
APP-A1
REGISTRATION AS A
21 August 2020
Rev no: 1
Form AN1.2
3. Previous / Current Registration or Application Details: (eg. Candidate Engineering Technologist)
Type Category Number Date
Previous Registration:
Current Registration:
Previous Application:
4. Membership of Voluntary Associations recognised in terms of Act No 46 of 2000 (or other):

(If more space is needed, please supply information separately.)
Name of Association / Institute / Society Membership grade and date of admission
5. Application Fee: (Fees are available on ECSA website or here.)

Please note: Only credit card payments or proof of electronic payment. Do not pay with cash or with postal
orders.
My Application fee of R (cheque) is transferred electronically.
6. Referees:
(1) (2)
E-mail: E-mail:
Tel No: Tel No:
NB: Kindly initial this page in the presence of a Commissioner of Oaths / Justice of Peace.
Commissioner of Oaths/
Applicant: …………………………. Justice Of Peace:……………………..
Office Use Only
Application fee: R _______________________
Received by: _________________________ Date: ____________________

(Council’s stamp)
Note: Voluntary Associations List is available on the ECSA or here


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Form No.:
APP-A1
REGISTRATION AS A
21 August 2020
Rev no: 1
7. Declaration:
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. That I have never been removed from an office of trust on account of improper
conduct;
ii. I have never 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. I have never been convicted of an offence in a foreign country and sentenced to
imprisonment without an option of a fine, or, in the case of fraud, to a fine or
imprisonment or both
iv I have never been 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 never been disqualified from registration as a result of any punishment
imposed on me under this Act
vi I have never been declared rehabilitated insolvent whose insolvency was caused
by my negligence or incompetence in performing work falling within the scope of
my registration(s).
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

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Form No.:
APP-A1
REGISTRATION AS A
21 August 2020
Rev no: 1
contents of this declaration which was sworn to and signed before me at

_____________________on this...........day of............................., 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)
Form AN1.3 AR
Academic Record
Detailed information on
TERTIARY ENGINEERING QUALIFICATIONS

As part of the Application for Registration as a Professional Engineer
Name of Applicant:
Name of Qualification:
Year Marks obtained
All subjects passed Obtained (if available)
Extra subjects passed for incomplete qualifications

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Form No.:
APP-A1
REGISTRATION AS A
21 August 2020
Rev no: 1
Total Credits
_____________________________________ __________________
Signature of Applicant Date

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Form No.:
APP-A1
REGISTRATION AS A
21 August 2020
Rev no: 1
Sheet AN1.1
Information Sheet for Applicants applying for
Registration as a Professional Engineer
A. General:
Your application for registration as a Professional Engineer will be considered only if the following
documents are submitted:
 Completed Application Form (AN1.1 & AN1.2).

 Certified copies of Qualifications.
 Certified copy of Identity Document/Passport.
 Completed Training/Experience Report (Forms AN2.1), one for each training/experience period, if applicable
a completed Training/Experience Outline (Form AN2.2) which should in total not exceed 2 000 words, and a
Summary of Training/Experience Reports (Form A2.3).
 Engineering Report (Forms AN3) which in total should not exceed 6000 words.
 Pre-registration CPD-type Activity Report (IPD) (Form AN4)
 Referee Reports, each duly completed on Form AN6.1 & AN6.2. If training under a Commitment and
Undertaking (C&U), one referee report must be from the registered mentor for the C&U concerned.
Please note the following:

 The submitted information must be complete, on the prescribed forms and all questions must be answered.
 In completing all forms use type or print clearly in black ink to ensure clear copying.
 The supporting documents must be typed and must be marked clearly for purposes of identification.
 Application fee must accompany the Application. NB. See item 5 below.
 Do not bind the application documents together. A stapled application is preferred.
 Before submission of an application, ensure that the Referees are indeed willing to submit their Referee
Reports.
 Your application for registration will be considered only when the referee reports have been received by the
Council. If a referee report does not reach Council within a reasonable time, you will be notified accordingly.
You will then be expected to get in touch with the referee on the matter.
 The registration process may take 4 (four) months or longer to complete and each applicant will be
informed of the Council’s decision as soon as it becomes available.
 Information regarding the progress of any application will not be given telephonically.
Please note also that it is your responsibility to ensure that all reports reach Council’s offices timeously.
B. The Application Form:

The following information is given to assist applicants to complete this form - the numbers refer to the equally
numbered sections of the Application Form.
1. General Information: Ensure that all personal details are correct. A recent passport-type photograph of
the applicant is required.
2. Qualifications:

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Form No.:
APP-A1
REGISTRATION AS A
21 August 2020
Rev no: 1
 This should specifically include your first engineering degree. Ensure that copies of all qualification
documents are certified. Copies of a certified copy are not acceptable.
 Applicants with non-accredited educational qualifications or foreign educational qualifications, except those
recognised under the Washington Accord, and who are not registered as a candidate engineer, are required
to apply for an Evaluation of Educational Qualification prior to applying for registration as a professional
engineer.
Sheet AN1.2
3. Previous/Current Registration or Application Details:
If you have previously applied for registration in any category, or were previously registered but your registration
was cancelled for any reason, please provide category and previous registration number in the relevant block. If
you are currently registered in another category, also complete the appropriate block.
4. Membership of recognised Voluntary Associations:

A list of associations recognised by Council for purposes of a reduction in annual fees is available on ECSA
website. Proof of current membership of such association will qualify you for a reduction in your annual fee should
your application be successful.
Persons who have applied for membership of any of the above-mentioned associations, but who have not yet been
accepted, must indicate this in the appropriate block. Membership of other institutes/societies (not recognised) may
be stated, but this does not qualify the applicant for a reduction in the annual fee.
5. Application and Annual Fees:

No cash or postal orders will be accepted. If you do not have a cheque account, you may deposit cash at any Standard Bank
into ECSA’s account. Please contact our Accounts Department via the Reception at (011) 607-9500 to obtain our banking
details. Alternatively, you may make payment (1) via the internet, or (2) you may ask your bank for a bank cheque to be made
out to ECSA, (3) contact your bank’s telephone banking division to make payment into ECSA’s account or (4) by credit card by
phoning our Accounts Department. When making the deposit please ensure that your name and initials are entered in the field
named “Depositor’s name or reference number” and attach a copy of the proof of deposit to your application form. Refer to
separate sheet regarding fees payable, visit ECSA’s website at http://www.ecsa.co.za , click on “Annual Fees” or contact the
Council’s offices at (011) 607-9500 to determine the current fee.
6. Referees:
Each applicant must, with the permission of the persons concerned, supply the Council with the names and
addresses of two referees, who have personal knowledge of the applicant’s professional performance and
engineering experience. Referees must be registered with ECSA as a Professional Engineer, Professional
Engineering Technologist or Professional Certificated Engineer, of which at least one must be a registered
Professional Engineer. Under certain circumstances, the foreign equivalents to the above categories may be
accepted.
Referees may be chosen in the following order of preference:
(a) Mentor (b) Immediate supervisor

(c) Colleague at a higher or the same level, involved with your work (d) Indirect supervisor
(e) Colleague not directly involved with your work (f) Employer
(g) Client
If you trained under a C&U, one referee report must be from your Mentor, who is registered against the C&U.

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Form No.:
APP-A1
REGISTRATION AS A
21 August 2020
Rev no: 1
Use Form AN5 for formal correspondence with each referee, and enclose copies of the referee report (Form
AN6.1 & AN6.2), a copy of R-02-PE/PT/PCE/PN, the guideline for referees (Sheet AN6), a copy of the Discipline-
specific Training Guideline for Candidate Engineers (R-05-Disc-PE) and a copy of Form AN2.3. It is suggested
that you provide each referee with an addressed envelope with prepaid postage for the referee to forward the
report direct to the Council.

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Form No.:
APP-A1
REGISTRATION AS A
21 August 2020
Rev no: 1
7. Declaration:
Section 19(3)(a) of the Engineering Profession Act, 2000 (Act No. 46 of 2000) reads:
“Despite subsection (2), the Council may refuse to register an applicant -
(i) if the applicant has 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)if the applicant has, subject to paragraph (b), 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)if the applicant is declared by the High Court to be of unsound mind or mentally disordered, or is detained
under the Mental Health Act, 1973;
(v) for as long as the applicant is disqualified from registration as a result of any punishment imposed on him or
her under this Act;
(vi)if the applicant is an unrehabilitated insolvent whose insolvency was caused by his or her negligence or
incompetence in performing work falling within the scope of the category in respect of which he or she is
applying for registration.”
Note that your application must be sworn to or affirmed before a Commissioner of Oaths or a Justice of Peace. Your
attention is drawn to the initialling required at the bottom of the first page of the Application Form.

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Form No.:
APP-A1
REGISTRATION AS A
21 August 2020
Rev no: 1
Form AN2.1 TER

TRAINING/EXPERIENCE REPORT
PROFESSIONAL ENGINEERS
Surname and Initials: ______________________________________________________________
Discipline of Engineering: ___________________________________________________________

(e.g. Civil/Mech etc.)
Consult the enclosed Information Sheet (Sheet AN2) before completing this report.
Period No: Date from: to: No of Position held: Degree of
weeks: responsibility
Employer’s Name and address: Did you train under a Commitment Yes
and Undertaking (CU)?
No
If yes, provide number of CU No:
No: ___________
Supervisor’s Name and address: Supervisor’s
Signature:
Date:
ECSA Registration No:

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Form No.:
APP-A1
REGISTRATION AS A
21 August 2020
Rev no: 1
Signature of Applicant: ________________________________ Date: ________________

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Form No.:
APP-A1
REGISTRATION AS A
21 August 2020
Rev no: 1
Form AN2.2 TEO

TRAINING/EXPERIENCE OUTLINE
Surname and Initials: ______________________________________________________________
Discipline of Engineering: ___________________________________________________________

(e.g. Civil/Mech etc.)
Consult the enclosed Information Sheet (Sheet AN2) before completing this report.
Period No: Date from: to: No of Position held: Degree of
weeks: responsibility
Employer’s Name and address: Did you train under a Commitment Yes
and Undertaking (CU)?
No
If yes, provide number of CU No:
No: ___________
Supervisor’s Name and address: Supervisor’s
Signature:
Date:
ECSA Registration No:
Signature of Applicant: ________________________________ Date: ________________

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Form No.:
APP-A1
REGISTRATION AS A
21 August 2020
Rev no: 1
Form AN2.3 TES
SUMMARY OF TRAINING/EXPERIENCE REPORTS: PROFESSIONAL ENGINEERS
Surname and Initials: __________________________________________________________________
Discipline of Engineering: ___________________________________________(e.g. Civil / Mech etc.)

First complete a Form AN2.1 for each period.
Period Dates No. of
No. From: To: weeks Employer Post held Subject and type of work

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Form No.:
APP-A1
REGISTRATION AS A
21 August 2020
Rev no: 1
Total Weeks:
Signature of Applicant: ___________________________________ Date: _______________________________

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Form No.:
APP-A1-ProfEng
REGISTRATION AS A
21 August 2020
Rev no: 1
Sheet AN2
Information Sheet
for completion of the
Training / Experience Report
Your application for registration as a Professional Engineer must be accompanied by the Training/Experience Report
(Forms AN2.1) in which your engineering experience from the date of obtaining the first engineering degree to the date
of application is recorded in chronological order and typed or printed in black ink.
 Use a separate form for each training/experience period.
 Number the periods in chronological order, which may not overlap.
 Cover the period from graduation to date of application.
See also Table 3 of R-03-PRO.
A training/experience period ends when:

 your work environment has changed, e.g. when a major task or project has been completed;
 your type of work has changed;
 your responsibilities or level of function have changed (for instance, as in a promotion);
 you have changed employer;
 your training is interrupted (for instance by study or prolonged illness).
The training/experience periods and periods of interruption must also be noted in the Summary of Training/Experience
Reports (Form AN2.3). Ensure that each Form AN2.1 is signed (verified) by your relevant supervisor or employer and
signed by yourself. If you cannot obtain the supervisor's signature, please annotate accordingly in the appropriate block
and submit an affidavit to the effect that the information provided is true and correct, and the reasons why you could not
contact the supervisor. If supporting documentation is appended, sign each document and indicate to which
training/experience period it refers.
In the Training/Experience Report you should write in the 1st person and for each period you are expected to show:
 Organogram showing supervisor(s), co-workers and those you supervised (if any). Show two levels above
and below, if these exist. Give names, positions and registration (if any)
 Nature of training or experience
 Nature of problem(s) addressed in this period; method of analysis, developing solution and evaluation
 Documentation, reports, presentations prepared
 Management of materials, machines, manpower, methods or money, contracts
 Interaction with clients, stakeholders and other disciplines
 Health and safety considerations; hazards and environmental considerations; other legislation
 Completion of any courses relevant to your professional development
For the Degree of Responsibility block, use the scale A-E defined in Table 4 of R-03-PRO.
Describe the work you did. Do not just list tasks and projects but explain your role – to what degree you were exposed
or actually responsible for the work done. Do not spend more than one paragraph describing the project you worked on.
Mature applicants: i.e those with at least 10 years of post-graduate experience, need not hand in lengthy experience
reports (Form AN2.1) in respect of the earlier years of their career. The applicant must report at least three years at
degree of engineering responsibility E (Performing) in detail in the TER format that are signed by the supervisor. Such
periods need not include the last period(s) in the applicant’s TES if the degree of responsibility is not E. Such an
It is the responsibility of the user to ensure that the latest version is used. The latest version will be published on Masters.

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Form No.:
APP-A1-ProfEng
REGISTRATION AS A
21 August 2020
Rev no: 1
applicant may submit Training and Experience Outlines (TEO) for the remaining periods or groups of related periods.
See also Table 3 of R-03-PRO.
The Council’s requirements for registration as set out in Competency Standard R-02-PE/PT/PCE/PN remain the basic
requirements for registration.
The total Training/Experience Report should not exceed 2000 words.
Form AN3 ER
Engineering Council of South Africa

Engineering Report
as part of Application for Registration as Professional Engineer
Applicant:
Self- evaluation
In terms of my general declaration, I Signature:

confirm that this report was written by
me for the purpose of this application
Date: Word Count:
Holistic Self Evaluation

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Form No.:
APP-A1-ProfEng
REGISTRATION AS A
21 August 2020
Rev no: 1
Sheet AN3
Information and Instructions for completing Engineering Report:
1. This is a report in which the applicant reflects on his or her engineering development and proficiency achieved as
exemplified by work completed. Work completed is not necessarily in a single project.
2. Write the report in conventional prose form, using the first person singular when describing your actions or
thinking.
3. The report should cover each competency required for registration as a professional engineer, competency by
competency, and should reflect by cross reference to TERs how this competency was developed. Sufficient
evidence must be provided beyond what is given in short in the TERs to demonstrate that the applicant has
acquired the competency concerned.
a) Refer also to document R-03-PRO, Table 2.

b) Insert one heading or paragraph in each row. Do not insert boundary lines between rows.
c) Insert cross references to TERs in the text by number where appropriate. For example, “As described in TER
3, I designed a …”.
d) Against relevant paragraphs, insert annotations that indicate that the material shown provides evidence of
competent performance against the specific outcome as defined in R-02-PE/PT/PCE/PN. Use the following
Notation:
1, 2, 3 …: The outcomes defined in R-02-PE/PT/PCE/PN demonstrated
CEP : Engineering Problem referred to meets Complex Engineering Problem descriptor
CEA : Engineering Activity referred to meets Complex Engineering Activity descriptor
DoR : Degree of Responsibility = degree from A to E (See R-03-PRO).
This information is very important, and forms not complying to this, will not be assessed and will be returned to
the applicant and can considerably delay your application.
4. Observe the length limits of 6 000 words maximum. Insert the word count (main column only) in the space
provided. Diagrams, tables, design calculations and other illustrations may be inserted in the main column to
demonstrate competency but must not exceed a total of more than four page heights. In the case of Mechanical
applicants, they are advised that it is in their best interest to submit design calculations, limited to four pages as

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Form No.:
APP-A1-ProfEng
REGISTRATION AS A
21 August 2020
Rev no: 1
mentioned above. These are not included in the word count. The length limit (text and illustrations) will be strictly
enforced.
5. In the holistic self-evaluation block, state in 200 words or less, why the information given above demonstrates that
you are sufficiently competent to be registered as a Professional Engineer.
6. The Engineering report should form the basis of the presentation that the applicant makes at the professional
review.
Form AN4 IPD
Pre-registration CPD-type Activity Report (IPD)

Applicant’s Name:
Date(s) Provider*: Name of Course* Hours*: Validating body

attended*
Venue*: Lead presenter*: Type*: Points Validation No:

attended*

attended*

attended*
* Compulsory field

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Form No.:
APP-A1-ProfEng
REGISTRATION AS A
21 August 2020
Rev no: 1
Form AN5
…………………………………………………………….. …………………………………
Name of Referee Date
Address: ……………………………………………………………………………………
……………………………………………………………………………………
……………………………………………………………………………………
Dear Sir/Madam
I have applied to the Engineering Council of South Africa for Registration as a Professional Engineer and
hereby request you to provide the Council with your evaluation of my experience and capabilities, on the
basis of your personal knowledge thereof.

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Form No.:
APP-A1-ProfEng
REGISTRATION AS A
21 August 2020
Rev no: 1
Please use the attached Forms AN6.1 & AN6.2 and consult the guideline for referees (Sheet AN6).
In making this request to you I acknowledge that the information which will be supplied by you to ECSA is of a
confidential nature and that I have no right thereto.
Your co-operation and early despatch of the document direct to the Council would be appreciated, as it
would expedite the processing of my application.
Thank you in advance for your co-operation.
Yours faithfully
……………………………………… …………………………………………………………
Signature of Applicant Name of Applicant (Please print)
Address: ………………………………………
……………………………………...
……………………………………… Postal Code: ………………
Telephone No: ……………………………………… Cell No: …………………………………
Form AN6.1 RR
REFEREE REPORT: PROFESSIONAL ENGINEERS

Please complete this form using type or print in black ink, after consulting the attached guideline (Sheet AN6).
The Engineering Council of South Africa agrees that it owes a duty of confidence
to all referees in terms of the Promotion of Access to Information Act, 2000
1. Name of Applicant: Address:

___________________________
___________________________
_____________________________
___________________________

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Form No.:
APP-A1-ProfEng
REGISTRATION AS A
21 August 2020
Rev no: 1
2. General Information:
(a) My personal knowledge of the applicant’s engineering training extends from ____________________
to ______________________________________ (month and year to the best of my memory) .
(b) My association with the applicant was that of: (Please tick √ appropriate block)
Mentor * Colleague Supervisor Employer Other (Describe)
* If the association with the applicant was that of a mentor, provide the C&U No: _______________
(c) Are you related to the applicant by birth or marriage? Yes ___________ No _________
If yes, please state relationship ___________________________________
3. Evaluation of the Applicant’s Competence or state of Development:
Outcomes Rating Reason

Group A: Engineering Problem Solving
1: Define, investigate and analyse complex engineering problems
2: Design or develop solutions to complex engineering problems
3: Comprehend and apply advanced knowledge: principles, specialist

knowledge, jurisdictional and local knowledge
Group B: Management of Engineering Activities

4: Manage part or all of one or more complex engineering activities
5: Communicate clearly with others in the course of his or her engineering

activities
Group C: Impacts of Engineering Activity
6: Recognise and address the reasonably foreseeable social, cultural and
environmental effects of complex engineering activities
7: Meet all legal and regulatory requirements and protect the health and safety
of persons in the course of his or her complex engineering activities
Group D: Act Ethically, Exercise judgement and take responsibility

8: Conduct engineering activities ethically
9: Exercise sound judgement in the course of complex engineering activities
10: Be responsible for making decisions on part or all of complex engineering


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Form No.:
APP-A1-ProfEng
REGISTRATION AS A
21 August 2020
Rev no: 1
activities
Group E: CPD
11: Undertake professional development activities sufficient to maintain and
extend his or her competence
4. Optional: Further comments or additional information on the Applicant’s ability to assume responsibility as a
Professional Engineer, his/her competence, development and limitations:
_____________________________________________________________________________
_____________________________________________________________________________
5.
Viewed Holistically:
The applicant has demonstrated competence to
be registered as a Professional Engineer
6. Declaration by Referee: I hereby confirm that I am conversant with the Council’s requirements for registration
as set out in Competency Standard R-02-PE/PT/PCE/PN, as well as the instructions on this referee report, and
that I am prepared to substantiate my view expressed herein at an interview, should the Council require me to do
so. I also confirm that I submit this information to ECSA on the understanding that it will be treated as
confidential.
Name of Referee: ______________________________ Title of Position held: ______________________
Qualifications: ___________________________________________________________________________
ECSA Registration: __________________________________ Registration No: ____________________
Employer: _____________________________________ Tel/Cell. No: ___________________________
Signature of Referee: ________________________________ Date: ____________________________
Please post to:

 The Chief Executive Officer  Engineering Council of South Africa
Private Bag X691  BRUMA  2026
Sheet AN6
REFEREE GUIDELINE
for the completion of the Referee Report

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Form No.:
APP-A1-ProfEng
REGISTRATION AS A
21 August 2020
Rev no: 1
Professional Engineers
1. AIM
The referee report is a necessary and supplementary document to the applicant's application for registration as a
professional engineer with ECSA. The aim is to convey to the Council, on a confidential basis, the personal
knowledge which the referee or the employer has of the applicant and in the process to make a reasoned
evaluation of the applicant's competence.
2. GENERAL
A professional responsibility rests on the professional engineer to provide guidance to the applicant during
his/her professional development. This task also includes the correct and accurate completion of the report.
The Council attaches great value to the information that is supplied by the referee. There is no reason why
internal mentors cannot act as referees or give assistance to referees or employers in respect of these aspects
during the applicant's period of training.
The applicant has been advised that referees may be chosen in the following order of preference:
(a) Mentor
(b) Immediate supervisor
(c) Colleague at a higher or the same level, involved with the applicant’s work
(d) Indirect supervisor
(e) Colleague not directly involved with the applicant’s work
(f) Employer
(g) Client
If the applicant trained under a C&U, the registered mentor for the C&U concerned must provide one of the
referee reports. The Referee Report should be returned directly to ECSA by the referee. Referees are
requested to have their assessments typed or to complete the report in legible block letters using black ink to
ensure clear copying, since written assessments are frequently not very legible and to the detriment of the
applicant.
3. MOTIVATION OF RECOMMENDATION FOR REGISTRATION
It is necessary that the referee or employer be able clearly and strongly to motivate his/her opinion in respect of
the applicant's readiness for registration. The referee must, when supplying reasons, consider the minimum
registration requirements, in other words the referee, himself/herself must be familiar with the content of the
Council's Competency Standard R-02-PE/PT/PCE/PN.
4. EVALUATION
The level of competency required for registration as a professional Engineer is defined in the Competency
Standards, document R-02-PE/PT/PCE/PN. Competency is defined in terms of eleven outcomes and two
level definitions, namely complex engineering problems and complex engineering activities. The applicant is
expected to have demonstrated performance at a degree of responsibility appropriate to a Professional
Engineer for at least one year.
As a referee, you are asked to rate the applicant against the outcomes as well as make a holistic evaluation.
Please use the following scale:
CDC: The applicant consistently demonstrates competence

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Form No.:
APP-A1-ProfEng
REGISTRATION AS A
21 August 2020
Rev no: 1
CDI: The applicant has demonstrated competence but not consistently

CNDD: The applicant has not demonstrated competence but is developing
CND: The applicant has not demonstrated competence
X: I am unable to comment
Please enter your comments in the third column, giving your reasons for assigning the particular rating.
Where a rating CDI, CNDD, or CND is given, please clearly state the reason(s) for assigning this rating.
5. CONFIDENTIALITY
ECSA undertakes to protect the confidentiality of all the information received from the referee

Page 26 of 27
Form No.:
APP-A1-ProfEng
REGISTRATION AS A
21 August 2020
Rev no: 1
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”.
Do you
have
Registration Number: ___________________________________________
any
Name & Surname: ______________________________________________
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 .

Page 27 of 27
Form No.:
APP-A1-ProfEng
REGISTRATION AS A
21 August 2020
Rev no: 1

APP - A1 Application Form For Registration As A Professional Engineer

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Office Use

Home Address: Postal Address: Name & Address of present

Tel. No. (Home): Title of Position held: Tel. No. (Employer):

Cell No.: E-mail:

QM-TEM-001 Rev 0 – ECSA Policy/Procedure

QM-TEM-001 Rev 0 – ECSA Policy/Procedure

4. Membership of Voluntary Associations recognised in terms of Act No 46 of 2000 (or other):

5. Application Fee: (Fees are available on ECSA website or here.)

My Application fee of R (cheque) is transferred electronically.

Office Use Only

Application fee: R _______________________

Received by: _________________________ Date: ____________________

Note: Voluntary Associations List is available on the ECSA or here

QM-TEM-001 Rev 0 – ECSA Policy/Procedure

I____________________________________________________________ (full names)

Now therefore I further declare explicitly to the following:

Item Description Yes No

QM-TEM-001 Rev 0 – ECSA Policy/Procedure

contents of this declaration which was sworn to and signed before me at

Commissioner of Oaths/ Justice of Peace:

TERTIARY ENGINEERING QUALIFICATIONS

Extra subjects passed for incomplete qualifications

QM-TEM-001 Rev 0 – ECSA Policy/Procedure

QM-TEM-001 Rev 0 – ECSA Policy/Procedure

 Completed Application Form (AN1.1 & AN1.2).

Please note the following:

B. The Application Form:

QM-TEM-001 Rev 0 – ECSA Policy/Procedure

4. Membership of recognised Voluntary Associations:

5. Application and Annual Fees:

(a) Mentor (b) Immediate supervisor

QM-TEM-001 Rev 0 – ECSA Policy/Procedure

QM-TEM-001 Rev 0 – ECSA Policy/Procedure

“Despite subsection (2), the Council may refuse to register an applicant -

QM-TEM-001 Rev 0 – ECSA Policy/Procedure

Form AN2.1 TER

Surname and Initials: ______________________________________________________________

Discipline of Engineering: ___________________________________________________________

QM-TEM-001 Rev 0 – ECSA Policy/Procedure

Signature of Applicant: ________________________________ Date: ________________

QM-TEM-001 Rev 0 – ECSA Policy/Procedure

Form AN2.2 TEO

Surname and Initials: ______________________________________________________________

Discipline of Engineering: ___________________________________________________________

Signature of Applicant: ________________________________ Date: ________________

QM-TEM-001 Rev 0 – ECSA Policy/Procedure

Form AN2.3 TES

SUMMARY OF TRAINING/EXPERIENCE REPORTS: PROFESSIONAL ENGINEERS

Surname and Initials: __________________________________________________________________

Discipline of Engineering: ___________________________________________(e.g. Civil / Mech etc.)

QM-TEM-001 Rev 0 – ECSA Policy/Procedure

QM-TEM-001 Rev 0 – ECSA Policy/Procedure

See also Table 3 of R-03-PRO.

A training/experience period ends when:

QM-TEM-001 Rev 0 – ECSA Policy/Procedure

Engineering Council of South Africa

In terms of my general declaration, I Signature:

Holistic Self Evaluation

Received by: _____ Date:

Signature of Applicant: ________________ Date:

Signature of Applicant: ________________ Date:

Date(s) Provider: Name of Course Hours*: Validating body

Date(s) Provider: Name of Course Hours*: Validating body

Date(s) Provider: Name of Course Hours*: Validating body

Date(s) Provider: Name of Course Hours*: Validating body

Name of Referee: ________ Title of Position held:

ECSA Registration: ______________ Registration No:

Employer: ___________ Tel/Cell. No: _

Signature of Referee: ____ Date: