THE ENGINEERING COUNCIL

COUNCIL

Tel: (+250) 788307733

Tel: (+250) 783251948

P.O. Box: 5012 Kigali Rwanda

Email: engineersrwanda@yahoo.com

Website: www.engineersrwanda.org

REPBLIC OF RWANDA

APPLICATION FORM

Practicing certificate

A. Company General Information

Company Names: Date of business registration:

Main activities

TIN/VAT

B. Directors/ share holders information

- MD details: Names: ID:

Tel: Qualifications:

Registration N0 if registered with REC/ IER:

- Details of

other

Directors

registered

with REC/

IER if any.

Names:

Qualification:

Registration N0 REC/ IER:

- Details of

share

holders that

may be

registered

with REC/

IER.

Names:

Qualification:

Registration N0 REC/ IER:

2No P.P. Photos

THE ENGINEERING COUNCIL

COUNCIL

Tel: (+250) 788307733

Tel: (+250) 783251948

P.O. Box: 5012 Kigali Rwanda

Email: engineersrwanda@yahoo.com

Website: www.engineersrwanda.org

REPBLIC OF RWANDA

C. Projects a accomplished.

No Name of project Client

List down major

projects

accomplished with

in previous 5

years.

4. DECLARATION

I hereby apply for practicing certificate and undertake to abide by all provisions of the law that

governs the engineering profession in Rwanda, and any regulations and by-laws made there

under including code of ethics and conduct . I certify that, to the best of my knowledge, the

information contained herein is true and correct.

Date Signature of Applicant:

Note: Please attach a detailed CV & academic certificates

THE ENGINEERING COUNCIL

COUNCIL

Tel: (+250) 788307733

Tel: (+250) 783251948

P.O. Box: 5012 Kigali Rwanda

Email: engineersrwanda@yahoo.com

Website: www.engineersrwanda.org

REPBLIC OF RWANDA

FOR OFFICIAL USE ONLY

Executive Secretary orbersavations based on submissions vs requirements:

.

Names and signature: Date

Council recommendation:

Approved for registration Not approved for registration

signatures:

Chairman Secretary

Date