FORM NO: BAE/004
APPLICATION FOR THE STUDENT MEMBERSHIP OF THE SLIA
Use block letters for 1-4
1
Last name
Mr./Mrs./Miss.
2
Names other than last name
3
Previous names if any
4
Address:
(for the purpose of
correspondence)
5
Telephone
Office
Residential
Passport size
photograph should
be affixed here
Mobile
6
Email
7
Photograph
8
Nationality
9
National Identity Card No.
10
Date of birth
11
Examination particulars/qualifications
Program
12
University/Institution
Year
Endorsement by head of the academic program
I hereby certify that (name of applicant) .............................................................................. has successfully
completed / is following the above mentioned Program at the above mentioned University/Institution
(11) on (date) ....................................
Name of the head of the program: .......................................................................................
Signature
Stamp
Date
Application for SLIA Associate Membership
Page 1 of 4
FORM NO: BAE/004
13
Proposed by an Associate Member of the SLIA
I, the undersigned, …………………………………………………………………….……………. from my personal knowledge
of the Candidate, recommend him/her as fit and proper to be admitted as a Student Member of the Sri
Lanka Institute of Architects.
Signature
14
Stamp
Date
Proposed by an Associate Member of the SLIA
I, the undersigned, …………………………………………………………………….……………. from my personal knowledge
of the Candidate, recommend him/her as fit and proper to be admitted a an Student Member of the Sri
Lanka Institute of Architects.
Signature
Stamp
Date
15
I have attached;
a.
an attested copy of my Birth Certificate
YES
NO
b.
an attested copy of my National Identity Card
YES
NO
c.
attested copies of documents indicate in item 11
YES
NO
d.
the payment receipts from SLIA for Enrolment fee of Rs. 1,000+ Annual
Subscription fee Rs. 250 + Taxes
YES
NO
Additional Comments / clarifications if you have answered ‘NO’ to any of the above statements
16
Declaration by the applicant
I, (Applicant’s name) ………………………………………………………………….........................................…………..... here
by declare that the foregoing information is true and correct. I understand that declaration of false,
insufficient or incorrect information will result in the rejection of the application or revocation of
membership if already given.
I also understand that BAE, SLIA retain the right to request for further information with regard to the
processing of this application.
I also pledge that notwithstanding the fact that I am not qualified as a Professional, I shall abide by the
SLIA Code of Professional Conduct and other provisions in the Architect Law No.1 of 1976, and its
subsequent amendments, all SLIA Regulations, Standing Orders, Council Decisions and Rules and Bylaws, as and when applicable to me. I also understand and agree that any breach of the above will result
in Investigative and Disciplinary Procedures and that if found guilty, my membership, the right to sit any
examinations and acceptance to the membership of the Institute may be suspended/cancelled and
rendered null and void as relevant. I have read and understood the above and append my signature
below.
I have read and understood the above and append my signature below.
Signature of Applicant
Date
Application for SLIA Associate Membership
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FORM NO: BAE/004
17
I, ………………….………………….………………………………………………………………………………. a Corporate Member
of the SLIA hereby certify that the signature appended above is that of Mr. / Mrs. /Ms.
.…………………………………………………………………………………………. with National Identity Card Number
…………………………………………………………………
Signature of SLIA Corporate Member (Associate, Fellow
or Honorary Fellow)
18
Stamp
Instructions to Applicants:
1.
Read the instructions carefully before filling this application.
2.
All photocopies of the certificates produced along with the originals of the same for
verifications should be clear & legible. Photocopies not accompanying the originals will be
rejected. The applicants should ensure that each copy shall be stamped and initialled by
the Registrar-ARB as a true copy of the original certifying their authenticity.
3.
Applicants should pay the Entrance fee and the Membership fee to the Finance Section of
the SLIA Secretariat and include the duplicate copy of the payment slip with the
Application.
4.
Duly perfected application should be forwarded to the Manager, BAE, SLIA. Incomplete
Applications will be rejected.
5.
The Student Membership once given will be valid for a period of one year & should be
renewed annually.
Application for SLIA Associate Membership
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FORM NO: BAE/004
FOR OFFICE USE ONLY
1
Application received by the BAE
All relevant copies of certificates and documents are attested for their authenticity
(15 a, b, c & d. )
Applicant has attached receipts for Entrance fee of Rs. 1000/- and Membership subscription of
Rs. 250/- + tax payable for the year…………………….
Applicant has signed in the register at BAE for application submissions.
Date
(Place date stamp)
Signature: Manager, BAE
2
Application is recommended to the Membership Enrolment Committee by the Secretary, BAE
Signature: Secretary, BAE
3
Date
Recommendation for eligibility by the Membership Enrolment Committee;
Candidate is (Eligible / Not Eligible) …………………………………………
Signature (MEC member):
Remarks or Instructions if any:
Signature
Chairman, Membership Enrolment Committee (MEC)
4
Approved by the Board of Architectural Education;
Signature: Chairman, BAE
5
Date
Date
Ratified by the Council of the SLIA at the Council Meeting held on …………………….……………
Signature: President, SLIA
Date
Application for SLIA Associate Membership
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FORM NO: BAE/004
Application for SLIA Associate Membership
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