The Chamber of Engineering Technology (COET)

Application for
Title
Full Name

First NameLast Name
Postal Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Cell Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Business Number
Please enter a valid phone number.Format: (000) 000-0000.
Email Address
example@example.com
Date Of Birth

MonthDayYear
Date
Nationality
ID Number / Passport Number
Physical Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Employed By
Position Held
Highest Qualification
Branch of Engineering
Electrical, Mechanical, Civil, LMI, etc
Registered by ECSA
ECSA Registration number
Membership of other Institutes
Would you be prepared to assist as a Mentor?
Advertisement for Business and Individuals P/A
Costs Business Name R1500, Individual / Logo R350
Business Or Individual Logo

Annual Fees
Declaration by the Applicant: I, the undersigned, hereby declare that if elected to membership of the Chamber, I will be governed by the Constitution and by-laws of the Chamber of Engineering Technology now in force or as they may hereafter be amended and I will advance, as far as shall be in my power, the mission of the Chamber and that I will at times adhere to the code of professional conduct laid down in the Constitution and abide by the Code of Conduct of the Engineering Council of South Africa (ECSA). I also declare that the statement made by me in this application form is true and correct.
Applicants Signature
Date

MonthDayYear
Date
Grade of Membership Ordinary

Form for Application for Individual Membership. (2026) (Ver. 3)