Request form for single membership

Transcription

1 Request form for single membership To be filled out by the SIA SIA number Section Professional group A Personal data Mrs Surname Mr Name Profession Academic title Date of birth Nationality Private address Street/Number PO Box Postal code/town Telephone Country Mobile Business address Street/Number PO Box Postal code/town Country Telephone Website Swiss society of engineers and architects Selnaustrasse 16 PO Box 8001 Zurich Head Office Sales member@sia.ch 1 / 4

2 B Education and training Basic studies Place Graduate studies Place Postgraduate studies MAS/MBA Place Training/Postgraduate course Course, name of institute Duration from/to Diploma, certificate ECTS credits 2 / 4

3 C Professional career Current job Job title/position since Description Career path Other activities Teaching, political office, public function, work in organisation/association 3 / 4

4 D Membership data Have you already been an SIA member? no yes Are you registered in the Swiss Registry of engineers/architects/technicians? no REG A pending Please answer the following using the enclosed appendix. As a single member, I choose to be part of the section and professional group Profession Employment Status Sector Current areas of activity Delivery address for SIA publications (in German) General SIA information Private address Business address Periodical TEC21 (weekly) Private address Business address Membership invoice Private address Business address E SIA specialist associations Several specialist associations are affiliated to the SIA. The membership fee to join a specialist association is not included in the SIA membership fee and can be requested separately. ( I would like to receive information on the following specialist association: See appendix for list of associations F Membership request Place/Date I hereby confirm that I agree with the SIA statutes and membership regulations and I commit myself to full compliance with the code of conduct. I also agree that my address be published in the SIA membership directory in accordance with the membership regulations (R120, Art. 9). Appendices: Copy diploma/degree Copy registration REG A 4 / 4

5 Appendix to the request form for single membership Sections AG BS BE FR GE GR IN JU NE SG SH SO TG TI VD VS WI ZS ZH Section Aargau Section Basel Section Bern/section Berne Section Fribourg Section Geneva Section Grisons Section International Section Jura/Jura bernois Section Neuchâtel Section St. Gallen/Appenzell Section Schaffhausen Section Solothurn Section Thurgau Section Ticino Section Vaud Section Valais Section Winterthur Section Central Switzerland Section Zurich Profession A Architect B Civil engineer BP Plant and production engineer C Chemist, chemical engineer E Electrical engineer F Forest engineer GN Geologist KV Geomatics engineer (rural engineer and land surveyor) G Surveyor HT Building services engineer H Horological engineer IK Computer engineer, communications engineer L Agricultural engineer I Interior designer J Lawyer KI Rural engineer LA Landscape architect M Mechanical engineer, process engineer MA Mathematician WO Economist P Physicist R Spatial planner U Environmental engineer UN Environmental scientist W Materials engineer AF Other Professional groups BGA BGU BGI BGT Architecture Environment Civil engineering Technology Current areas of activity AG Agriculture AK Acoustics A Architecture B Civil engineering BL Construction management BO Construction economics BP Construction physics BR Construction law BA Building maintenance BE Consulting, expert evaluations BW Plant/production engineering BT Biology/biotechnology BB Bridge construction C Chemistry, chemical engineering E Electrical engineering EN Energy F Forestry GP General planning G Geology/geotechnics/geophysics HT Building services HOR Horology I Computer science IK Information/communications technology IN Interior design GL Landscape architecture/planning M Mechanical engineering/process technology MA Mathematics MI Mediation ME Microelectronics MT Microtechnology OE Ecology P Physics PM Project management PL Spatial/urban planning S Security planning/technology SW Urban hydraulic engineering TU Tunnel construction U- Environmental protection VK Transport engineering/road construction VM Surveying, geomatics WA Hydraulic engineering W Materials technology AF Other Employment status A Employee D Lecturer I Company owner/partner Sectors BU Construction company B Federal administration D Service provider G Communal administration I Industry K Cantonal administration LF Apprenticeship/research P Planning office Specialist associations A&K Fachverein Architektur & Kultur BSLA Bund Schweizer Landschaftsarchitekten und -Architektinnen CHGEOL Schweizer Geologenverband FBH Fachgruppe für Brückenbau und Hochbau FEB Fachgruppe für die Erhaltung von Bauwerken FGE Fachverein Gebäudetechnik und Energie FGU Fachgruppe für Untertagbau FSU Fachverband Schweizerischer Raumplanerinnen und Raumplaner FVW Fachverein Wald geosuisse Schweizerischer Verband für Geomatik und Landmanagement GII Gesellschaft der Ingenieure der Industrie GS Geotechnik Schweiz maneco Fachverein für Management und Ökonomie im Bauwesen SGEB Schweizer Gesellschaft für Erdbebeningenieurwesen und Baudynamik STE Swiss Timber Engineers SVU Schweizerischer Verband der Umweltfachleute SWKI Schweizerischer Verein von Gebäudetechnik-Ingenieuren SZFF Schweizerische Zentrale Fenster und Fassaden SZS Stahlbau Zentrum Schweiz VAA Fachverein für die Vergabe von Architekturaufträgen VHTA Fachverein für die Vergabe von Haustechnikaufträgen VIA Fachverein für die Vergabe von Ingenieuraufträgen VSI.ASAI Vereinigung Schweizer Innenarchitekten/ architektinnen