The Society of Punjabi Engineers and Technologists of British Columbia 

www speatbc.org
  SPEATBC  
Please fill out and submit the form below.
Please send donations via cheques payable to: SPEATBC at the address below. Thank you.
SPEATBC
PO Box #104
12788, 96 Ave,
Surrey, BC
V3V-7H7
GENERAL INFORMATION ( * indicates required fields )
*Name
Address
City Prov / State
Country Postal Code
*Home Phone Home Cell
*Home Email Home Fax
Date of Birth Gender
Male     Female

STATUS (Check all that apply)
   Recent Immigrant (less than 1 year in Canada)
   Student Engineer (currently in an Engineering Program)
   Engineer in Training or Recent Graduate
   Professional Engineer

EDUCATIONAL BACKGROUND
Engineering discipline
Date of Graduation:
Educational Institute:
Degree/Diploma:

WORK EXPERIENCE
Years of experience
Area of expertise

STATUS (Check all that apply)
   Recent Immigrant (less than 1 year in Canada)
   Student Engineer (currently in an Engineering Program)
   Engineer in Training or Recent Graduate
   Professional Engineer

EMPLOYER INFORMATION
Your Job Title
Your Expertise
Company Name
Address
City Province / State
Country Postal Code
Work Phone Direct Line
Work Email Work Fax
Company's product line/services

ARE YOU A MEMBER OF ANY OTHER ASSOCIATIONS?
   APEGBC
   ASTTBC
   IEEE
   AEE

Other Associations

TERMS AND CONDITIONS
I certify that the statements in this membership form are corect and that I will abide by the constitution and by-laws of the Society of Punjabi Engineers and Technologists of British Columbia.
This information will be maintained in strict confidence and will only be made available to members of the association as a membership list.
I Accept     I do not Accept