CEng/IEng Professional Registration
Application Form
V11.2 April 2014
A Your Details
Title
Mr.
First Name
Palitha
Family Name
Siriwardana Arachchillage
Post Nominals BTech (Eng), PG Dip (BM), IEng, MITE, MIEEE,
AMIE(Sri Lanka)
Date of Birth
DD/MM/YYYY
26/10/1967
Home Address CEB Housing complex,
Lakvijaya Power Station,
Narakkalliya,
Norochcholai, Sri Lanka
County/State
Sri Lanka
Postcode
61300
Country
Sri Lanka
Home Phone
+9471 8693226
Mobile
+9471 8693226
Home Email
palithasa@yahoo.com
Preferred Venue for Interview
Colombo, Sri Lanka
Name of Professional Registration Advisor (PRA) (if applicable)
Please specify your gender: Male Female
B Current Employment
Employer
Ceylon Electricity Board (CEB)
Job Title
Electrical Engineer (Maintenance Unit 01)
Business Address Electrical engineer (U1),
Lakvijaya power station, Narakkalliya,
Norochcholai, Sri Lanka.
County/State
Sri Lanka
Postcode
61300
Country
Sri Lanka
Business Phone
+94322268964
Business Email
palithasa@yahoo.com
Which address would you like all correspondence sent to? Home Business
C Your Expertise
Select the sector most relevant to you and refer to the guidance notes for the detailed list of specialisms:
Academia Built Environment Defence/Armed Forces Design & Production
Energy Information & Communication Transport
Specialism: 33 73 27 Other:
Page 1 of 4
The Institution of Engineering and Technology is registered as a Charity in England and Wales (No. 211014) and Scotland (No. SC038698)
D Membership
You must become a member of the IET before submitting an application for professional registration.
You can apply to become a member of the IET at www.theiet.org/join Please provide your membership number in the space
provided below.
Membership Number: 1 1 0 0 1 1 0 5 0 5
E Registration
Please indicate below which category of registration you wish to apply for:
Incorporated Engineer (IEng) Chartered Engineer (CEng)
Page 2 of 4
The Institution of Engineering and Technology is registered as a Charity in England and Wales (No. 211014) and Scotland (No. SC038698)
F Education
Start Date End Date Course/Qualification Title Educational Establishment Classification FT/PT/SW/
Distance Learning
07/07/200
5
Continuing
PG Diploma (Power &
Energy)
University of Peradeniya
Faculty of Engineering
PG PT
16-06-
2013
24-08-
2014
Postgraduate Diploma in
Business Management
The Wayamba University
of Sri Lanka
Postgraduate
Diploma
PT (1 year full time
equivalent)
02/01/199
9
26/08/200
4
Bachelor of Technology
(Electronic Engineering)
The Open University
of Sri Lanka
Eng. Degree
DL (4 year full time
equivalent)
01/01/199
4
22/11/200
4
Diploma in Technology
(Electronic)
The Open University
of Sri Lanka
Diploma
DL (3 year full time
equivalent)
10/10/199
0
10/10/199
2
Foundation for Engineering
Technology
The Open University
of Sri Lanka
Foundation
DL(2 year full time
equivalent)
01/02/198
8
30/12/199
1
National Certificate of
Technology (Electrical &
Electronic)
Technical College (Kandy-
Sri Lanka) Ministry of
Higher Education
Certificate PT
01/12/198
7
05/12/198
8
Trade Apprentice Course
(Electrical)
Technical Training Center,
Castlereagh, Ceylon
Electricity Board
Trade FT
01/10/198
5
26/09/198
7
National Craft Certificate
(Electrical Installations)
Technical College
(Kurunegala-Sri Lanka)
Ministry of Higher
Education
Certificate FT
03/01/197
4
01/10/198
5
Primary and secondary
education
Dambadeniya Central
College Sri Lanka
School FT
G Professional Development or Training Schemes (if applicable)
Start Date End Date Company Accreditation number (if
applicable)
04/05/201
5
14/05/2015
10 days course on maintenance and repair of High
voltage circuit breaker, On Load Tap Changers (OLTC)
and High voltage power transformers in China (Heze
and Hangzhou). The course was conducted by the
OEMs SIEMENS and DACHI at their factories in China
Certificates attached
15/09/201
4
19/09/2015
Course on Programmable Logic Controllers
In the Arthur C Clarke Institute for Modern
Technologies – Sri Lanka
Certificates attached
15/12/201
1
22/12/2011
Xian XD Switchgear Electric Co., LTD
Factory Acceptance Tests on GIS equipments Puttlam
Coal Power Project
Certificates attached
02/11/201
1
05/11/2011
University of Peradeniya
Steam engineering & energy conservation
Certificates attached
09/04/201
1
11/04/2011
Ceylon Electricity Board (Sri Lanaka)
Basic First aid
Certificates attached
10/03/201
0
15/05/2010
CHD power plant operation Co. Ltd China
Coal power plant operation and maintenance
Certificates attached
01/05/200
9
01/05/2010
CMEC and CHDOC with the collaboration of Ceylon
Electricity Board
On the job training of Coal Power Plant Operation and
Maintenance
Certificates attached
15/04/201
0
30/04/2010
Emerson Process Management
Emerson Ovation-XP Configaration course
Certificates attached
N/A 07/11/2008
University of Cambridge
IELTS examination
Certificates attached
19/03/200
6
24/03/2006
Ceylon Electricity Board (Sri Lanaka)
CEB systems and Procedures
Certificates attached
10/07/200
5
16/07/2005
Ceylon Electricity Board (Sri Lanaka)
Occupational safety
Certificates attached
2011 2011
Contribution as a census officer in the 14th census in
Sri Lanka
Certificates attached
H Professional Services, Papers Presented etc.
Date Title
Notes for Supporter(s) - Before signing the application form, you are requested to ensure that the presentation of the form is to
the candidate’s best advantage and provides adequate information to enable the IET to reach a decision. Please note you will be
required to complete an Inquiry Form on the candidate’s eligibility for registration.
Return this form together with the payment form to: The Institution of Engineering and Technology, Registration & Standards,
Michael Faraday House, Six Hills Way, Stevenage, SG1 2AY, UK
Page 3 of 4
The Institution of Engineering and Technology is registered as a Charity in England and Wales (No. 211014) and Scotland (No. SC038698)
Mr. A K Samarasinghe
Title: Additional General Manager (Generation)
Dept: CEB Generation division
Qualification: B.Sc. Eng (Hons) CEng. MIE(Sri Lanka) MIEEE
Mr. P.G. Indrasiri
Title: Deputy General Manager (LVPS)
Dept: Lakvijaya Power Station
Qualification: B.Sc. Eng. (Hons) CEng MIESL
Mr. P.W. Bamunusinghe
Title: Chief Engineer (Electrical Maintenance)
Dept: CEB (Generation branch)
Qualification: B.Sc. Eng (Hons) CEng. MIESL MIEEE
Mr. P.B.S. Amarasiri
Title: Electrical
Superintendent
Dept: Unit 01 Electrical
Maintenance, Lakvijaya
Power Station.
Qualification: National
Diploma in Engineering
Science (Electrical)
Mr. H.P. Lionel
Title: Electrical
Superintendent
Dept: Unit 01 Electrical
Maintenance, Lakvijaya
Power Station.
Qualification: National
Certificate in Technology
(Electrical)
Siriwardana Arachchillage Palitha
Title: Electrical Engineer (Maintenance)
Dept: Unit 01 Electrical Maintenance, Lakvijaya Power Station.
Qualification: B.Tech (Eng.) PG Dip (BM) IEng AMIE(Sri Lanka) MIET,
MIEEE
Skilled technical staff Skilled technical staff
Mr. B.P.N.D. Pathirathna
Title: Electrical
Superintendent
Dept: Unit 01 Electrical
Maintenance, Lakvijaya
Power Station.
Qualification: National
Diploma in Engineering
Science (Electrical)
Skilled technical staff
Supporter 1 (mandatory)
Name
(print) M.D. Nalaka Kumara
Signature
(sign)
Date
Address for communication
Lakvijaya Power Station, CEB, Norochcholai, Sri Lanka.
Postcode
61300
Phone
+94-718693278
Email
nalakakumara@netscape.net
EC Registration type (if applicable) e.g. CEng, IEng
CEng.
Membership of Engineering Institutions e.g. MIET, FIET
MIET
Membership Number (if applicable)
31040388
Supporter 2 (mandatory)
Name
(print) M.A.C.H. Razvi
Signature
(sign)
Date
Address for communication
232, Lebbe Road, Eravur-6, Sri Lanka .
Postcode
30300
Phone
094-718693230
Email
Razvi.evr@gmail.com
EC Registration type (if applicable) e.g. CEng, IEng
CEng
Membership of Engineering Institutions e.g. MIET, FIET
MIET
Membership Number (if applicable)
1100223101
Supporter 3 (optional)
Name
(print)
Signature
(sign)
Date
Address for communication
Postcode Phone Email
EC Registration type (if applicable) e.g. CEng, IEng Membership of Engineering Institutions e.g. MIET, FIET
Membership Number (if applicable)
CEng/IEng Professional Registration
Checklist
Have you: Yes/No
1. Read the guidance notes document on how to complete your application.
ᵡ
2. Completed all sections of the form electronically. Please contact the IET if this causes you
problems. (Note - Your application will be scanned upon receipt, therefore please do not bind
or glue sheets or place in presentation folders. Colour and grey become unreadable when
copied and should therefore not be used).
ᵡ
3. Enclosed a copy of your further or higher education certificate(s), signed by one of your
Supporters as a true copy of the original. ᵡ
4. Clearly marked your position on the Accountability Diagram in Section I, and put the dates you
held that position.
5. Signed the Declaration.
6. Checked that your Supporters comply with the requirements as detailed in the guidance notes.
7. Obtained the signatures of your Supporters and requested them to complete an Inquiry form.
8. Completed the Professional Registration payment form.
9. Retained a copy of your application.
Please send your completed form and payment to:
The Institution of Engineering and Technology
Registration & Standards
Michael Faraday House
Six Hills Way
Stevenage
SG1 2AY
UK
Page 4 of 4
The Institution of Engineering and Technology is registered as a Charity in England and Wales (No. 211014) and Scotland (No. SC038698)

CEng Application 2015-7 final corrected OK

  • 1.
    CEng/IEng Professional Registration ApplicationForm V11.2 April 2014 A Your Details Title Mr. First Name Palitha Family Name Siriwardana Arachchillage Post Nominals BTech (Eng), PG Dip (BM), IEng, MITE, MIEEE, AMIE(Sri Lanka) Date of Birth DD/MM/YYYY 26/10/1967 Home Address CEB Housing complex, Lakvijaya Power Station, Narakkalliya, Norochcholai, Sri Lanka County/State Sri Lanka Postcode 61300 Country Sri Lanka Home Phone +9471 8693226 Mobile +9471 8693226 Home Email palithasa@yahoo.com Preferred Venue for Interview Colombo, Sri Lanka Name of Professional Registration Advisor (PRA) (if applicable) Please specify your gender: Male Female B Current Employment Employer Ceylon Electricity Board (CEB) Job Title Electrical Engineer (Maintenance Unit 01) Business Address Electrical engineer (U1), Lakvijaya power station, Narakkalliya, Norochcholai, Sri Lanka. County/State Sri Lanka Postcode 61300 Country Sri Lanka Business Phone +94322268964 Business Email palithasa@yahoo.com Which address would you like all correspondence sent to? Home Business C Your Expertise Select the sector most relevant to you and refer to the guidance notes for the detailed list of specialisms: Academia Built Environment Defence/Armed Forces Design & Production Energy Information & Communication Transport Specialism: 33 73 27 Other: Page 1 of 4 The Institution of Engineering and Technology is registered as a Charity in England and Wales (No. 211014) and Scotland (No. SC038698) D Membership You must become a member of the IET before submitting an application for professional registration. You can apply to become a member of the IET at www.theiet.org/join Please provide your membership number in the space provided below. Membership Number: 1 1 0 0 1 1 0 5 0 5 E Registration Please indicate below which category of registration you wish to apply for: Incorporated Engineer (IEng) Chartered Engineer (CEng)
  • 2.
    Page 2 of4 The Institution of Engineering and Technology is registered as a Charity in England and Wales (No. 211014) and Scotland (No. SC038698) F Education Start Date End Date Course/Qualification Title Educational Establishment Classification FT/PT/SW/ Distance Learning 07/07/200 5 Continuing PG Diploma (Power & Energy) University of Peradeniya Faculty of Engineering PG PT 16-06- 2013 24-08- 2014 Postgraduate Diploma in Business Management The Wayamba University of Sri Lanka Postgraduate Diploma PT (1 year full time equivalent) 02/01/199 9 26/08/200 4 Bachelor of Technology (Electronic Engineering) The Open University of Sri Lanka Eng. Degree DL (4 year full time equivalent) 01/01/199 4 22/11/200 4 Diploma in Technology (Electronic) The Open University of Sri Lanka Diploma DL (3 year full time equivalent) 10/10/199 0 10/10/199 2 Foundation for Engineering Technology The Open University of Sri Lanka Foundation DL(2 year full time equivalent) 01/02/198 8 30/12/199 1 National Certificate of Technology (Electrical & Electronic) Technical College (Kandy- Sri Lanka) Ministry of Higher Education Certificate PT 01/12/198 7 05/12/198 8 Trade Apprentice Course (Electrical) Technical Training Center, Castlereagh, Ceylon Electricity Board Trade FT 01/10/198 5 26/09/198 7 National Craft Certificate (Electrical Installations) Technical College (Kurunegala-Sri Lanka) Ministry of Higher Education Certificate FT 03/01/197 4 01/10/198 5 Primary and secondary education Dambadeniya Central College Sri Lanka School FT G Professional Development or Training Schemes (if applicable) Start Date End Date Company Accreditation number (if applicable) 04/05/201 5 14/05/2015 10 days course on maintenance and repair of High voltage circuit breaker, On Load Tap Changers (OLTC) and High voltage power transformers in China (Heze and Hangzhou). The course was conducted by the OEMs SIEMENS and DACHI at their factories in China Certificates attached 15/09/201 4 19/09/2015 Course on Programmable Logic Controllers In the Arthur C Clarke Institute for Modern Technologies – Sri Lanka Certificates attached 15/12/201 1 22/12/2011 Xian XD Switchgear Electric Co., LTD Factory Acceptance Tests on GIS equipments Puttlam Coal Power Project Certificates attached 02/11/201 1 05/11/2011 University of Peradeniya Steam engineering & energy conservation Certificates attached 09/04/201 1 11/04/2011 Ceylon Electricity Board (Sri Lanaka) Basic First aid Certificates attached 10/03/201 0 15/05/2010 CHD power plant operation Co. Ltd China Coal power plant operation and maintenance Certificates attached 01/05/200 9 01/05/2010 CMEC and CHDOC with the collaboration of Ceylon Electricity Board On the job training of Coal Power Plant Operation and Maintenance Certificates attached 15/04/201 0 30/04/2010 Emerson Process Management Emerson Ovation-XP Configaration course Certificates attached N/A 07/11/2008 University of Cambridge IELTS examination Certificates attached 19/03/200 6 24/03/2006 Ceylon Electricity Board (Sri Lanaka) CEB systems and Procedures Certificates attached 10/07/200 5 16/07/2005 Ceylon Electricity Board (Sri Lanaka) Occupational safety Certificates attached 2011 2011 Contribution as a census officer in the 14th census in Sri Lanka Certificates attached H Professional Services, Papers Presented etc. Date Title
  • 3.
    Notes for Supporter(s)- Before signing the application form, you are requested to ensure that the presentation of the form is to the candidate’s best advantage and provides adequate information to enable the IET to reach a decision. Please note you will be required to complete an Inquiry Form on the candidate’s eligibility for registration. Return this form together with the payment form to: The Institution of Engineering and Technology, Registration & Standards, Michael Faraday House, Six Hills Way, Stevenage, SG1 2AY, UK Page 3 of 4 The Institution of Engineering and Technology is registered as a Charity in England and Wales (No. 211014) and Scotland (No. SC038698) Mr. A K Samarasinghe Title: Additional General Manager (Generation) Dept: CEB Generation division Qualification: B.Sc. Eng (Hons) CEng. MIE(Sri Lanka) MIEEE Mr. P.G. Indrasiri Title: Deputy General Manager (LVPS) Dept: Lakvijaya Power Station Qualification: B.Sc. Eng. (Hons) CEng MIESL Mr. P.W. Bamunusinghe Title: Chief Engineer (Electrical Maintenance) Dept: CEB (Generation branch) Qualification: B.Sc. Eng (Hons) CEng. MIESL MIEEE Mr. P.B.S. Amarasiri Title: Electrical Superintendent Dept: Unit 01 Electrical Maintenance, Lakvijaya Power Station. Qualification: National Diploma in Engineering Science (Electrical) Mr. H.P. Lionel Title: Electrical Superintendent Dept: Unit 01 Electrical Maintenance, Lakvijaya Power Station. Qualification: National Certificate in Technology (Electrical) Siriwardana Arachchillage Palitha Title: Electrical Engineer (Maintenance) Dept: Unit 01 Electrical Maintenance, Lakvijaya Power Station. Qualification: B.Tech (Eng.) PG Dip (BM) IEng AMIE(Sri Lanka) MIET, MIEEE Skilled technical staff Skilled technical staff Mr. B.P.N.D. Pathirathna Title: Electrical Superintendent Dept: Unit 01 Electrical Maintenance, Lakvijaya Power Station. Qualification: National Diploma in Engineering Science (Electrical) Skilled technical staff Supporter 1 (mandatory) Name (print) M.D. Nalaka Kumara Signature (sign) Date Address for communication Lakvijaya Power Station, CEB, Norochcholai, Sri Lanka. Postcode 61300 Phone +94-718693278 Email nalakakumara@netscape.net EC Registration type (if applicable) e.g. CEng, IEng CEng. Membership of Engineering Institutions e.g. MIET, FIET MIET Membership Number (if applicable) 31040388 Supporter 2 (mandatory) Name (print) M.A.C.H. Razvi Signature (sign) Date Address for communication 232, Lebbe Road, Eravur-6, Sri Lanka . Postcode 30300 Phone 094-718693230 Email Razvi.evr@gmail.com EC Registration type (if applicable) e.g. CEng, IEng CEng Membership of Engineering Institutions e.g. MIET, FIET MIET Membership Number (if applicable) 1100223101 Supporter 3 (optional) Name (print) Signature (sign) Date Address for communication Postcode Phone Email EC Registration type (if applicable) e.g. CEng, IEng Membership of Engineering Institutions e.g. MIET, FIET Membership Number (if applicable)
  • 4.
    CEng/IEng Professional Registration Checklist Haveyou: Yes/No 1. Read the guidance notes document on how to complete your application. ᵡ 2. Completed all sections of the form electronically. Please contact the IET if this causes you problems. (Note - Your application will be scanned upon receipt, therefore please do not bind or glue sheets or place in presentation folders. Colour and grey become unreadable when copied and should therefore not be used). ᵡ 3. Enclosed a copy of your further or higher education certificate(s), signed by one of your Supporters as a true copy of the original. ᵡ 4. Clearly marked your position on the Accountability Diagram in Section I, and put the dates you held that position. 5. Signed the Declaration. 6. Checked that your Supporters comply with the requirements as detailed in the guidance notes. 7. Obtained the signatures of your Supporters and requested them to complete an Inquiry form. 8. Completed the Professional Registration payment form. 9. Retained a copy of your application. Please send your completed form and payment to: The Institution of Engineering and Technology Registration & Standards Michael Faraday House Six Hills Way Stevenage SG1 2AY UK Page 4 of 4 The Institution of Engineering and Technology is registered as a Charity in England and Wales (No. 211014) and Scotland (No. SC038698)