1. FORM A
MALAWI GOVERNMENT
ENGINEERS ACT
(CAP 53:03)
APPLICATION FOR REGISTRATION AS A GRADUATE ENGINEER
(UNDER SECTION 23)
To: The Registrar, Board of Engineers
P.O. Box 30228, Lilongwe 3
Surname ……………………………………………………………………………………………………………………
First Names…………………………………………………………………………………………………………………
Date of Birth ………………………………………..Nationality …………………………………………………………
Nationality at Birth (if Different from above) ……………………………………………………………………………..
Postal Address………………………………………………………………………………………………………………
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Present Employer and Address …………………………………………………………………………………………….
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Engineering Degree First Post Grad. Or Other
University or College .. .. ………………………….. ………………………………
Country .. .. ………………………….. ………………………………
Duration of Course .. .. ………………………….. ………………………………
Date Awarded .. .. …………………………. ………………………………
Class .. .. …………………………. ………………………………
Professional Qualification(institution, class or membership and date elected) and post – graduate experience…………...
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Registered or licensed to practice as an Engineer in other countries
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I, the undersigned, hereby apply to have my name as given above entered in the Register of Graduate Engineers. I
hereby solemnly and sincerely declare that the foregoing statements are true in every respect and that I have read the
Act and any Rules made under the Act and understand that , if registered, I shall be bound thereby and by any
amendments thereto so long as my name remains on the register

2. Declared at ………………………………………………………………By ……………………………………………..
(Signature of Applicant)
Before me……………………………………….this……………………day of ………………………………, 20……...
(Commissioner for Oaths)