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case "valid":
// System Includes
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// Variables Unique to page
$title = "cesa.co.za - Annual Declaration " . $DeclarationYear;
$description = "Consulting Engineers of South Africa. Annual Declaration " . $DeclarationYear . ".";
$keywords = "online, services, members, consulting, engineers";
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include( '../inc/conf.inc' );
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include( '../inc/db.inc' );
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<!-- Start Page Content Here -->
<head>
<script language="JavaScript">
<!--
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<title>Annual Declaration <?php echo $DeclarationYear; ?></title>
<style>
body, td, p {
font-family: Helvetica, Arial, sans-serif;
font-size: 11px;
}
.smalltext {font-size: 8px}
.auto-style1 {
text-align: center;
}
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text-align: right;
}
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</head>
<body bgcolor="#FFFFFF">
<?php
include( '../inc/declaration.inc' );
?>
<table border=0 cellspacing=0 cellpadding=0 align="center" width="100%">
<tr>
<td valign=top height="947">
<?php include("inc_printheader.php"); ?>
<p align="center"><strong><br>
PART 1 – COMPULSORY DOCUMENT TO BE SIGNED BY THE MANDATED PRINCIPAL AND SUBMITTED
TO CESA BY 31 JANUARY <?php echo $DeclarationYear; ?></strong></p>
<table width="90%" border="0" align="center">
<tr>
<td width="24%" height="20"><b>NAME
OF FIRM</b></td>
<td width="25%" height="20"><?php echo $MemberFirmName; ?></td>
<td width="51%" bgcolor="#EDEDED"><table width="100%" border="1" bordercolor="#000000" cellpadding="0" cellspacing="0">
<tr>
<td><br>
<br>
</td>
</tr>
</table></td>
</tr>
</table>
<p><b>1.</b> I<font face="sans-serif"> declare that all Principals of
the Member firm whose details appear in Schedule 1 comply with the Memorandum of Incorporation and have read and understood By-laws and have read and understand
the Code of Conduct of Consulting Engineers South Africa (<a href="https://www.cesa.co.za/node/18" target="_blank">https://www.cesa.co.za/node/18</a>)</font><br>
<br>
<b>2.</b>
The Member firm has <b>PROFESSIONAL INDEMNITY INSURANCE</b> as follows.
<b><i>(Please attach a copy of the firm's current P.I. Policy Certificate)</i></b>: </p>
<table width="90%" border="0" align="center">
<tr>
<td width="24%" height="20"><b>NAME
OF INSURER</b> </td>
<td width="25%" height="20">
<?php echo $MemberFirmInsurer; ?> </td>
<td width="51%" bgcolor="#EDEDED">
<table width="100%" border="1" bordercolor="#000000" cellpadding="0" cellspacing="0">
<tr>
<td><br><br></td>
</tr>
</table> </td>
</tr>
</table>
<div align="center"></div>
<table width="90%" border="0" align="center">
<tr>
<td width="24%" height="13">
<div align="center"><b>AMOUNT
OF COVER </b></div> </td>
<td width="25%" height="13">
<?php echo $MemberFirmLevelCover; ?> </td>
<td width="51%" bgcolor="#EDEDED" height="13">
<table width="100%" border="1" cellspacing="0" cellpadding="0" bordercolor="#000000">
<tr>
<td><br><br></td>
</tr>
</table> </td>
</tr>
</table>
<b>(Prescribed
minimum R5m in respect of any one claim)</b>
<p style='text-align:justify;'><b>3.</b> I confirm that
the “Registered Principals” of the Member firm, as defined in Clause 2.1.9
of the CESA Constitution, constitute at least 50 percent of the Principals
of the Member firm, are professionals registered with any Professional
body recognised by the South African Qualifications Authority (SAQA) or
such equivalent recognised body outside of the Republic of South Africa
and of which at least one third are registered as professional engineering
practitioners with the Engineering Council of South Africa as stated in
Clause 1.7 of the CESA By-laws.<br>
<br>
<b>4.</b>
I confirm that the Principals and/or staff, who are registered persons in the categories accepted by Council,
have the necessary qualifications and experience in respect of each of
the fields of expertise claimed on Schedule 2.<br>
<br>
<b>5.</b> <font face="sans-serif"> I confirm that
all the Principals of the firm have read and adhere to CESA's Business Integrity Management Guidelines
(<a href="https://www.cesa.co.za/node/33">https://www.cesa.co.za/node/33</a>)<br></font>
<br>
<b>6</b>.
The number of Principals (both Registered and Non-registered) reflected on Schedule 1 are correct as at 1 January
<?php echo $DeclarationYear; ?>.</p>
<p align=left><span style="text-align:justify;"> </span><b>FORM
OF THE MEMBER FIRM</b>:
<?php
$pictoshow1 = "../pics/unselected.jpg";
$pictoshow2 = "../pics/unselected.jpg";
$pictoshow3 = "../pics/unselected.jpg";
$pictoshow4 = "../pics/unselected.jpg";
$pictoshow5 = "../pics/unselected.jpg";
$pictoshow6 = "../pics/selected.gif";
if ($MemberFirmFormIncorp == "Sole Practice") {
$pictoshow1 = "../pics/selected.gif";
$pictoshow6 = "../pics/unselected.jpg";
}
if ($MemberFirmFormIncorp == "Limited Company") {
$pictoshow2 = "../pics/selected.gif";
$pictoshow6 = "../pics/unselected.jpg";
}
if ($MemberFirmFormIncorp == "Partnership") {
$pictoshow3 = "../pics/selected.gif";
$pictoshow6 = "../pics/unselected.jpg";
}
if ($MemberFirmFormIncorp == "(Pty) Ltd") {
$pictoshow4 = "../pics/selected.gif";
$pictoshow6 = "../pics/unselected.jpg";
}
if ($MemberFirmFormIncorp == "Close Corporation") {
$pictoshow5 = "../pics/selected.gif";
$pictoshow6 = "../pics/unselected.jpg";
}
?>
</p>
<table width="100%" border="0">
<tr>
<td width="5%"><img src="<?php echo $pictoshow1; ?>" > </td>
<td width="22%">Sole
Practitioner</td>
<td width="6%"><img src="<?php echo $pictoshow2; ?>" ></td>
<td width="30%">Limited
Company</td>
<td width="6%"><img src="<?php echo $pictoshow3; ?>" ></td>
<td width="31%">Partnership</td>
</tr>
<tr>
<td width="5%"><img src="<?php echo $pictoshow4; ?>" ></td>
<td width="22%">Proprietary
Limited Company</td>
<td width="6%"><img src="<?php echo $pictoshow5; ?>" ></td>
<td width="30%">Close
Corporation</td>
<td width="6%"><img src="<?php echo $pictoshow6; ?>" ></td>
<td width="31%">Other
(please specify):_______________________</td>
</tr>
</table>
<br>
<table width="100%" border="0" align="center">
<tr>
<td width="49%"><b>7.</b><span style="text-align:justify;"> </span><b>WWW Address</b>: <?php echo $MemberFirmURL; ?> </td>
<td width="51%" bgcolor="#EDEDED">
<table width="100%" border="1" cellspacing="0" cellpadding="0" bordercolor="#000000">
<tr>
<td><br><br></td>
</tr>
</table></td>
</tr>
</table>
<p><b>8.</b><span style="text-align:justify;"> </span><b>QUALITY
MANAGEMENT SYSTEM </b></p>
<table width="637" border="0" cellpadding="0" cellspacing="2">
<tr>
<td width="448" rowspan="2" align="center" valign="top"> <b>QUESTION</b></td>
<td colspan="3">
<p align="center"><b>ANSWER</b></td>
</tr>
<tr>
<td width="66" bordercolor="#000000" bgcolor="#EDEDED"><center>
<b>Yes</b>
</center> </td>
<td width="66" bordercolor="#000000" bgcolor="#EDEDED">
<p align="center">
<b>No</b> </td>
<td width="47" bordercolor="#000000" bgcolor="#EDEDED"><center>
<b>In Progress</b></center> </td>
</tr>
<tr>
<td>1. Has your firm implemented and do you maintain a Quality Management System? </td>
<td bordercolor="#000000" bgcolor="#EDEDED" align="left" valign="top">
<center>
<img src="http://www.cesa.co.za/members/pics/unselected.jpg">
</center> </td>
<td bordercolor="#000000" bgcolor="#EDEDED" align="left" valign="top"
style="font-family: 'Times New Roman', Times, serif">
<center>
<img src="http://www.cesa.co.za/members/pics/unselected.jpg">
</center> </td>
<td bordercolor="#000000" bgcolor="#EDEDED" align="left" valign="top"
style="font-family: 'Times New Roman', Times, serif">
<center>
<img src="http://www.cesa.co.za/members/pics/unselected.jpg">
</center> </td>
</tr>
<tr>
<td>2(a) * Is your firm ISO 9001 certified?</td>
<td bordercolor="#000000" bgcolor="#EDEDED" align="left" valign="top"><center>
<img src="http://www.cesa.co.za/members/pics/unselected.jpg">
</center> </td>
<td bordercolor="#000000" bgcolor="#EDEDED" align="left" valign="top"
style="font-family: 'Times New Roman', Times, serif"><center>
<img src="http://www.cesa.co.za/members/pics/unselected.jpg">
</center> </td>
<td bordercolor="#000000" bgcolor="#EDEDED" align="left" valign="top"
style="font-family: 'Times New Roman', Times, serif"><center>
<img src="http://www.cesa.co.za/members/pics/unselected.jpg">
</center> </td>
</tr>
<tr>
<td> 2(b) If yes, who was the certifying body? <em>Please attach copy.</em></td>
<td bordercolor="#000000" align="left" valign="top"> </td>
<td bordercolor="#000000" align="left" valign="top"> </td>
<td bordercolor="#000000" align="left" valign="top"> </td>
</tr>
<tr>
<td colspan=4><table border=0 width=100%>
<tr>
<td width="30%">NAME:</td>
<td><table width="100%" border="1" cellspacing="0" cellpadding="0" bordercolor="#000000" bgcolor="#EDEDED">
<tr>
<td><br><br></td>
</tr>
</table></td></tr></table></td>
</tr>
<tr>
<td>2(c) * Does your firm follow
the CESA FIDIC QMIG (<a href="http://www.cesa.co.za/node/638" target="_blank">www.cesa.co.za/node/638</a>)</td>
<td bordercolor="#000000" bgcolor="#EDEDED" align="left" valign="top">
<center>
<img src="http://www.cesa.co.za/members/pics/unselected.jpg">
</center> </td>
<td bordercolor="#000000" bgcolor="#EDEDED" align="left" valign="top"
style="font-family: 'Times New Roman', Times, serif">
<center>
<img src="http://www.cesa.co.za/members/pics/unselected.jpg">
</center> </td>
<td bordercolor="#000000" bgcolor="#EDEDED" align="left" valign="top"
style="font-family: 'Times New Roman', Times, serif">
<center>
<img src="http://www.cesa.co.za/members/pics/unselected.jpg">
</center> </td>
</tr>
<tr>
<td colspan=4>
<p>3. (a) Does your company have a Quality champion with the
required skills to implement a Quality Management System?</p>
<p>3. (b) If so, please provide the name and contact
details of the champion:</p>
<p>Name: </p>
<p>E-mail: </p>
</td>
</tr>
</table>
<p><strong>* PLEASE NOTE THAT:</strong></p>
<ol>
<li><strong>The implementation and maintenance of a QMS is a pre-condition of membership</strong>.</li>
<li><strong>The completion and submission of the FIDIC QMIG
Checklist annually, is a pre-condition of membership. The
Checklist is available at
<a href="http://www.cesa.co.za/node/638" target="_blank">
www.cesa.co.za/node/638</a></strong></li>
<li><strong>A response aiming for 100% completion/affirmation of the
FIDIC QMIG Checklist is recognised as confirmation that you have implemented and are maintaining a QMS.</strong></li>
<li><strong> CESA reserves the right to audit firms to
ensure compliance. </strong></li>
</ol>
<!--
<p ALIGN="CENTER"><strong>SUSTAINABILITY REPORTING PROTOCOL
(SRP)</strong></p>
<table width="830" border="0" cellpadding="5" cellspacing="0">
<tr>
<td style="width: 397px">QUESTION</td>
<td colspan="3">ANSWER</td>
</tr>
<tr>
<td style="width: 397px">1. Does your company have a sustainability policy signed by the CEO / highest decision maker?</td>
<td bgcolor="#EDEDED" style="width: 78px"><img src="http://www.cesa.co.za/members/pics/unselected.jpg">Yes</td>
<td bgcolor="#EDEDED" style="width: 69px"><img src="http://www.cesa.co.za/members/pics/unselected.jpg">No</td>
<td width="186" bgcolor="#EDEDED" style="width: 93px"><img src="http://www.cesa.co.za/members/pics/unselected.jpg">In
Progress</td>
</tr>
<tr>
<td style="width: 397px">2. Has the company identified and described
material sustainability issues?</td>
<td bgcolor="#EDEDED" style="width: 78px"><img src="http://www.cesa.co.za/members/pics/unselected.jpg">Yes</td>
<td bgcolor="#EDEDED" style="width: 69px"><img src="http://www.cesa.co.za/members/pics/unselected.jpg">No</td>
<td width="186" bgcolor="#EDEDED" style="width: 93px"><img src="http://www.cesa.co.za/members/pics/unselected.jpg">In
Progress</td>
</tr>
<tr>
<td style="width: 397px">3. Has your company defined a stakeholder engagement process, specifically related to sustainability?</td>
<td bgcolor="#EDEDED" style="width: 78px"><img src="http://www.cesa.co.za/members/pics/unselected.jpg">Yes</td>
<td bgcolor="#EDEDED" style="width: 69px"><img src="http://www.cesa.co.za/members/pics/unselected.jpg">No</td>
<td width="186" bgcolor="#EDEDED" style="width: 93px"><img src="http://www.cesa.co.za/members/pics/unselected.jpg">In
Progress</td>
</tr>
<tr>
<td style="width: 397px">4.(a) Does your company have a sustainability champion
with the required skills to implement the CESA
Sustainability Reporting Checklist?</td>
<td bgcolor="#EDEDED" style="width: 78px"><img src="http://www.cesa.co.za/members/pics/unselected.jpg">Yes</td>
<td bgcolor="#EDEDED" style="width: 69px"><img src="http://www.cesa.co.za/members/pics/unselected.jpg">No</td>
<td width="186" bgcolor="#EDEDED" style="width: 93px"><img src="http://www.cesa.co.za/members/pics/unselected.jpg">In
Progress</td>
</tr>
<tr>
<td colspan="4">4.(b) If so, please provide the name and
contact details of the champion:<br><br>Name:<br><br>Email:</td>
</tr>
</table>
<p><strong>* PLEASE NOTE THAT:</strong></p>
<ol>
<li>The implementation and maintenance of a SMS is a
pre-condition of membership.</li>
<li>The completion and submission of the SMS Checklist in the
Sustainability Policy Framework of CESA, November 2013, (<a href="http://www.cesa.co.za/uploads/CESA_Sustainability_Checklist.docx">http://www.cesa.co.za/uploads/CESA_Sustainability_Checklist.docx</a>)
s a pre-condition of membership.</li>
<li>A response aiming for 100% compliance/affirmation of the SMS
Checklist is recognised as confirmation that you have
implemented and are maintaining a SMS.</li>
</ol>
<hr>
-->
<p ALIGN="CENTER"><strong>STAFFING TRANSFORMATION STATUS DECLARATION</strong></p>
<table width="830" border="1" cellpadding="2" cellspacing="0">
<tbody>
<tr>
<td><strong>Occupational Levels</strong></td>
<td colspan="4" align="center"><strong>South African - Male</strong></td>
<td colspan="4" align="center"><strong>South African - Female</strong></td>
<td colspan="2" align="center"><strong>Foreign Nationals</strong></td>
</tr>
<tr>
<td align="right">A=African, C=Coloured, I=Indian/Asian, W=White</td>
<td width="50" align="center"><strong>A</strong></td>
<td width="50" align="center"><strong>C</strong></td>
<td width="50" align="center"><strong>I</strong></td>
<td width="50" align="center"><strong>W</strong></td>
<td width="50" align="center"><strong>A</strong></td>
<td width="50" align="center"><strong>C</strong></td>
<td width="50" align="center"><strong>I</strong></td>
<td width="50" align="center"><strong>W</strong></td>
<td width="50" align="center"><strong>Male</strong></td>
<td width="50" align="center"><strong>Female</strong></td>
</tr>
<tr>
<td><strong>Top management<br>
<br>
<br>
<br>
</strong></td>
<td align="center" valign="middle"> </td>
<td align="center" valign="middle"> </td>
<td align="center" valign="middle"> </td>
<td align="center" valign="middle"> </td>
<td align="center" valign="middle"> </td>
<td align="center" valign="middle"> </td>
<td align="center" valign="middle"> </td>
<td align="center" valign="middle"> </td>
<td align="center" valign="middle"> </td>
<td align="center" valign="middle"> </td>
</tr>
<tr>
<td><strong>Senior management<br>
<br>
<br>
<br>
</strong></td>
<td align="center" valign="middle"> </td>
<td align="center" valign="middle"> </td>
<td align="center" valign="middle"> </td>
<td align="center" valign="middle"> </td>
<td align="center" valign="middle"> </td>
<td align="center" valign="middle"> </td>
<td align="center" valign="middle"> </td>
<td align="center" valign="middle"> </td>
<td align="center" valign="middle"> </td>
<td align="center" valign="middle"> </td>
</tr>
<tr>
<td><strong>Professionally qualified and experienced <br>
specialists and mid-management<br>
<br>
<br>
</strong></td>
<td align="center" valign="middle"> </td>
<td align="center" valign="middle"> </td>
<td align="center" valign="middle"> </td>
<td align="center" valign="middle"> </td>
<td align="center" valign="middle"> </td>
<td align="center" valign="middle"> </td>
<td align="center" valign="middle"> </td>
<td align="center" valign="middle"> </td>
<td align="center" valign="middle"> </td>
<td align="center" valign="middle"> </td>
</tr>
<tr>
<td><strong>Skilled technical and academically qualified <br>
workers, junior management, supervisors, <br>
foremen, and superintendents</strong></td>
<td align="center" valign="middle"> </td>
<td align="center" valign="middle"> </td>
<td align="center" valign="middle"> </td>
<td align="center" valign="middle"> </td>
<td align="center" valign="middle"> </td>
<td align="center" valign="middle"> </td>
<td align="center" valign="middle"> </td>
<td align="center" valign="middle"> </td>
<td align="center" valign="middle"> </td>
<td align="center" valign="middle"> </td>
</tr>
<tr>
<td><strong>Semi-skilled and discretionary decision making<br>
<br>
<br>
<br>
</strong></td>
<td align="center" valign="middle"> </td>
<td align="center" valign="middle"> </td>
<td align="center" valign="middle"> </td>
<td align="center" valign="middle"> </td>
<td align="center" valign="middle"> </td>
<td align="center" valign="middle"> </td>
<td align="center" valign="middle"> </td>
<td align="center" valign="middle"> </td>
<td align="center" valign="middle"> </td>
<td align="center" valign="middle"> </td>
</tr>
<tr>
<td><strong>Unskilled and defined decision making<br>
<br>
<br>
<br>
</strong></td>
<td align="center" valign="middle"> </td>
<td align="center" valign="middle"> </td>
<td align="center" valign="middle"> </td>
<td align="center" valign="middle"> </td>
<td align="center" valign="middle"> </td>
<td align="center" valign="middle"> </td>
<td align="center" valign="middle"> </td>
<td align="center" valign="middle"> </td>
<td align="center" valign="middle"> </td>
<td align="center" valign="middle"> </td>
<tr>
<td><strong>Temporary employees<br>
<br>
<br>
<br>
</strong></td>
<td align="center" valign="middle"> </td>
<td align="center" valign="middle"> </td>
<td align="center" valign="middle"> </td>
<td align="center" valign="middle"> </td>
<td align="center" valign="middle"> </td>
<td align="center" valign="middle"> </td>
<td align="center" valign="middle"> </td>
<td align="center" valign="middle"> </td>
<td align="center" valign="middle"> </td>
<td align="center" valign="middle"> </td>
</tr>
</tbody>
</table>
<div style="page-break-before:always">
<?php include("inc_printheader.php"); ?>
<p><strong>COMPANY INFORMATION REQUIRED BY CESA:</strong></p>
<table border="0" cellspacing="0" cellpadding="5">
<tr>
<td colspan="3"><p>1. Does your firm have a signed "Commitment and Undertaking" with a professional body (eg. ECSA)?</p>
<p>
<?php
$pictoshow = "../pics/unselected.jpg";
if ($CaUSigned == "y")
$pictoshow = "../pics/selected.gif";
?><img src="<?php echo $pictoshow; ?>" align="absmiddle"> Yes<br>
<?php
$pictoshow = "../pics/unselected.jpg";
if ($CaUSigned == "n")
$pictoshow = "../pics/selected.gif";
?><img src="<?php echo $pictoshow; ?>" align="absmiddle"> No<br>
</p></td>
</tr>
<tr>
<td colspan="3"><p>2. Do you have a formalised Candidate /
Mentoring Programme?</p>
<p><img src="<?php echo $pictoshow; ?>" align="absmiddle"> Yes<br>
<?php
$pictoshow = "../pics/unselected.jpg";
if ($CandidateProg == "n")
$pictoshow = "../pics/selected.gif";
?><img src="<?php echo $pictoshow; ?>" align="absmiddle"> No</p>
</td>
</tr>
<tr>
<td colspan="3">3. Where applicable, please provide the name of the person responsible for the Young Professionals Forum within the firm:</td>
</tr>
<tr>
<td width="279"><table width="100%" border="1" cellspacing="0" cellpadding="0" bordercolor="#000000" bgcolor="#EDEDED">
<tr>
<td><br>
<br></td>
</tr>
</table></td>
<td width="80">E-Mail Address: </td>
<td width="315"><table width="100%" border="1" cellspacing="0" cellpadding="0" bordercolor="#000000" bgcolor="#EDEDED">
<tr>
<td><br>
<br></td>
</tr>
</table></td>
</tr>
<tr>
<td colspan="3">4. Name of person in the firm responsible for payment of subscriptions:</td>
</tr>
<tr>
<td width="279"><table width="100%" border="1" cellspacing="0" cellpadding="0" bordercolor="#000000" bgcolor="#EDEDED">
<tr>
<td><br>
<br></td>
</tr>
</table></td>
<td width="80">E-Mail Address: </td>
<td width="315"><table width="100%" border="1" cellspacing="0" cellpadding="0" bordercolor="#000000" bgcolor="#EDEDED">
<tr>
<td><br>
<br></td>
</tr>
</table></td>
</tr>
<tr>
<td colspan="3">5. Name of person in the firm responsible for human resources and training:</td>
</tr>
<tr>
<td><table width="100%" border="1" cellspacing="0" cellpadding="0" bordercolor="#000000" bgcolor="#EDEDED">
<tr>
<td><br>
<br></td>
</tr>
</table></td>
<td>E-Mail Address: </td>
<td><table width="100%" border="1" cellspacing="0" cellpadding="0" bordercolor="#000000" bgcolor="#EDEDED">
<tr>
<td><br>
<br></td>
</tr>
</table></td>
</tr>
<tr>
<td colspan="3">6. Name of person in the firm responsible for marketing:</td>
</tr>
<tr>
<td><table width="100%" border="1" cellspacing="0" cellpadding="0" bordercolor="#000000" bgcolor="#EDEDED">
<tr>
<td><br>
<br></td>
</tr>
</table></td>
<td>E-Mail Address: </td>
<td><table width="100%" border="1" cellspacing="0" cellpadding="0" bordercolor="#000000" bgcolor="#EDEDED">
<tr>
<td><br>
<br></td>
</tr>
</table></td>
</tr>
<tr>
<td colspan="3">7. Name of person responsible for
contractual affairs / procurement / tendering:</td>
</tr>
<tr>
<td><table width="100%" border="1" cellspacing="0" cellpadding="0" bordercolor="#000000" bgcolor="#EDEDED">
<tr>
<td><br>
<br></td>
</tr>
</table></td>
<td>E-Mail Address: </td>
<td><table width="100%" border="1" cellspacing="0" cellpadding="0" bordercolor="#000000" bgcolor="#EDEDED">
<tr>
<td><br>
<br></td>
</tr>
</table></td>
</tr>
<tr>
<td>8. Please indicate with an X if your firm belongs to:</td>
<td> </td>
<td> </td>
</tr>
<tr>
<td class="auto-style2" colspan="2">SABTACO</td>
<td>
<?php
$pictoshow = "../pics/unselected.jpg";
if ($SABTACO == "Y")
$pictoshow = "../pics/selected.gif";
?><img src="<?php echo $pictoshow; ?>" align="absmiddle"> Yes
</td>
</tr>
<tr>
<td class="auto-style2" colspan="2">BBCBE</td>
<td>
<?php
$pictoshow = "../pics/unselected.jpg";
if ($BBCBE == "Y")
$pictoshow = "../pics/selected.gif";
?><img src="<?php echo $pictoshow; ?>" align="absmiddle"> Yes
</td>
</tr>
<tr>
<td class="auto-style2" colspan="2">GREEN BUILDING COUNCIL OF SA </td>
<td>
<?php
$pictoshow = "../pics/unselected.jpg";
if ($GBCSA == "Y")
$pictoshow = "../pics/selected.gif";
?><img src="<?php echo $pictoshow; ?>" align="absmiddle"> Yes
</td>
</tr>
<tr>
<td colspan="2">9. Please attach a copy of your Tax Clearance
Certificate. </td>
<td>
</td>
</tr>
</table>
</div>
<div style="page-break-before:always" class="auto-style1">
<?php include("inc_printheader.php"); ?>
<p class="auto-style1"><strong>BBBEE - Please provide a copy of your
certificate</strong></p>
<table border="0" cellspacing="0" cellpadding="5" style="width: 608px">
<tr>
<td style="width: 226px">BBBEE Level in accordance with the Construction
Charter Scorecard :</td>
<td><table width="100%" border="1" cellspacing="0" cellpadding="0" bordercolor="#000000" bgcolor="#EDEDED">
<tr>
<td><br>
<br></td>
</tr>
</table></td>
</tr>
<tr>
<td style="width: 226px" valign="top">Please indicate whether your firm’s
black ownership is: </td>
<td>
<p>
<img src="http://www.cesa.co.za/members/pics/unselected.jpg" align="absmiddle">Less
than 10%<br>
<img src="http://www.cesa.co.za/members/pics/unselected.jpg" align="absmiddle">Equal
to or greater than 10% and less than 25%<br>
<img src="http://www.cesa.co.za/members/pics/unselected.jpg" align="absmiddle">Equal
to or greater than 25% and less than 51%<br>
<img src="http://www.cesa.co.za/members/pics/unselected.jpg" align="absmiddle">Equal
to or greater than 51% and less than 100%<br>
<img src="http://www.cesa.co.za/members/pics/unselected.jpg" align="absmiddle">Equal
to 100% </p>
</td>
</tr>
<tr>
<td style="width: 226px" valign="top">Please indicate whether your firm’s
black women ownership is: </td>
<td>
<p>
<img src="http://www.cesa.co.za/members/pics/unselected.jpg" align="absmiddle">Less
than 30%<br>
<img src="http://www.cesa.co.za/members/pics/unselected.jpg" align="absmiddle">Equal
to or greater than 30% and less than 51%<br>
<img src="http://www.cesa.co.za/members/pics/unselected.jpg" align="absmiddle">Equal
to or greater than 51% and less than 100%<br>
<img src="http://www.cesa.co.za/members/pics/unselected.jpg" align="absmiddle">Equal
to 100% </p>
</td>
</tr>
<tr>
<td style="width: 226px" valign="top">Please indicate whether your firm's
Turnover (3-Year Average) is: </td>
<td>
<p>
<img src="http://www.cesa.co.za/members/pics/unselected.jpg" align="absmiddle">Less
than R3 million Rand (EME1) <br>
<img src="http://www.cesa.co.za/members/pics/unselected.jpg" align="absmiddle">Equal to or greater than R3 million Rand and less than R6 million Rand (EME2)<br>
<img src="http://www.cesa.co.za/members/pics/unselected.jpg" align="absmiddle">Equal to or greater than R6 million Rand and less than R10 million Rand (QSE1)<br>
<img src="http://www.cesa.co.za/members/pics/unselected.jpg" align="absmiddle">Equal to or greater than R10 million Rand and less than R15 million Rand (QSE2)<br>
<img src="http://www.cesa.co.za/members/pics/unselected.jpg" align="absmiddle">Equal to or greater than R15 million Rand and less than R20 million Rand (QSE3) <br>
<img src="http://www.cesa.co.za/members/pics/unselected.jpg" align="absmiddle">Equal to or greater than R20 million Rand and less than R25 million Rand (QSE4)<br>
<img src="http://www.cesa.co.za/members/pics/unselected.jpg" align="absmiddle">Equal to or greater than R25 million Rand and less than R35 million Rand (GEN1)<br>
<img src="http://www.cesa.co.za/members/pics/unselected.jpg" align="absmiddle">Equal to or greater than R35 million Rand and less than R50 million Rand (GEN2)<br>
<img src="http://www.cesa.co.za/members/pics/unselected.jpg" align="absmiddle">Equal to or greater than R50 million Rand and less than R60 million Rand (GEN3)<br>
<img src="http://www.cesa.co.za/members/pics/unselected.jpg" align="absmiddle">Equal to or greater than R60 million Rand and less than R70 million Rand (GEN4)<br>
<img src="http://www.cesa.co.za/members/pics/unselected.jpg" align="absmiddle">Equal to or greater than R70 million Rand and less than R80 million Rand (GEN5)<br>
<img src="http://www.cesa.co.za/members/pics/unselected.jpg" align="absmiddle">Equal to or greater than R80 million Rand and less than R90 million Rand (GEN6)<br>
<img src="http://www.cesa.co.za/members/pics/unselected.jpg" align="absmiddle">Equal to or greater than R90 million Rand and less than R100 million Rand (GEN7)<br>
<img src="http://www.cesa.co.za/members/pics/unselected.jpg" align="absmiddle">Greater than R100 million Rand (GEN8)
</p>
</td>
</tr>
</table>
<div class="auto-style1">
<br><strong>QUALITY OF CESA SERVICE</strong><br></div>
<table>
<tr>
<td>1. Do you consider the overall service you
receive from CESA as a body to be:</td>
<td><?php echo $OverallService; ?><br> <i>(Unsatisfactory / Satisfactory / Good /
Exceptional)</i></td></TR>
<tr>
<td> Do you consider the service
you receive from the Directorate and its
personnel to be: </td>
<td><?php echo $PersonnelService; ?><br> <i>(Unsatisfactory / Satisfactory / Good /
Exceptional)</i></td></TR>
<tr>
<td>2. Does CESA focus on addressing the needs
and issues pertinent to your sector of the
industry: </td>
<td><?php echo $FocusNeeds; ?></td></TR>
<tr>
<td> and in a manner which is: </td>
<td><?php echo $NeedsService; ?><br> <i>(Unsatisfactory / Satisfactory / Good /
Exceptional)</i></td></TR>
<tr>
<td>3. Kindly complete the following table (mark
relevant column with an X):</td>
<td> </td></TR>
<tr>
<td colspan="2">
<table cellpadding="2" cellspacing="0" class="auto-style4" style="width: 100%" border="1">
<tr>
<td><strong>Initiatives / Events</strong></td>
<td colspan="2" class="auto-style1"><strong>Firm's Participation</strong></td>
<td colspan="4" class="auto-style1"><strong>If yes, rate
initiative/event service</strong></td>
</tr>
<tr>
<td width="30%"></td>
<td width="15%" class="auto-style1">
Yes</td>
<td width="15%" class="auto-style1">
No</td>
<td width="10%" class="auto-style1">Unsatisfactory</td>
<td width="10%" class="auto-style1">Satisfactory</td>
<td width="10%" class="auto-style1">Good</td>
<td width="10%" class="auto-style1">Exceptional </td>
</tr>
<?php
$arrEvents = array('School of Consulting Engineering', 'CESA Infrastructure Indaba', 'Gauteng Relay', 'KwaZulu-Natal Relay', ' Job Shadow Initiative', 'CESA Aon Awards', 'Presidential Golf Challenge', 'YP Leadership Seminars', 'YP Sustainability Imbizo', 'CESA Committees', 'CE-news', 'CE-track', 'Contract documents (JBCC, FIDIC, GCC, CESA)');
$iEvent = 0;
foreach ($arrEvents as $val) {
$iEvent++;
?>
<tr>
<td><?php echo $val; ?></td>
<td><?php if ($QSEParticipation[$val] == "Yes") echo "X"; ?></td>
<td><?php if ($QSEParticipation[$val] == "No") echo "X"; ?></td>
<td><?php if ($QSERating[$val] == "Unsatisfactory") echo "X"; ?></td>
<td><?php if ($QSERating[$val] == "Satisfactory") echo "X"; ?></td>
<td><?php if ($QSERating[$val] == "Good") echo "X"; ?></td>
<td><?php if ($QSERating[$val] == "Exceptional") echo "X"; ?></td>
</tr>
<?php
}
?>
</table>
</td>
</TR>
<tr>
<td>4. Are you aware of the benefits of being a
CESA member?</td>
<td>Yes / No</td></TR>
<tr>
<td>5. Any suggestions for improvement to the
CESA offering?</td>
<td><br><br><br><br><br><br><br></td></TR>
</TABLE>
</div>
<div style="page-break-before:always">
<?php include("inc_printheader.php"); ?>
<p><b>9.</b><span style="text-align:justify;"> </span><strong>SCHEDULE 1: DETAILS OF OFFICES <i>WITHIN</i> THE REPUBLIC OF SOUTH AFRICA:</strong><br>
(Complete <b>a separate sheet</b> for each office) </p>
<?php
$FirstOne = true;
$AllOfficesquery = "SELECT * FROM ADec_tblMemberFirmOffices WHERE (Prev_FirmID = '$MemberFirmID') AND (SaaceBranch <> 'International' OR SaaceBranch IS NULL) ORDER BY OfficeID";
$AllOfficesresult = mysql_query($AllOfficesquery) or die("Select of offices Failed");
while ($AllOfficesrow = mysql_fetch_array($AllOfficesresult)) {
if (!$FirstOne) {
?>
</div>
<div style="page-break-before:always">
<?php include("inc_printheader.php"); ?>
<p><strong>SCHEDULE 1: DETAILS OF OFFICES <i>WITHIN</i> THE REPUBLIC OF SOUTH AFRICA:</strong><br>
(Complete <b>a separate sheet</b> for each office) </p>
<?
}
$FirstOne = false;
$SelectOfficeID = $AllOfficesrow["OfficeID"];
include("inc_schedule1.php");
}
mysql_free_result($AllOfficesresult);
?>
</div>
<div style="page-break-before:always">
<?php include("inc_printheader.php"); ?>
<p><strong>PLEASE COMPLETE A BLANK SCHEDULE 1 FOR EACH NEW OFFICE WITHIN THE REPUBLIC OF SOUTH AFRICA</strong></p>
<table width="87%" border=0 cellpadding=0 cellspacing=0>
<tr>
<td width=25% valign=top height="14"><p align=center style='text-align:center'><b>Head
Office</b></p></td>
<td width=25% valign=top height="14"><p align=center style='text-align:center'><b>Only
Office</b></p></td>
<td width=25% valign=top height="14"><p align=center style='text-align:center'><b>Branch
Office</b></p></td>
<td width=25% valign=top height="14"><p align=center style='text-align:center'><b>Subsidiary
Company </b></p></td>
</tr>
<tr>
<td width=25% valign=top><p align=center style='text-align:center'><span
style='font-size:16.0pt;
'><img src="../pics/unselected.jpg" ></span></p></td>
<td width=25% valign=top><p align=center style='text-align:center'><span
style='font-size:16.0pt;
'><img src="../pics/unselected.jpg" ></span></p></td>
<td width=25% valign=top><p align=center style='text-align:center'><span
style='font-size:16.0pt;
'><img src="../pics/unselected.jpg" ></span></p></td>
<td width=25% valign=top><p align=center style='text-align:center'><span
style='font-size:16.0pt;
'><img src="../pics/unselected.jpg" ></span></p></td>
</tr>
</table>
<span
>(TICK APPLICABLE BOX)</span>
<table width="100%" border="1" cellpadding="2" cellspacing="0">
<tr>
<td width="22%"><span
>Name of Firm:</span></td>
<td width="78%"> </td>
</tr>
<tr>
<td width="22%" valign="top"><span
>Physical Address:</span></td>
<td width="78%"><br>
<br>
<br>
<br>
<br>
<br></td>
</tr>
<tr>
<td valign="top"><span style="font-size:10.0pt;
">Postal Address:</span></td>
<td><br><br></td>
</tr>
<tr>
<td valign="top">Telephone
No:</td>
<td><br><br></td>
</tr>
<tr>
<td valign="top">Fax
No:</td>
<td><br><br></td>
</tr>
<tr>
<td valign="top">E-mail:</td>
<td><br><br></td>
</tr>
</table>
<table width="100%" border="0">
<tr>
<td><br><br></td>
</tr>
</table>
<b>NAME (REGISTRATION
AND QUALIFICATIONS, IF ANY) OF PERSON IN CHARGE OF OFFICE : </b>
<table width="100%" border="1" cellpadding="2" cellspacing="0">
<tr>
<td width="22%">NAME</td>
<td width="78%"> </td>
</tr>
<tr>
<td width="22%" height="18">REGISTRATION </td>
<td width="78%" height="18"> </td>
</tr>
<tr>
<td width="22%" height="18">QUALIFICATIONS</td>
<td width="78%" height="18"> </td>
</tr>
<tr>
<td height="18">E-MAIL ADDRESS</td>
<td height="18"> </td>
</tr>
</table>
<b>NOTE:</b> Although
all offices should be declared, only if there is a professionally registered
(in the categories accepted by Council)
person in fulltime superintendence will the office be listed in the Directory
of Firms and the Website.</td>
</tr>
</table>
<table width="100%" cellpadding="0" cellspacing="0">
<tr>
<td align="center" valign="top"><p><br>
<b>TOTAL STAFF <i><u>AT THIS BRANCH ONLY</u></i></b></p>
<table border=1 cellspacing=0 cellpadding=2 width="100%">
<tr>
<td colspan=2 valign=top><p align=center style='text-align:center'><span
>NUMBER OF
PROFESSIONAL AND CONTRACT STAFF:</span></p></td>
<td valign=top> </td>
</tr>
<tr>
<td colspan=2 valign=top><p align=center style='
text-align:center'><span
>NUMBER OF NON-PROFESSIONAL
TECHNICAL AND CONTRACT STAFF<br>
(e.g. graduates, draughtsperson, laboratory
assistants, etc)</span></p></td>
<td valign=top> </td>
</tr>
<tr>
<td colspan="2" valign=top><div align="center"><span >TOTAL
OF ALL STAFF</span></div></td>
<td valign=top> </td>
</tr>
<tr height=0>
<td width=59%></td>
<td width=3%></td>
<td width=38%></td>
</tr>
</table></td>
</tr>
</table>
</div>
<div style="page-break-before:always">
<?php include("inc_printheader.php"); ?>
<p><b>10.</b> <strong>We hereby request
that the following firms be treated as one Member for subscription purposes:</strong></p>
<div style='border:none;border-bottom:solid windowtext .5pt;padding:0cm 0cm 1.0pt 0cm'> </div>
<b>(MAIN FIRM TO BE INVOICED) </b>
<div style='border:none;border-bottom:solid windowtext .5pt;padding:0cm 0cm 1.0pt 0cm'> </div>
<p>
<div style='border:none;border-bottom:solid windowtext .5pt;padding:0cm 0cm 1.0pt 0cm'> </div>
<p>
<div style='border:none;border-bottom:solid windowtext .5pt;padding:0cm 0cm 1.0pt 0cm'> </div>
<p>
<div style='border:none;border-bottom:solid windowtext .5pt;padding:0cm 0cm 1.0pt 0cm'> </div>
<p>
<div style='border:none;border-bottom:solid windowtext .5pt;padding:0cm 0cm 1.0pt 0cm'> </div>
<p>
<div style='border:none;border-bottom:solid windowtext .5pt;padding:0cm 0cm 1.0pt 0cm'> </div>
<?php
$FirstOne = true;
$AllOfficesquery = "SELECT * FROM ADec_tblMemberFirmOffices WHERE (Prev_FirmID = '$MemberFirmID') AND (SaaceBranch = 'International') ORDER BY OfficeID";
$AllOfficesresult = mysql_query($AllOfficesquery) or die("Select of offices Failed");
if (mysql_num_rows($AllOfficesresult) > 0) {
?>
<div style="page-break-before:always">
<?php include("inc_printheader.php"); ?>
<p><b>11.</b><span style="text-align:justify;"> </span><strong>SCHEDULE 1B: DETAILS OF OFFICES <i>OUTSIDE</i> THE REPUBLIC OF SOUTH AFRICA:</strong><br>
(Complete <b>a separate sheet</b> for each office) </p>
<?php
while ($AllOfficesrow = mysql_fetch_array($AllOfficesresult)) {
if (!$FirstOne) {
?>
</div>
<div style="page-break-before:always">
<?php include("inc_printheader.php"); ?>
<p><strong>SCHEDULE 1: DETAILS OF OFFICES <i>OUTSIDE</i> THE REPUBLIC OF SOUTH AFRICA:</strong><br>
(Complete <b>a separate sheet</b> for each office) </p>
<?
}
$FirstOne = false;
$SelectOfficeID = $AllOfficesrow["OfficeID"];
include("inc_schedule1b.php");
}
}
mysql_free_result($AllOfficesresult);
?>
</div>
<div style="page-break-before:always">
<?php include("inc_printheader.php"); ?>
<p><strong>PLEASE COMPLETE A BLANK SCHEDULE 1B FOR EACH NEW OFFICE OUTSIDE THE REPUBLIC OF SOUTH AFRICA</strong>
</p>
<table width="100%" border="1" cellpadding="2" cellspacing="0">
<tr>
<td width="19%" height="41" align="left" valign="top"><span
>Name Of Firm:</span></td>
<td width="81%" height="41" align="left" valign="top"> </td>
</tr>
<tr>
<td width="19%" valign="top"><span
>Physical Address:</span></td>
<td width="81%"><br>
<br>
<br>
<br></td>
</tr>
<tr>
<td width="19%">Country:</td>
<td width="81%"> </td>
</tr>
<tr>
<td width="19%" valign="top"><span style='font-size:10.0pt;
'>Postal Address:</span></td>
<td width="81%" valign="top"><br>
<br>
<br>
<br></td>
</tr>
<tr>
<td width="19%">Telephone
No:</td>
<td width="81%"> </td>
</tr>
<tr>
<td width="19%">Fax
No:</td>
<td width="81%"> </td>
</tr>
<tr>
<td width="19%">E-mail:</td>
<td width="81%"> </td>
</tr>
</table>
<br>
<strong> NAME (REGISTRATION AND
QUALIFICATIONS, IF ANY) OF PERSON IN CHARGE OF OFFICE : </strong>
<table width="100%" border="1">
<tr>
<td width="51%">NAME</td>
<td width="49%"> </td>
</tr>
<tr>
<td width="51%" height="18">REGISTRATION
AND QUALIFICATIONS</td>
<td width="49%" height="18"> </td>
</tr>
</table>
<br>
<table width="100%" border="1" cellspacing="0" cellpadding="2">
<tr>
<td width="51%"><span
>NUMBER OF PROFESSIONAL AND CONTRACT STAFF:</span></td>
<td width="49%"> </td>
</tr>
<tr>
<td width="51%"><span
>NUMBER OF NON-PROFESSIONAL
TECHNICAL AND CONTRACT STAFF <br>
(e.g. graduates, draughtsperson, laboratory
assistants, etc)</span></td>
<td width="49%"> </td>
</tr>
<tr>
<td width="51%"><span >TOTAL
OF ALL STAFF</span></td>
<td width="49%"> </td>
</tr>
</table>
<div style="page-break-before:always">
<?php include("inc_printheader.php"); ?>
<p><strong>12.</strong> <strong>I confirm that the number of staff declared in the Firm is a true reflection as at 1 January <?php echo $DeclarationYear; ?>.</strong><br>
<strong>I confirm that all offices that are listed as being full time, do have a professionally registered (in the categories accepted by council) person in fulltime superintendence.</strong></p>
<p><strong>13. Fields of Expertise claimed by the Member Firm:</strong></p>
<table cellpadding="0" cellspacing="0" width="100%">
<tr>
<td align="center" valign="top"><table border=1 cellspacing=0 cellpadding=0 width=100%>
<tr>
<td valign=top colspan="2"><b> DISCIPLINE </b></td>
<td width=487 valign=top><b> NAME OF PROFESSIONALLY REGISTERED (IN THE CATEGORIES ACCEPTED BY COUNCIL) PERSON UNDER WHOSE SUPERVISION WORK IN THIS DISCIPLINE
IS DONE *(1)</b></td>
</tr>
<tr>
<td colspan=3 valign=top><div align="center"> <b>ENGINEERING </b></div></td>
</tr>
<tr>
<td width=110 valign=top>
<?php
if ($M1 == 1) {
$pictoshow1 = "../pics/selected.gif";
} else {
$pictoshow1 = "../pics/unselected.jpg";
}
?>
<img src="<?php echo $pictoshow1; ?>" > </td>
<td width=287 valign=top>Acoustics</td>
<td width=487 valign=top> <?php echo $N1; ?> </td>
</tr>
<tr>
<td valign=top>
<?php
if ($M2 == 1) {
$pictoshow1 = "../pics/selected.gif";
} else {
$pictoshow1 = "../pics/unselected.jpg";
}
?>
<img src="<?php echo $pictoshow1; ?>" ></td>
<td valign=top>Agriculture</td>
<td width=487 valign=top> <?php echo $N2; ?></td>
</tr>
<tr>
<td valign=top>
<?php
if ($M3 == 1) {
$pictoshow1 = "../pics/selected.gif";
} else {
$pictoshow1 = "../pics/unselected.jpg";
}
?>
<img src="<?php echo $pictoshow1; ?>" ></td>
<td valign=top>Building
Services</td>
<td width=487 valign=top> <?php echo $N3; ?></td>
</tr>
<tr>
<td valign=top>
<?php
if ($M4 == 1) {
$pictoshow1 = "../pics/selected.gif";
} else {
$pictoshow1 = "../pics/unselected.jpg";
}
?>
<img src="<?php echo $pictoshow1; ?>" ></td>
<td valign=top>Chemical</td>
<td width=487 valign=top> <?php echo $N4; ?></td>
</tr>
<tr>
<td valign=top>
<?php
if ($M5 == 1) {
$pictoshow1 = "../pics/selected.gif";
} else {
$pictoshow1 = "../pics/unselected.jpg";
}
?>
<img src="<?php echo $pictoshow1; ?>" ></td>
<td valign=top>Civil</td>
<td width=487 valign=top> <?php echo $N5; ?></td>
</tr>
<tr>
<td valign=top>
<?php
if ($M6 == 1) {
$pictoshow1 = "../pics/selected.gif";
} else {
$pictoshow1 = "../pics/unselected.jpg";
}
?>
<img src="<?php echo $pictoshow1; ?>" ></td>
<td valign=top>Development</td>
<td width=487 valign=top> <?php echo $N6; ?></td>
</tr>
<tr>
<td valign=top>
<?php
if ($M7 == 1) {
$pictoshow1 = "../pics/selected.gif";
} else {
$pictoshow1 = "../pics/unselected.jpg";
}
?>
<img src="<?php echo $pictoshow1; ?>" > </td>
<td valign=top>Electrical</td>
<td width=487 valign=top> <?php echo $N7; ?></td>
</tr>
<tr>
<td valign=top>
<?php
if ($M8 == 1) {
$pictoshow1 = "../pics/selected.gif";
} else {
$pictoshow1 = "../pics/unselected.jpg";
}
?>
<img src="<?php echo $pictoshow1; ?>" ></td>
<td valign=top>Electronic</td>
<td width=487 valign=top> <?php echo $N8; ?></td>
</tr>
<tr>
<td valign=top>
<?php
if ($M9 == 1) {
$pictoshow1 = "../pics/selected.gif";
} else {
$pictoshow1 = "../pics/unselected.jpg";
}
?>
<img src="<?php echo $pictoshow1; ?>" ></td>
<td valign=top>Environmental</td>
<td width=487 valign=top> <?php echo $N9; ?></td>
</tr>
<tr>
<td valign=top>
<?php
if ($M10 == 1) {
$pictoshow1 = "../pics/selected.gif";
} else {
$pictoshow1 = "../pics/unselected.jpg";
}
?>
<img src="<?php echo $pictoshow1; ?>" ></td>
<td valign=top>Geotechnical</td>
<td width=487 valign=top> <?php echo $N10; ?></td>
</tr>
<tr>
<td valign=top>
<?php
if ($M11 == 1) {
$pictoshow1 = "../pics/selected.gif";
} else {
$pictoshow1 = "../pics/unselected.jpg";
}
?>
<img src="<?php echo $pictoshow1; ?>" ></td>
<td valign=top>Industrial</td>
<td width=487 valign=top> <?php echo $N11; ?></td>
</tr>
<tr>
<td valign=top>
<?php
if ($M12 == 1) {
$pictoshow1 = "../pics/selected.gif";
} else {
$pictoshow1 = "../pics/unselected.jpg";
}
?>
<img src="<?php echo $pictoshow1; ?>" ></td>
<td valign=top>Mechanical</td>
<td width=487 valign=top> <?php echo $N12; ?></td>
</tr>
<tr>
<td valign=top>
<?php
if ($M13 == 1) {
$pictoshow1 = "../pics/selected.gif";
} else {
$pictoshow1 = "../pics/unselected.jpg";
}
?>
<img src="<?php echo $pictoshow1; ?>" ></td>
<td valign=top>Marine</td>
<td width=487 valign=top> <?php echo $N13; ?></td>
</tr>
<tr>
<td valign=top>
<?php
if ($M14 == 1) {
$pictoshow1 = "../pics/selected.gif";
} else {
$pictoshow1 = "../pics/unselected.jpg";
}
?>
<img src="<?php echo $pictoshow1; ?>" ></td>
<td valign=top>Mining</td>
<td width=487 valign=top> <?php echo $N14; ?></td>
</tr>
<tr>
<td valign=top>
<?php
if ($M15 == 1) {
$pictoshow1 = "../pics/selected.gif";
} else {
$pictoshow1 = "../pics/unselected.jpg";
}
?>
<img src="<?php echo $pictoshow1; ?>" ></td>
<td valign=top>Process
Engineering</td>
<td width=487 valign=top> <?php echo $N15; ?></td>
</tr>
<tr>
<td valign=top>
<?php
if ($M16 == 1) {
$pictoshow1 = "../pics/selected.gif";
} else {
$pictoshow1 = "../pics/unselected.jpg";
}
?>
<img src="<?php echo $pictoshow1; ?>" ></td>
<td valign=top>Structural</td>
<td width=487 valign=top> <?php echo $N16; ?></td>
</tr>
<tr>
<td valign=top>
<?php
if ($M17 == 1) {
$pictoshow1 = "../pics/selected.gif";
} else {
$pictoshow1 = "../pics/unselected.jpg";
}
?>
<img src="<?php echo $pictoshow1; ?>" ></td>
<td valign=top>Transportation</td>
<td width=487 valign=top> <?php echo $N17; ?></td>
</tr>
<tr>
<td colspan=3 valign=top><div align="center"><b>OTHER</b> </div></td>
</tr>
<tr>
<td valign=top>
<?php
if ($M18 == 1) {
$pictoshow1 = "../pics/selected.gif";
} else {
$pictoshow1 = "../pics/unselected.jpg";
}
?>
<img src="<?php echo $pictoshow1; ?>" ></td>
<td valign=top>Architecture</td>
<td width=487 valign=top> <?php echo $N18; ?></td>
</tr>
<tr>
<td valign=top>
<?php
if ($M19 == 1) {
$pictoshow1 = "../pics/selected.gif";
} else {
$pictoshow1 = "../pics/unselected.jpg";
}
?>
<img src="<?php echo $pictoshow1; ?>" ></td>
<td valign=top>Rural
Development</td>
<td width=487 valign=top> <?php echo $N19; ?></td>
</tr>
<tr>
<td valign=top>
<?php
if ($M20 == 1) {
$pictoshow1 = "../pics/selected.gif";
} else {
$pictoshow1 = "../pics/unselected.jpg";
}
?>
<img src="<?php echo $pictoshow1; ?>" ></td>
<td valign=top>Project
Management * </td>
<td width=487 valign=top> <?php echo $N20; ?></td>
</tr>
<tr>
<td valign=top>
<?php
if ($M21 == 1) {
$pictoshow1 = "../pics/selected.gif";
} else {
$pictoshow1 = "../pics/unselected.jpg";
}
?>
<img src="<?php echo $pictoshow1; ?>" ></td>
<td valign=top>Quantity
Surveying</td>
<td width=487 valign=top> <?php echo $N21; ?></td>
</tr>
<tr>
<td valign=top>
<?php
if ($M22 == 1) {
$pictoshow1 = "../pics/selected.gif";
} else {
$pictoshow1 = "../pics/unselected.jpg";
}
?>
<img src="<?php echo $pictoshow1; ?>" ></td>
<td valign=top>Town
Planning</td>
<td width=487 valign=top> <?php echo $N22; ?></td>
</tr>
<tr>
<td valign=top>
<?php
if ($M24 == 1) {
$pictoshow1 = "../pics/selected.gif";
} else {
$pictoshow1 = "../pics/unselected.jpg";
}
?>
<img src="<?php echo $pictoshow1; ?>" ></td>
<td valign=top>Dispute
Resolution</td>
<td width=487 valign=top> <?php echo $N24; ?></td>
</tr>
<tr>
<td valign=top>
<?php
if ($M25 == 1) {
$pictoshow1 = "../pics/selected.gif";
} else {
$pictoshow1 = "../pics/unselected.jpg";
}
?>
<img src="<?php echo $pictoshow1; ?>" ></td>
<td valign=top>Expert
Witness / Insurance claim</td>
<td width=487 valign=top> <?php echo $N25; ?></td>
</tr>
<tr>
<td valign=top>
<?php
if ($M26 == 1) {
$pictoshow1 = "../pics/selected.gif";
} else {
$pictoshow1 = "../pics/unselected.jpg";
}
?>
<img src="<?php echo $pictoshow1; ?>" ></td>
<td valign=top>Information
Systems / Technology</td>
<td width=487 valign=top> <?php echo $N26; ?></td>
</tr>
<tr>
<td valign=top>
<?php
if ($M27 == 1) {
$pictoshow1 = "../pics/selected.gif";
} else {
$pictoshow1 = "../pics/unselected.jpg";
}
?>
<img src="<?php echo $pictoshow1; ?>" ></td>
<td valign=top>Facilities
/ Maintenance Management</td>
<td width=487 valign=top> <?php echo $N27; ?></td>
</tr>
<tr>
<td valign=top>
<?php
if ($M28 == 1) {
$pictoshow1 = "../pics/selected.gif";
} else {
$pictoshow1 = "../pics/unselected.jpg";
}
?>
<img src="<?php echo $pictoshow1; ?>" ></td>
<td valign=top>GIS</td>
<td width=487 valign=top> <?php echo $N28; ?></td>
</tr>
</table>
<br>
<p> I confirm that the name of the person/s under whose supervision work in the disciplines is carried out is professionally registered in the categories accepted by Council.<br>
<br>
(*NOTE : When claiming Project Management as a discipline, a professional person supervising this work in your firm must be registered with SACPCMP as a PrCPM)</p>
</td>
</tr>
</table>
<div style="page-break-before:always">
<?php include("inc_printheader.php"); ?>
<p><strong>14. </strong>If applicable, I confirm that the holding company practises as an independent firm providing technology based intellectual services in the built, human and natural environment, and in accordance with Clause 5.1.4(1) and (b) of the Constitution.<strong><br>
<br>
<br>
I DECLARE THAT THE ABOVE INFORMATION IS CORRECT : </strong>
<br>
<br><br>
<div style='border:none;border-bottom:solid windowtext .75pt;padding:0cm 0cm 1.0pt 0cm' align="left"><b><br>
</b></div>
<div align="center">
<p><b>FULL NAMES OF
MANDATED PRINCIPAL (in block letters)</b> </p>
<p> </p>
</div>
<div style='border:none;border-bottom:solid windowtext .75pt;padding:0cm 0cm 1.0pt 0cm' align="left"><b><br>
</b></div>
<div align="center"><b>SIGNATURE
OF MANDATED PRINCIPAL </b> </div>
<br>
<b><br>
DATE:_____________________________________________________</b>
</p></div>
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