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$title = "Annual Declaration ".$DeclarationYear;
$description = "South African Association of Consulting Engineers. Annual Declaration ".$DeclarationYear.".";
$keywords = "online, services, members, consulting, engineers";
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<font face="sans-serif"><b><font color="#CCCCCC" size="2">Welcome to the
<font color="#999999">ONLINE ANNUAL DECLARATION FORM</font>.<br>
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<TD COLSPAN=3 bgcolor="#336699"><font color="white">ANNUAL DECLARATION</font></TD>
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Questions? <a href="mailto:julia@xe.co.za"><font color=white>Click here for help</font></a>.</font></span></TD>
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src="images/image002.gif" v:shapes="_x0000_i1025"></font></td>
<td colspan="3">
<div align="center"><font face="Times New Roman, Times, serif"><font face="sans-serif" size="2">CONSULTING ENGINEERS OF SOUTH AFRICA <br>
<b>ANNUAL DECLARATION - <?php echo $DeclarationYear; ?></b><br>
</font></font></div>
</td>
</tr>
<tr>
<td colspan="4">
<div align="center"><font face="sans-serif" size="3">
NAME OF FIRM
<input type="text" name="form[firmname]" value="<?php echo $MemberFirmName ; ?>" size="80" >
<font color="#FF0000" size="4"><b>*</b></font></font></div>
</td>
</tr>
<tr>
<td colspan="4"><font face="sans-serif"><b>1.</b> I declare
that all Principals of the Member firm whose details appear in Schedule
1 comply with the <a href="/public_downloads/moi.pdf" target="_blank">Memorandum of Incorporation</a> and have read and understood <a href="public_downloads/bylaws.pdf" target="_blank">By-laws</a> and have read and understand
the <b><a href="/public_downloads/code_of_conduct.pdf" target="_blank">Code of Conduct</a></b> of
Consulting Engineers South Africa.<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>:</font> </td>
</tr>
<tr>
<td bgcolor="#CCCCCC">
<div align="center"><strong><font face="sans-serif">NAME OF INSURER</font></strong></div></td>
<td colspan="3"><font face="sans-serif">
<input type="text" name="form[name]" value="<?php echo $MemberFirmInsurer ; ?>" size="50">
</font><font face="sans-serif" size="3"><font color="#FF0000" size="4"><b>*</b></font></font></td>
</tr>
<tr>
<td bgcolor="#CCCCCC">
<div align="center"><font face="sans-serif"><b>AMOUNT OF
COVER </b></font></div>
</td>
<td colspan="3"><font face="sans-serif">
<input type="text" name="form[amount]" value="<?php echo $MemberFirmLevelCover ; ?>" size="50">
</font><font face="sans-serif" size="3"><font color="#FF0000" size="4"><b>*</b></font></font><font face="sans-serif"><br>
(Prescribed minimum R2m in respect of any one claim)</font></td>
</tr>
<tr>
<td colspan="4"><font face="sans-serif"><b>3.</b> I confirm
that "Registered Principals", as defined in Clause1.2(11)(e) of the Memorandum of Incorporation, constitute at least 50% of the partners/members/directors
of the Member firm.<br>
<b>4.</b> I confirm that the Principals and/or staff, who are
registered persons, have the necessary qualifications and experience
in respect of each of the fields of expertise claimed on Schedule
2.<br>
<b>5.</b>
I confirm that all the Principals of the firm have read and adhere to CESA's
<a href="http://www.cesa.co.za/public_downloads/100119%20-%20CESA%20Business%20Integrity%20Management%20System%20-%20October%202009.pdf" target="_blank">Business Integrity Management Guidelines</a>.<br>
<b>6</b>. I confirm that the details of Principals (both Registered and Non-registered)
and the number of personnel reflected on Schedule 1 are correct
as at 1 January <?php echo $DeclarationYear; ?>.</font></td>
</tr>
<tr bgcolor="#CCCCCC">
<td colspan="4">
<div align="center"><font face="sans-serif"><b>FORM OF
THE MEMBER FIRM</b>: </font><font face="sans-serif" size="3"><font color="#FF0000" size="4"><b>*</b></font></font></div>
</td>
</tr>
<tr>
<td colspan="4"><font face="sans-serif">
<?php
$select1 = "";
$select2 = "";
$select3 = "";
$select4 = "";
$select5 = "";
if ($MemberFirmFormIncorp == "Sole Practice")
{
$select1 = "checked";
}
if ($MemberFirmFormIncorp == "Limited Company")
{
$select2 = "checked";
}
if ($MemberFirmFormIncorp == "Partnership")
{
$select3 = "checked";
}
if ($MemberFirmFormIncorp == "(Pty) Ltd")
{
$select4 = "checked";
}
if ($MemberFirmFormIncorp == "Close Corporation")
{
$select5 = "checked";
}
?>
</font>
<table width="100%" border="0">
<tr>
<td width="5%"> <font face="sans-serif">
<input type="checkbox" name="box[1]" value="checkbox" <?php echo $select1;?>>
</font></td>
<td width="22%" bgcolor="#CCCCCC"><font face="sans-serif">Sole
Practitioner</font></td>
<td width="6%"> <font face="sans-serif">
<input type="checkbox" name="box[2]" value="checkbox" <?php echo $select2;?>>
</font></td>
<td width="24%" bgcolor="#CCCCCC"><font face="sans-serif">Limited
Company</font></td>
<td width="3%"> <font face="sans-serif">
<input type="checkbox" name="box[3]" value="checkbox" <?php echo $select3;?>>
</font></td>
<td width="40%" bgcolor="#CCCCCC"><font face="sans-serif">Partnership</font></td>
</tr>
<tr>
<td width="5%"> <font face="sans-serif">
<input type="checkbox" name="box[4]" value="checkbox" <?php echo $select4;?>>
</font></td>
<td width="22%" bgcolor="#CCCCCC"><font face="sans-serif">Proprietary
Limited Company</font></td>
<td width="6%"> <font face="sans-serif">
<input type="checkbox" name="box[5]" value="checkbox" <?php echo $select5;?>>
</font></td>
<td width="24%" bgcolor="#CCCCCC"><font face="sans-serif">Close
Corporation</font></td>
<td width="3%"> <font face="sans-serif">
<input type="checkbox" name="box[6]" value="checkbox">
</font></td>
<td width="40%" bgcolor="#CCCCCC"><font face="sans-serif">Other
(please specify):
<input type="text" name="form[other]">
</font></td>
</tr>
</table>
</td>
</tr>
<tr>
<td bgcolor="#CCCCCC">
<div align="center"><font face="sans-serif"><b>WWW Address</b>: </font></div></td>
<td colspan="3"> <font face="sans-serif">
<input type="text" name="form[www]" value="<?php echo $MemberFirmURL;?>" size="50">
</font> </td>
</tr>
<tr>
<td height="20" colspan="4" bgcolor="#FFFFFF"><font face="sans-serif"><b><br>
</b></font>
<hr>
<p align="center"><font face="sans-serif"><b>QUALITY
MANAGEMENT SYSTEM</b></font> <strong>(QMS)</strong></p>
<table cellspacing="0" cellpadding="0">
<tr>
<td width="467" height="20" valign="top">1. Has your firm implemented and do you maintain a Quality Management System ? </td>
<td valign="top" nowrap><font><input name="form[q3]" type="radio" value="y"<?php if ($Q3=="y") { echo " checked"; } ?>> Yes </font></td>
<td width="39" valign="top" nowrap><font><input name="form[q3]" type="radio" value="n"<?php if ($Q3=="n") { echo " checked"; } ?>> No</font></td>
<td width="39" valign="top" nowrap><font><input name="form[q3]" type="radio" value="p"<?php if ($Q3=="p") { echo " checked"; } ?>> In Progress</font></td>
</tr>
<tr>
<td height="20" valign="top">2(a) <strong>*</strong> Is your firm ISO 9001 certified?</td>
<td width="43" height="20" valign="top" nowrap><font>
<input name="form[q4]" type="radio" value="y"<?php if ($Q4=="y") { echo " checked"; } ?>>
Yes </font></td>
<td width="39" height="20" valign="top" nowrap><font>
<input name="form[q4]" type="radio" value="n"<?php if ($Q4=="n") { echo " checked"; } ?>>
No </font> </td>
<td width="39" height="20" valign="top" nowrap><font>
<input name="form[q4]" type="radio" value="p"<?php if ($Q4=="p") { echo " checked"; } ?>>
In Progress </font> </td>
</tr>
<tr>
<td height="20" valign="top">2(b) If yes, who was the certifying body: </td>
<td height="20" valign="top" nowrap> </td>
<td height="20" valign="top" nowrap> </td>
<td height="20" valign="top" nowrap> </td>
</tr>
<tr>
<td colspan="4" valign="top" style="height: 20px">NAME:<span class="smalltext">
<input name="form[q7]" type="text" id="form[q7]" value="<?php echo $Q7;?>" size="60">
</span></td>
</tr>
<tr>
<td height="20" valign="top">2(c) * Does your firm follow
the CESA FIDIC QMIG (<a href="http://www.cesa.co.za/node/638" target="_blank">www.cesa.co.za/node/638</a>)</td>
<td width="43" height="20" valign="top" nowrap><font>
<input name="form[qQMIG]" type="radio" value="y"<?php if ($qQMIG=="y") { echo " checked"; } ?>>
Yes </font></td>
<td width="39" height="20" valign="top" nowrap><font>
<input name="form[qQMIG]" type="radio" value="n"<?php if ($qQMIG=="n") { echo " checked"; } ?>>
No </font> </td>
<td width="39" height="20" valign="top" nowrap><font>
<input name="form[qQMIG]" type="radio" value="p"<?php if ($qQMIG=="p") { echo " checked"; } ?>>
In Progress </font> </td>
</tr>
<tr>
<td height="20" valign="top" 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: <span class="smalltext">
<input name="form[qQChampName]" type="text" id="form[qQChampName]" value="<?php echo $qQChampName;?>" size="60"></span></p>
<p>E-mail: <span class="smalltext">
<input name="form[qQChampEmail]" type="text" id="form[qQChampEmail]" value="<?php echo $qQChampEmail;?>" size="60"></span></p>
</td>
</tr>
</table>
<p><strong>* PLEASE NOTE THAT:</strong></p>
<ol>
<li><strong>The implementation and maintenance of a QMS is a pre-condition of membership</strong>.</li>
<li><strong>The completion and submission of the FIDIC QMIG
Checklist annually, is a pre-condition of membership. The
Checklist is available at
<a href="http://www.cesa.co.za/node/638" target="_blank">
www.cesa.co.za/node/638</a></strong></li>
<li><strong>A response aiming for 100% completion/affirmation of the
FIDIC QMIG Checklist is recognised as confirmation that you have implemented and are maintaining a QMS.</strong></li>
<li><strong> CESA reserves the right to audit firms to
ensure compliance. </strong></li>
</ol>
<hr>
<p ALIGN="CENTER"><strong>SUSTAINABILITY REPORTING PROTOCOL
(SRP)</strong></p>
<table width="830" border="0" cellpadding="5" cellspacing="0">
<tr>
<td width="650">QUESTION</td>
<td colspan="3" align="center">ANSWER</td>
</tr>
<tr>
<td>1. Does your company have a sustainability policy signed by the CEO / highest decision maker?</td>
<td width="60"><input type="radio" name="form[SustainabilityPolicy]" id="radio" value="y"<?php if ($SustainabilityPolicy=="y") { echo " checked"; } ?>>Yes</td>
<td width="60"><input type="radio" name="form[SustainabilityPolicy]" id="radio3" value="n"<?php if ($SustainabilityPolicy=="n") { echo " checked"; } ?>>
No
</td>
<td width="60"><input type="radio" name="form[SustainabilityPolicy]" id="radio3" value="p"<?php if ($SustainabilityPolicy=="p") { echo " checked"; } ?>>
In Progress
</td>
</tr>
<tr>
<td>2. Has the company identified and described material
sustainability issues?</td>
<td><input type="radio" name="form[SustainabilityIssues]" id="radio" value="y"<?php if ($SustainabilityIssues=="y") { echo " checked"; } ?>>Yes</td>
<td><input type="radio" name="form[SustainabilityIssues]" id="radio3" value="n"<?php if ($SustainabilityIssues=="n") { echo " checked"; } ?>>
No
</td>
<td><input type="radio" name="form[SustainabilityIssues]" id="radio3" value="p"<?php if ($SustainabilityIssues=="p") { echo " checked"; } ?>>
In Progress
</td>
</tr>
<tr>
<td>3. Has your company defined a stakeholder engagement process, specifically related to sustainability?</td>
<td><input type="radio" name="form[SustainabilityProcess]" id="radio" value="y"<?php if ($SustainabilityProcess=="y") { echo " checked"; } ?>>Yes</td>
<td><input type="radio" name="form[SustainabilityProcess]" id="radio3" value="n"<?php if ($SustainabilityProcess=="n") { echo " checked"; } ?>>
No
</td>
<td><input type="radio" name="form[SustainabilityProcess]" id="radio3" value="p"<?php if ($SustainabilityProcess=="p") { echo " checked"; } ?>>
In Progress
</td>
</tr>
<tr>
<td>4.(a) Does your company have a sustainability champion
with the required skills to implement the CESA
Sustainability Reporting Checklist?</td>
<td><input type="radio" name="form[SustainabilityChampion]" id="radio" value="y"<?php if ($SustainabilityChampion=="y") { echo " checked"; } ?>>Yes</td>
<td><input type="radio" name="form[SustainabilityChampion]" id="radio3" value="n"<?php if ($SustainabilityChampion=="n") { echo " checked"; } ?>>
No
</td>
<td><input type="radio" name="form[SustainabilityChampion]" id="radio3" value="p"<?php if ($SustainabilityChampion=="p") { echo " checked"; } ?>>
In Progress
</td>
</tr>
<tr>
<td colspan="3">4.(b) If so, please provide the name and
contact details of the champion:<br>
<p>Name: <span class="smalltext">
<input name="form[qSChampName]" type="text" id="form[qSChampName]" value="<?php echo $qSChampName;?>" size="60"></span></p>
<p>E-mail: <span class="smalltext">
<input name="form[qSChampEmail]" type="text" id="form[qSChampEmail]" value="<?php echo $qSChampEmail;?>" size="60"></span></p>
</td>
<td> </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</strong></td>
<td align="center" valign="middle"><font face="sans-serif">
<input type="text" name="form[TransTopMA]" value="<?php echo $TransTopMA; ?>" style="width:45px">
</font></td>
<td align="center" valign="middle"><font face="sans-serif">
<input type="text" name="form[TransTopMC]" value="<?php echo $TransTopMC; ?>" style="width:45px">
</font></td>
<td align="center" valign="middle"><font face="sans-serif">
<input type="text" name="form[TransTopMI]" value="<?php echo $TransTopMI; ?>" style="width:45px">
</font></td>
<td align="center" valign="middle"><font face="sans-serif">
<input type="text" name="form[TransTopMW]" value="<?php echo $TransTopMW; ?>" style="width:45px">
</font></td>
<td align="center" valign="middle"><font face="sans-serif">
<input type="text" name="form[TransTopFA]" value="<?php echo $TransTopFA; ?>" style="width:45px">
</font></td>
<td align="center" valign="middle"><font face="sans-serif">
<input type="text" name="form[TransTopFC]" value="<?php echo $TransTopFC; ?>" style="width:45px">
</font></td>
<td align="center" valign="middle"><font face="sans-serif">
<input type="text" name="form[TransTopFI]" value="<?php echo $TransTopFI; ?>" style="width:45px">
</font></td>
<td align="center" valign="middle"><font face="sans-serif">
<input type="text" name="form[TransTopFW]" value="<?php echo $TransTopFW; ?>" style="width:45px">
</font></td>
<td align="center" valign="middle"><font face="sans-serif">
<input type="text" name="form[TransTopMN]" value="<?php echo $TransTopMN; ?>" style="width:45px">
</font></td>
<td align="center" valign="middle"><font face="sans-serif">
<input type="text" name="form[TransTopFN]" value="<?php echo $TransTopFN; ?>" style="width:45px">
</font></td>
</tr>
<tr>
<td><strong>Senior management</strong></td>
<td align="center" valign="middle"><font face="sans-serif">
<input type="text" name="form[TransSeniorMA]" value="<?php echo $TransSeniorMA; ?>" style="width:45px">
</font></td>
<td align="center" valign="middle"><font face="sans-serif">
<input type="text" name="form[TransSeniorMC]" value="<?php echo $TransSeniorMC; ?>" style="width:45px">
</font></td>
<td align="center" valign="middle"><font face="sans-serif">
<input type="text" name="form[TransSeniorMI]" value="<?php echo $TransSeniorMI; ?>" style="width:45px">
</font></td>
<td align="center" valign="middle"><font face="sans-serif">
<input type="text" name="form[TransSeniorMW]" value="<?php echo $TransSeniorMW; ?>" style="width:45px">
</font></td>
<td align="center" valign="middle"><font face="sans-serif">
<input type="text" name="form[TransSeniorFA]" value="<?php echo $TransSeniorFA; ?>" style="width:45px">
</font></td>
<td align="center" valign="middle"><font face="sans-serif">
<input type="text" name="form[TransSeniorFC]" value="<?php echo $TransSeniorFC; ?>" style="width:45px">
</font></td>
<td align="center" valign="middle"><font face="sans-serif">
<input type="text" name="form[TransSeniorFI]" value="<?php echo $TransSeniorFI; ?>" style="width:45px">
</font></td>
<td align="center" valign="middle"><font face="sans-serif">
<input type="text" name="form[TransSeniorFW]" value="<?php echo $TransSeniorFW; ?>" style="width:45px">
</font></td>
<td align="center" valign="middle"><font face="sans-serif">
<input type="text" name="form[TransSeniorMN]" value="<?php echo $TransSeniorMN; ?>" style="width:45px">
</font></td>
<td align="center" valign="middle"><font face="sans-serif">
<input type="text" name="form[TransSeniorFN]" value="<?php echo $TransSeniorFN; ?>" style="width:45px">
</font></td>
</tr>
<tr>
<td><strong>Professionally qualified and experienced specialists and mid-management</strong></td>
<td align="center" valign="middle"><font face="sans-serif">
<input type="text" name="form[TransProfMA]" value="<?php echo $TransProfMA; ?>" style="width:45px">
</font></td>
<td align="center" valign="middle"><font face="sans-serif">
<input type="text" name="form[TransProfMC]" value="<?php echo $TransProfMC; ?>" style="width:45px">
</font></td>
<td align="center" valign="middle"><font face="sans-serif">
<input type="text" name="form[TransProfMI]" value="<?php echo $TransProfMI; ?>" style="width:45px">
</font></td>
<td align="center" valign="middle"><font face="sans-serif">
<input type="text" name="form[TransProfMW]" value="<?php echo $TransProfMW; ?>" style="width:45px">
</font></td>
<td align="center" valign="middle"><font face="sans-serif">
<input type="text" name="form[TransProfFA]" value="<?php echo $TransProfFA; ?>" style="width:45px">
</font></td>
<td align="center" valign="middle"><font face="sans-serif">
<input type="text" name="form[TransProfFC]" value="<?php echo $TransProfFC; ?>" style="width:45px">
</font></td>
<td align="center" valign="middle"><font face="sans-serif">
<input type="text" name="form[TransProfFI]" value="<?php echo $TransProfFI; ?>" style="width:45px">
</font></td>
<td align="center" valign="middle"><font face="sans-serif">
<input type="text" name="form[TransProfFW]" value="<?php echo $TransProfFW; ?>" style="width:45px">
</font></td>
<td align="center" valign="middle"><font face="sans-serif">
<input type="text" name="form[TransProfMN]" value="<?php echo $TransProfMN; ?>" style="width:45px">
</font></td>
<td align="center" valign="middle"><font face="sans-serif">
<input type="text" name="form[TransProfFN]" value="<?php echo $TransProfFN; ?>" style="width:45px">
</font></td>
</tr>
<tr>
<td><strong>Skilled technical and academically qualified workers, junior management, supervisors, foremen, and superintendents</strong></td>
<td align="center" valign="middle"><font face="sans-serif">
<input type="text" name="form[TransSkilledMA]" value="<?php echo $TransSkilledMA; ?>" style="width:45px">
</font></td>
<td align="center" valign="middle"><font face="sans-serif">
<input type="text" name="form[TransSkilledMC]" value="<?php echo $TransSkilledMC; ?>" style="width:45px">
</font></td>
<td align="center" valign="middle"><font face="sans-serif">
<input type="text" name="form[TransSkilledMI]" value="<?php echo $TransSkilledMI; ?>" style="width:45px">
</font></td>
<td align="center" valign="middle"><font face="sans-serif">
<input type="text" name="form[TransSkilledMW]" value="<?php echo $TransSkilledMW; ?>" style="width:45px">
</font></td>
<td align="center" valign="middle"><font face="sans-serif">
<input type="text" name="form[TransSkilledFA]" value="<?php echo $TransSkilledFA; ?>" style="width:45px">
</font></td>
<td align="center" valign="middle"><font face="sans-serif">
<input type="text" name="form[TransSkilledFC]" value="<?php echo $TransSkilledFC; ?>" style="width:45px">
</font></td>
<td align="center" valign="middle"><font face="sans-serif">
<input type="text" name="form[TransSkilledFI]" value="<?php echo $TransSkilledFI; ?>" style="width:45px">
</font></td>
<td align="center" valign="middle"><font face="sans-serif">
<input type="text" name="form[TransSkilledFW]" value="<?php echo $TransSkilledFW; ?>" style="width:45px">
</font></td>
<td align="center" valign="middle"><font face="sans-serif">
<input type="text" name="form[TransSkilledMN]" value="<?php echo $TransSkilledMN; ?>" style="width:45px">
</font></td>
<td align="center" valign="middle"><font face="sans-serif">
<input type="text" name="form[TransSkilledFN]" value="<?php echo $TransSkilledFN; ?>" style="width:45px">
</font></td>
</tr>
<tr>
<td><strong>Semi-skilled and discretionary decision making</strong></td>
<td align="center" valign="middle"><font face="sans-serif">
<input type="text" name="form[TransSemiMA]" value="<?php echo $TransSemiMA; ?>" style="width:45px">
</font></td>
<td align="center" valign="middle"><font face="sans-serif">
<input type="text" name="form[TransSemiMC]" value="<?php echo $TransSemiMC; ?>" style="width:45px">
</font></td>
<td align="center" valign="middle"><font face="sans-serif">
<input type="text" name="form[TransSemiMI]" value="<?php echo $TransSemiMI; ?>" style="width:45px">
</font></td>
<td align="center" valign="middle"><font face="sans-serif">
<input type="text" name="form[TransSemiMW]" value="<?php echo $TransSemiMW; ?>" style="width:45px">
</font></td>
<td align="center" valign="middle"><font face="sans-serif">
<input type="text" name="form[TransSemiFA]" value="<?php echo $TransSemiFA; ?>" style="width:45px">
</font></td>
<td align="center" valign="middle"><font face="sans-serif">
<input type="text" name="form[TransSemiFC]" value="<?php echo $TransSemiFC; ?>" style="width:45px">
</font></td>
<td align="center" valign="middle"><font face="sans-serif">
<input type="text" name="form[TransSemiFI]" value="<?php echo $TransSemiFI; ?>" style="width:45px">
</font></td>
<td align="center" valign="middle"><font face="sans-serif">
<input type="text" name="form[TransSemiFW]" value="<?php echo $TransSemiFW; ?>" style="width:45px">
</font></td>
<td align="center" valign="middle"><font face="sans-serif">
<input type="text" name="form[TransSemiMN]" value="<?php echo $TransSemiMN; ?>" style="width:45px">
</font></td>
<td align="center" valign="middle"><font face="sans-serif">
<input type="text" name="form[TransSemiFN]" value="<?php echo $TransSemiFN; ?>" style="width:45px">
</font></td>
</tr>
<tr><td><strong>Unskilled and defined decision making</strong></td>
<td align="center" valign="middle"><font face="sans-serif">
<input type="text" name="form[TransUnskillMA]" value="<?php echo $TransUnskillMA; ?>" style="width:45px">
</font></td>
<td align="center" valign="middle"><font face="sans-serif">
<input type="text" name="form[TransUnskillMC]" value="<?php echo $TransUnskillMC; ?>" style="width:45px">
</font></td>
<td align="center" valign="middle"><font face="sans-serif">
<input type="text" name="form[TransUnskillMI]" value="<?php echo $TransUnskillMI; ?>" style="width:45px">
</font></td>
<td align="center" valign="middle"><font face="sans-serif">
<input type="text" name="form[TransUnskillMW]" value="<?php echo $TransUnskillMW; ?>" style="width:45px">
</font></td>
<td align="center" valign="middle"><font face="sans-serif">
<input type="text" name="form[TransUnskillFA]" value="<?php echo $TransUnskillFA; ?>" style="width:45px">
</font></td>
<td align="center" valign="middle"><font face="sans-serif">
<input type="text" name="form[TransUnskillFC]" value="<?php echo $TransUnskillFC; ?>" style="width:45px">
</font></td>
<td align="center" valign="middle"><font face="sans-serif">
<input type="text" name="form[TransUnskillFI]" value="<?php echo $TransUnskillFI; ?>" style="width:45px">
</font></td>
<td align="center" valign="middle"><font face="sans-serif">
<input type="text" name="form[TransUnskillFW]" value="<?php echo $TransUnskillFW; ?>" style="width:45px">
</font></td>
<td align="center" valign="middle"><font face="sans-serif">
<input type="text" name="form[TransUnskillMN]" value="<?php echo $TransUnskillMN; ?>" style="width:45px">
</font></td>
<td align="center" valign="middle"><font face="sans-serif">
<input type="text" name="form[TransUnskillFN]" value="<?php echo $TransUnskillFN; ?>" style="width:45px">
</font></td>
<tr>
<td><strong>Temporary employees</strong></td>
<td align="center" valign="middle"><font face="sans-serif">
<input type="text" name="form[TransTempMA]" value="<?php echo $TransTempMA; ?>" style="width:45px">
</font></td>
<td align="center" valign="middle"><font face="sans-serif">
<input type="text" name="form[TransTempMC]" value="<?php echo $TransTempMC; ?>" style="width:45px">
</font></td>
<td align="center" valign="middle"><font face="sans-serif">
<input type="text" name="form[TransTempMI]" value="<?php echo $TransTempMI; ?>" style="width:45px">
</font></td>
<td align="center" valign="middle"><font face="sans-serif">
<input type="text" name="form[TransTempMW]" value="<?php echo $TransTempMW; ?>" style="width:45px">
</font></td>
<td align="center" valign="middle"><font face="sans-serif">
<input type="text" name="form[TransTempFA]" value="<?php echo $TransTempFA; ?>" style="width:45px">
</font></td>
<td align="center" valign="middle"><font face="sans-serif">
<input type="text" name="form[TransTempFC]" value="<?php echo $TransTempFC; ?>" style="width:45px">
</font></td>
<td align="center" valign="middle"><font face="sans-serif">
<input type="text" name="form[TransTempFI]" value="<?php echo $TransTempFI; ?>" style="width:45px">
</font></td>
<td align="center" valign="middle"><font face="sans-serif">
<input type="text" name="form[TransTempFW]" value="<?php echo $TransTempFW; ?>" style="width:45px">
</font></td>
<td align="center" valign="middle"><font face="sans-serif">
<input type="text" name="form[TransTempMN]" value="<?php echo $TransTempMN; ?>" style="width:45px">
</font></td>
<td align="center" valign="middle"><font face="sans-serif">
<input type="text" name="form[TransTempFN]" value="<?php echo $TransTempFN; ?>" style="width:45px">
</font></td>
</tr>
</tbody>
</table>
<p> </p>
<hr>
<p align="center"><strong>COMPANY INFORMATION REQUIRED BY CESA</strong></p>
<table border="0" cellspacing="0" cellpadding="5">
<tr>
<td colspan="3">1. Does your firm have a signed "Commitment and Undertaking" with a professional body (eg. ECSA)?<br>
<input type="radio" name="form[CaUSigned]" value="y" <?php if ($CaUSigned == "y") echo " checked";?>> Yes<br>
<input type="radio" name="form[CaUSigned]" value="n" <?php if ($CaUSigned == "n") echo " checked";?>> No<br>
</td>
</tr>
<tr>
<td colspan="3">2. Do you have a formalised Candidate /
Mentoring Programme?<br>
<input type="radio" name="form[CandidateProg]" value="y" <?php if ($CandidateProg== "y") echo " checked";?>> Yes<br>
<input type="radio" name="form[CandidateProg]" value="n" <?php if ($CandidateProg== "n") echo " checked";?>> No<br>
</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"> <input name="form[YPFContact]" type="text" id="YPFContact" value="<?php echo $YPFContact;?>" size="40"> </td>
<td width="80">E-Mail Address: </td>
<td width="315"><input name="form[YPFEmail]" type="text" id="YPFEmail" value="<?php echo $YPFEmail;?>" size="40"></td>
</tr>
<tr>
<td colspan="3">4. Name of person in the firm responsible for payment of subscriptions:</td>
</tr>
<tr>
<td width="279"> <input name="form[SubscriptionsContact]" type="text" id="SubscriptionsContact" value="<?php echo $SubscriptionsContact;?>" size="40"> </td>
<td width="80">E-Mail Address: </td>
<td width="315"><input name="form[SubscriptionsEmail]" type="text" id="SubscriptionsEmail" value="<?php echo $SubscriptionsEmail;?>" size="40"></td>
</tr>
<tr>
<td colspan="3">5. Name of person in the firm responsible for human resources and training:</td>
</tr>
<tr>
<td><input name="form[HRTrainingContact]" type="text" id="HRTrainingContact" value="<?php echo $HRTrainingContact;?>" size="40"> </td>
<td>E-Mail Address: </td>
<td><input name="form[HRTrainingEmail]" type="text" id="HRTrainingEmail" value="<?php echo $HRTrainingEmail;?>" size="40"></td>
</tr>
<tr>
<td colspan="3">6. Name of person in the firm responsible for marketing:</td>
</tr>
<tr>
<td><input name="form[MarketingContact]" type="text" id="MarketingContact" value="<?php echo $MarketingContact;?>" size="40">
</td>
<td>E-Mail Address: </td>
<td><input name="form[MarketingEmail]" type="text" id="MarketingEmail" value="<?php echo $MarketingEmail;?>" size="40"></td>
</tr>
<tr>
<td colspan="3">7. Name of person responsible for
contractual affairs / procurement / tendering:</td>
</tr>
<tr>
<td><input name="form[ProcurementContact]" type="text" id="ProcurementContact" value="<?php echo $ProcurementContact;?>" size="40">
</td>
<td>E-Mail Address: </td>
<td><input name="form[ProcurementEmail]" type="text" id="ProcurementEmail" value="<?php echo $ProcurementEmail;?>" size="40"></td>
</tr>
</table>
<div class="auto-style1">
<br><strong>BBBEE</strong><br>
</div>
<table style="width: 100%">
<tr>
<td>Please provide the firm's BBBEE status in accordance with the Construction Charter Scorecard:</td>
<td>
<select name="form[BBBEE]" id="BBBEE">
<option value="">Please select</option>
<option value="Level 1"<?php if ($BBBEE=="Level 1") echo " selected"; ?>>Level 1</option>
<option value="Level 2"<?php if ($BBBEE=="Level 2") echo " selected"; ?>>Level 2</option>
<option value="Level 3"<?php if ($BBBEE=="Level 3") echo " selected"; ?>>Level 3</option>
<option value="Level 4"<?php if ($BBBEE=="Level 4") echo " selected"; ?>>Level 4</option>
<option value="EME Level 4"<?php if ($BBBEE=="EME Level 4") echo " selected"; ?>>Exempted Micro Enterprise (Level 4)</option>
<option value="Level 5"<?php if ($BBBEE=="Level 5") echo " selected"; ?>>Level 5</option>
<option value="Level 6"<?php if ($BBBEE=="Level 6") echo " selected"; ?>>Level 6</option>
<option value="Level 7"<?php if ($BBBEE=="Level 7") echo " selected"; ?>>Level 7</option>
<option value="Level 8"<?php if ($BBBEE=="Level 8") echo " selected"; ?>>Level 8</option>
<option value="None (not compliant)"<?php if ($BBBEE=="None (not compliant)") echo " selected"; ?>>None (not compliant)</option>
</select>
<br> </td>
</tr>
<tr>
<td>Please indicate whether your firm's average annual turnover over the last 3 years is:</td>
<td><select name="form[SMME]" id="SMME">
<option value="">Please select</option>
<option value="EME"<?php if ($SMME=="EME") echo " selected"; ?>>EME < R6 million</option>
<option value="QSE"<?php if ($SMME=="QSE") echo " selected"; ?>>QSE >= R6 million < R25 million</option>
<option value="GEN"<?php if ($SMME=="GEN") echo " selected"; ?>>GEN >= R25 million < R50 million</option>
<option value="GEN2"<?php if ($SMME=="GEN2") echo " selected"; ?>>GEN 2 >= R50 million</option>
</select>
</td>
</tr>
<tr>
<td>Please indicate whether your firm's black
ownership is:</td>
<td><select name="form[BlackOwned]" id="BlackOwned">
<option value="">Please select</option>
<option value="Less than 30"<?php if ($BlackOwned=="Less than 30") echo " selected"; ?>>< 30%</option>
<option value="Equal to or greater than 30 and less than 51"<?php if ($BlackOwned=="Equal to or greater than 30 and less than 51") echo " selected"; ?>>>= 30% and < 51%</option>
<option value="Equal to or greater than 51 and less than 100"<?php if ($BlackOwned=="Equal to or greater than 51 and less than 100") echo " selected"; ?>>>= 51% and < 100%</option>
<option value="Equal to 100"<?php if ($BlackOwned=="Equal to 100") echo " selected"; ?>>=100%</option>
</select></td>
</tr>
<tr>
<td>Please indicate whether your firm’s black
women ownership is:</td>
<td>
<select name="form[BlackWomenOwned]" id="BlackWomenOwned">
<option value="">Please select</option>
<option value="Less than 30"<?php if ($BlackWomenOwned=="Less than 30") echo " selected"; ?>>< 30%</option>
<option value="Equal to or greater than 30 and less than 51"<?php if ($BlackWomenOwned=="Equal to or greater than 30 and less than 51") echo " selected"; ?>>>= 30% and < 51%</option>
<option value="Equal to or greater than 51 and less than 100"<?php if ($BlackWomenOwned=="Equal to or greater than 51 and less than 100") echo " selected"; ?>>>= 51% and < 100%</option>
<option value="Equal to 100"<?php if ($BlackWomenOwned=="Equal to 100") echo " selected"; ?>>=100%</option>
</select></td>
</tr>
</table>
<br>
<p class="style2"><font face="sans-serif">FULL NAMES OF MANDATED PRINCIPAL(in block letters)</font> </p>
</td>
</tr>
<tr>
<td height="19" bgcolor="#CCCCCC">
<div align="center"><b>Designation</b><font face="sans-serif">
</font></div>
</td>
<td colspan="3" height="19">
<div align="center"></div>
<div align="left"><font face="sans-serif">
<input type="text" name="form[designate]" value="<?php echo $MemberContactDesignation; ?>" size="20">
</font><font face="sans-serif" size="3"><font color="#FF0000" size="4"><b>*</b></font></font></div>
</td>
</tr>
<tr>
<td height="19" bgcolor="#CCCCCC">
<div align="center"><b>First
Name</b></div>
</td>
<td height="19" width="278">
<div align="center"></div>
<div align="left"> <font face="sans-serif">
<input type="text" name="form[firstname]" value="<?php echo $MemberContactFirstname; ?>" size="20">
</font><font face="sans-serif" size="3"><font color="#FF0000" size="4"><b>*</b></font></font></div>
</td>
<td height="19" width="57" bgcolor="#CCCCCC">
<div align="center"><b>Last Name</b></div>
</td>
<td height="19" width="202">
<div align="left"> <font face="sans-serif">
<input type="text" name="form[lastname]" value="<?php echo $MemberContactSurname; ?>" size="20">
</font><font face="sans-serif" size="3"><font color="#FF0000" size="4"><b>*</b></font></font></div>
</td>
</tr>
<tr bgcolor="#CCCCCC">
<td colspan="4" height="19">
<div align="center"></div>
</td>
</tr>
<tr bgcolor="#CCCCCC">
<td colspan="4" height="27">
<div align="center">
<p><font face="sans-serif"><b>DATE:
<input type="text" name="form[date]" value="<?php echo date("Y-m-d"); ?>" size="15">
in the format YYYY-MM-DD e.g. 2008-01-20,
or DD MMM YYYY e.g. 20 Jan 2008
</b></font><font face="sans-serif" size="3"><font color="#FF0000" size="4"><b>*</b></font></font></p>
<p class="style5"><strong><font face="sans-serif" color=black><br>
<br>
</font></strong></p>
</div>
</td>
</tr>
</table>
<tr align="left" valign="top">
<td>
<div align="center"><font color="#000000"><b><font face="sans-serif" size="2" color="#CCCCCC">Please
Complete All The Fields:</font><font face="sans-serif" size="2"> <br>
<input type="image" src="images/save.jpg" width="200" height="100"> </font></b></font> <font face="sans-serif">
<?php
}
?>
</font> </div>
</table>
</form> <!-- End Page Content Here -->
<map name="Map">
<area shape="circle" coords="68,19,16" href="#" onClick="javascript:ShowNav();" alt="Annual Declaration">
<area shape="circle" coords="96,18,13" href="#" onClick="javascript:ShowNav();" alt="Schedule 1: Offices within South Africa">
<area shape="circle" coords="124,17,13" href="#" onClick="javascript:ShowNav();" alt="Schedule 1A: Firms to be treated as one">
<area shape="circle" coords="148,18,14" href="#" onClick="javascript:ShowNav();" alt="Schedule 1B: Offices outside South Africa">
<area shape="circle" coords="175,17,13" href="#" onClick="javascript:ShowNav();" alt="Schedule 2: Fields of expertise">
<area shape="circle" coords="201,18,14" href="#" onClick="javascript:ShowNav();" alt="Documents to be printed">
</map>
<?php
break;
case invalid:
header("Location: http://www.cesa.co.za/login.php4?pageurl=".$_SERVER['REQUEST_URI']);
//systemerror("Login Error","Initial Login Failure",getenv ("PATH_INFO"), $authorized);
break;
default:
systemerror("System Error","System Failure on Authentication",getenv ("PATH_INFO"), "There is a problem logging into our system. Try again later or if the problem persists, please contact SAACE to report the problem.");
break;
}
?>