ACEN Registration Form

Name of Firm:
Registered Address:
Registration/Incorporation Number:
Type of Firm:  Sole Proprietorship. Partnership. Private Limited. Public Limited. Other (Specify):
Year Operations Commenced:
Head Office Address (if different from Registered Address):
Telephone No(s):    Fax:
E-mail:      Website
Branch Office (s) Address (es)  1.     2.
PARTNERS/EXECUTIVE DIRECTORS
SERIAL NUMBER.    NAME AND DESIGNATION. QUALIFICATIONS.
SERVICES OFFERED (ENGINEERING)
DISCIPLINES              SPECIALIZATION
SERVICES OFFERED (NON-ENGINEERING)
STAFFING
Professional Staff (last 3 years)
	20	20	20
Engineers:
Technologists:
Technicians:
Non-Engineers Professionals
TURNOVER last 3 years Engineering Works only- (required for statistical purpose only)     20
CURRENT PROJECTS (LAST 3 years)  FIELD  PROJECT  CLIENT VALUE            COMMENCEMENT YEAR
Do you understand overseas work?       Yes:                No
If yes, where and when?
OVERSEAS PROJECTS SERIAL NUMBER PROJECT COUNTRY LOCATION DATE OF COMPLETION VALUE EQUIVALENT(N)
Is your Practice Branch of Subsidiary or another Firm? If so give following details:
Name of Parent/Holding firm:     Address:          Percentage Parent holding in Firm:
NOTES 1.All firms must be registered with COREN or certified by the ACEN Council to be Registrable by COREN. 2.At least one Partner/Executive Director must be an individual member of the Association of Consulting Engineering Nigeria. 3.All firms must be registered with CAC as a Consulting firm supported with relevant evidence. (Memo and other Articles of Association, Form CO2 and CO7) 4.Profile and organization of Firm including list and qualification of staff. 5.Evidence of payment of relevant proc
MEMBERSHIP NO: