Professional/Fellowship Membership Checklist
IEPNG MEMBER/Checklist
| CA01 Application for Membership & Registration Form | 
| CA03 Self Review 
Must complete all 12 elements but only need to use 2 from each sectionMust only be about you. Do not use “we”Element One: Knowledge – relates to your DegreeElement Two: Local Knowledge – What you know happens in PNG and the issues they face (i.e. Earthquake).Element Seven: Risk Management – Mine Inspector and Mine Regulations and the risksElement Eight: Ethical Conduct – Speaking up to ensure something doesn’t happenElement Nine: Recognise Foreseeable Effects – Understanding how will the village reactElement Ten: Communication – Communication with Contractors to deliver projectsElement Eleven: Maintain Currency – Professional Development | 
| CA04 Work History Summary Only need to list your 3 most recent positions | 
| CA05 Summary of Professional Development Activities | 
| CA06 Referee Declaration 
Need to provide a minimum of two references. The referees must be registered with an Engineer Institute e.g. IEAust / AUSIMM / IPENZTop section of the this form must be exactly as per CA01 Section 6.1Please get them to send direct to us or if you can pass a copy on | 
| Degree Must be printed in colour and certified by JP. | 
| Transcript Must be printed in colour and certified by JP. | 
| Certificate or Licence of Membership (e.g. IEAust / AUSIMM / IPENZ) Must be printed in colour and certified by JP. | 
| Resume The 3 positions listed on CA04 must match e.g. dates/position etc. | 
| Work Sample and Evidence 
Must be 1-2 pages only and you must number each paragraph according to the number of Work Samples you wroteMust include a minimum of 2 work samplesMust cover all 12 elements outlined in form CA03Evidence must be provided – photos are acceptable (e.g. photos of a building that you worked on). | 
| Passport Photo |