FCIC MEMBERSHIP APPLICATION
Submittal Date:…………………………
Name of Consultant:………………………………………………………………………………………
Country of Registration of Head Office:………………………………………………………………...
Mailing Address: ………………………………………………………………………………………….
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Telephone no.:…………………………..
Fax no.:………………………………….
Primaty e-mail:………………………………………......
Secondary e-mail:………………………………………..
Website:…………………………………………………..
Date of Establishment: …………………….
Total Number of Staff:…………..Professionals (engineers, experts,..) ………………
Technicians (draftsmen, surveyors,..) …………….
Administrative (HR, auditors, secretariat,…) ……
Branch Offices (only mention names of countries): ……………………………………………………….
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Brief Description of Firm (in about 10-12 lines, brief the firm’s profile, capabilities and resources in addition to other important data)
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Key Personnel (pls. indicate the contact person)
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Main Fields of Experience (pls. select from the attached list of activities, annex 1)
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Sample Projects (provide information for 12 to 15 selected projects: project name, country, value and completion date)
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Name and Signature of Applicant: ………………………………………………………………………..
Membership Fee:
1. Registration fee (to be paid only once for new members)US$ 200
2. Annual Subscription
2.1. Individual ExpertUS$ 300
2.2. Firms with no. of employees < 30 US$ 300
2.3. Firms with no. of employees < 100US$ 500
2.4. Firms with no. of employees > 100 and < 500US$ 1000
2.5. Firms with no. of employees > 500 and < 1000US$ 1500
2.6. Firms with no. of employees > 1000US$ 2000
Bank Account:(payment in USD)
Account Name: / FCICA/C No. : / 9088473
IBAN No. / TR37 0006 2000 3680 0009 0884 73
Swift Code: / TGBATRISXXX
Bank : / Garanti Bank
Branch: / Nuruosmaniye Branch
Address: / Babi – Ali Caddesi no. 27 Cagaloglu 34444Istanbul - Turkey
ANNEX1
FIELDSOFACTIVITIES:
1.AGRICULTURALDEVELOPMENT( )
2.AIRPOLLUTIONCONTROL( )
3.AIRPORTS( )
4.AUDITORIUMTHEATRES( )
5.BRIDGES( )
6.CHEMICALPROCESSING( )
7.COLDSTORAGE, REFRIGERATION( )
8.COMMERCIALBUILDINGS( )
9.COMMUNICATIONSYSTEMS( )
10.COMPUTERFACILITIES( )
11.CONSTRUCTIONMANAGEMENT( )
12.COSTESTIMATING( )
13.DAMS( )
14.DESALINATION( )
15.DININGHALLS, CLUBS,RESTAURANTS( )
16.EDUCATIONALFACILITIES( )
17.ELECTRONICS( )
18.ENERGYCONSERVATION( )
19.ENVIRONMENTALIMPACTSTUDIES( )
20.FIREPROTECTION( )
21.FISHERIES( )
22.GARAGES, PARKINGDECKS( )
23.GASSYSTEMS( )
24.GYMS, STADIUMS( )
25.HARBORS, SHIPTERMINALFACILITIES( )
26.HIGHWAYS, STREETS, PARKINGLOTS( )
27.HISTORICALPRESERVATION( )
28.HOSPITALSMEDICALFACILITIES( )
29.HOTELS, MOTELS( )
30.HOUSING, RESIDENTIALBUILDINGS( )
31.INDUSTRIALBUILDINGS( )
32.INDUSTRIALPROCESSES( )
33.INDUSTRIALWASTETREATMENT( )
34.INTERIORDESIGN( )
35.IRRIGATION, DRAINING( )
36.JUDICIAL, COURTROOMFACILITIES( )
37.LABORATORIES, RESEARCHFACILITIES( )
38.LANDSCAPEARCHITECTURE( )
39.LIBRARIES, MUSEUMS( )
40.LIGHTNING( )
41.METALLURGY( )
42.MINING( )
43.NUCLEARFACILITIES( )
44.OFFICEBUILDINGS( )
45.OCEANOGRAPHICENGINEERING( )
46.PLANNING( )
47.PLUMBING, PIPINGDESIGN( )
48.POSTALFACILITIES( )
49.POWERGENERATION, DISTRIBUTION( )
50.RAILROAD, RAPIDTRANSIT( )
51.RECREATIONALFACILITIES( )
52.REHABILITATION( )
53.SEWAGECOLLECTION, TREATMENT, DISPOSAL( )
54.SOILS, GEOLOGICSTUDIES( )
55.SOLARENERGY( )
56.SOLIDWASTE( )
57.STRUCTURALDESIGN( )
58.SURVEYING, MAPPING( )
59.SWIMMINGPOOLS( )
60.TELEPHONESYSTEMS( )
61.TRAFFIC, TRANSPORTATION( )
62.TUNNELS, SUBWAYS( )
63.URBANRENEWAL, DEVELOPMENT( )
64.VALUEANALYSIS( )
65.WATERRESOURCES( )
66.WATERSUPPLY, TREATMENT, DISTRIBUTION( )
67.WINDTUNNELS( )
68.ZONING, LANDUSESTUDIES( )
69.TOURISM( )
70.MARKETING( )
71.FINANCIAL/ACCOUNTING( )
72.MANUFACTURING( )
73.LEGALCONSULTING( )
74. OTHER (SPECIFY)( )