Register of Consultants - App. Form

SERVICES LTD
CIBSE DIRECTORY OF PRACTICES
AND FIRMS
APPLICATION FORM
Please return to:
Richard Howard
The Chartered Institution of Building Services Engineers
222 Balham High Road
London
SW12 9BS
Email [email protected]
Tel +44 (0)20 8772 3647
Fax +44 (0)20 8675 5449
Before completing the form please read the guidance notes below:
GUIDANCE NOTES
1.
The applicant must be a corporate member of CIBSE (i.e. Fellow, Member or
Associate grade) and a Partner or Director of the firm to be listed. Only one
application per practice should be submitted; branch offices should liaise with
their head office to avoid duplication.
2.
The applicant on behalf of the firm must have three years experience in the
capacity of Principal and the company must have been in business for at least
2 years.
3.
The Directory is a fully searchable, online document accessible on the CIBSE
website www.cibse.org .
4.
Details of the annual subscription rates to be on the Directory are given below.
The subscription year runs from 1 January to 31 December. Companies
joining after 1 September 2016 will have their subscription run until 31
December 2017. The cost depends on the size of the company. For the
purposes of this Directory a small firm is one employing less than 10 people.
A large firm is one employing 10 or more people. These numbers are for all
staff of the firm not just building services engineers. Cheques should be
made payable to “CIBSE Services Ltd”.
Small Firms
Large Firms
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£245.83+VAT=£295.00
£381.25+VAT=£457.50
Registered No 3645473
SERVICES LTD
1.
Company Contact Details
Company:
Head Office Address:
Contact Name:
Tel:
Fax:
Email:
Internet:
2.
Number of permanent technical building services staff?
_______________________________________________
3.
Please list all the Partners/Directors in the firm who practice in
the profession of Building Services. Please indicate which hold
any grade of CIBSE Membership, showing their grade and
membership number.
Partners/Directors
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CIBSE Grade
Mem. No
Registered No 3645473
SERVICES LTD
4.
Please list professions other than Building Services covered by
the firm, and state the number of Partners/Directors who
practice in those professions:
Other Professions:
Number of Partners/Directors practising in those professions:
5.
Is the Practice Quality Assured (ISO 9000) for Building
Services Work? (Yes/No)
QA Registration Number:
Date of Registration:
6.
Have you been awarded “Investors in People” status? (Yes/No)
_______________________________________________
7.
Please give the addresses for any other offices to be listed
(using separate sheets if necessary). For each office listed, a
contact name must be given:
Other Office Address (1):
Tel.____________Fax______________Email__________________
Contact Name:
Other Office Address (2):
Tel.____________Fax______________Email__________________
Contact Name:
Other Office Address (3):
Tel.____________Fax______________Email__________________
Contact Name:
Other Office Address (4):
Tel.____________Fax______________Email__________________
Contact Name:
Please give details of further offices on a separate sheet.
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Registered No 3645473
SERVICES LTD
8.
Please state locations of any other offices outside the UK:
____________________________________________________________________
9.
Please mark with an X the sectors your firm works in and the
services you offer in the chart below and which office covers
them:
A.
CONSTRUCTION CATEGORIES
Advanced Technologies
Commercial
Culture
Defence
Education
Energy including CHP
Expert Services
Health Care
Historic Buildings/Conservation
Hotels
Industrial
Infrastructure and Transport
Interiors & Fit-out
Laboratories
Large Moving Structures
Leisure
Marine
Oil Piers/Bridges
Refurbishment
Religious
Residential
Retail
Secure Accommodation
Sports Stadia
Telecom and Internet Solutions Centres
Water
Other:
Other:
B.
AREAS OF EXPERTISE
Acoustics
Adjudication/Arbitration
Applied Research
Arts
AS Installed Drawings & Surveys
BMS & Controls
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Main Office
Main Office
Other Offices
Other Offices
Registered No 3645473
SERVICES LTD
BREEAM Assessment
Building Control
Building Physics
Building Refurbishment
Building Services Coordination
CCTV Installation
Central and Local Government
Combined Heat & Power
Commissioning/Testing
Computer Modelling & Simulation
Construction Ecology
Cost Control
Domestic Gas Consultancy
Electrical Services (including lighting)
Energy Audits
Energy Purchasing
Energy Utilisation
Environmental Impact Analysis
Environmental Management
Expert Witness
Façade Design Analysis
Facilities Management
Fire Engineering
Flight Simulators
Forensic Engineering
Government
Health & Safety
Heating, Ventilating & Air Conditioning
High Voltage Power
Hotels and Hostels
Housing Installations
HV Networks
Infrastructure and Transport
Insurance Investigation
Intelligent Buildings & Controls
IT/Telecoms/Audio Visual
Law and Order
Lifts/Escalators
Low Energy/Sustainable Design
Maintenance/Surveys
Marine HVAC
Marine Refrigeration
Mechanical Services
Medical Gases
Nuclear
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Registered No 3645473
SERVICES LTD
Operating & Maintenance Manuals
PFI Advisor Service
Photovoltaics
Planning Supervisor (CDM Regulations)
Portable Appliance Testing
Power
Project Management
Public Health Services
Quality, Reliability and Maintenance
Railway Power Supplies
Refrigeration
Regulations/Standards
Research & Development
Satellite Antenna/Earth Stations/Radomes
Security
Services Resilience Studies
Solar Energy Applications
Solar Hot Water Systems
Specialist Lighting
Sprinkler and Fire Fighting Installations
Steam & Compressed Air
Sustainability and Energy
Swimming Pool Water Treatment
Switch Sites/Internet Data Centres
Television and Radio Studios
Total Preventative Maintenance
UPS/Generators
Whole Life Cycle Costing
Windfarm
Other:
Other:
10.
Do you want a link to your own internet home page through
the online register? (Yes/No)
_______________________________________________
11.
Please state the number of years the firm has been in
consultancy _______________________________________________
12.
Is this your firm’s first application? (Yes/No)
_______________________________________________
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Registered No 3645473
SERVICES LTD
I confirm that my practise is independent of any direct or indirect concern or interest
in any commercial or manufacturing or contracting business such as would tend to
influence the exercise of an independent professional judgement in relation to the
matters on which the firm advises. I am aware of and abide by the CIBSE Code of
Conduct.
Signed:_______________________________________Date:___________________
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Registered No 3645473