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 Page 1 £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 Page 2 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. Page 3 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 Page 4 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 Page 5 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) _______________________________________________ Page 6 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:___________________ Page 7 Registered No 3645473
© Copyright 2024 Paperzz