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    CE Formup

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    sandeshsingodiya40

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    CE Formup

    Uploaded by

    sandeshsingodiya40
    7 views2 pages

    Original Title

    CE_Formup

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    7 views2 pages

    CE Formup

    Uploaded by

    sandeshsingodiya40

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    Form- C.

    ENGG
    THE INSTITUTION OF ELECTRONICS AND TELECOMMUNICATION ENGINEERS
    2, Institutional Area, Lodhi Road, New Delhi-110 003 Phone: 011-45142104/106/153
    Fax:011-24649429
    Email: corpmember@iete.org, Website: http://www.iete.org

    APPLICATION FORM FOR GRANT OF CHARTERED ENGINEER [C Eng (IETE)]


    The Secretary General
    IETE
    2, Institutional Area, Lodi Road
    New Delhi 110 003

    Sir,
    I, whose name and particulars are given below certify that I am a Life Fellow / Life Member IETE. I wish to apply
    for Grant of Chartered Engineer [C Eng (IETE)].

    Present Class and Life Membership No -


    Category Membership Number

    Date of Present class of Membership


    (dd/mm/yyyy)

    Name Mr./Ms./Dr./ Prof./Rank _____________________________________________________________


    (In Capital Letters) (Defence) (Sur Name) (First Name) (Middle Name)

    Father’s/Husband Name _________________________________________________________________

    Date of Birth Nationality _______________________

    Mailing Address ___________________________________________________________________

    _________________________________________________ PIN
    Telephone (off) __________________(Res)_________________ Fax ________________
    Email _____________________________________________________________
    Degree/ Diploma Examination Name of College/ Year of Branch of
    Authority Institution Passing Engineering
    QUALIFICATIONSEngineeringAca
    demics
    Designation/ Rank* Organisation Period
    PROFESSIONAL EXPERIENCE

    From To
    1

    Membership of Other Institutions and Awards-

    Note : Latest resume and attested copies of professional experience certificates should be attached.

    Resume of Professional Experience (in about 100 words)


    (Engineering works/ Research Publications/ Specialization)

    I am enclosing herewith a Cheque/ Bank Draft No. ______________ dated _________ (Please write
    your name on the reverse of cheque/ Draft) drawn on ___________________________in favour of
    “IETE, New Delhi” of Rs.2000/-. + 18% GST in India, (Abroad US$ 60 including GST)

    Date :

    Signature ______________________

    Enclosure : 1. Bio-data
    2. Certificates ________ copies

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