The Institution of Engineers (India) : Important Information and Instructions For MIE Applicants
The Institution of Engineers (India) : Important Information and Instructions For MIE Applicants
1.0 QUALIFICATIONS:
1.2 Qualification : Having passed Section B Examination of this Institution or possessing an educational qualification
recognised by the Council as exempting from Sections A & B Examinations of the Institution of Engineers (India)
and having atleast 10 years of employment in aggregate in a position of responsibility in the field of engineering
after passing Engineering Degree level examination to the satisfaction of the Council of the Institution.
2.0 FEE PAYABLE ALONG WITH APPLICATION:
Sl Application Fee for applicants from Fee for applicants Fee for applicants from
No. India & Nepal (`
`) from SAARC any other countries
countries (US $) (US $)
2.1 For Direct Enrolment (paying in single 800+600+2000+250=3650 40+30+105+25=200 120+120+200+25=465
remittance)
2.2 For Transfer (those who paid AIE to MIE 800+300+700+250=2050 40+15+40+25=120 120+85+70+25=300
composite subscription in
existing grade) AMIE to MIE 800+300+100+250=1450 40+15+10+25=90 120+85+10+25=240
2.3 For Transfer (those who paid AMIE to MIE 800+300+600+250=1950 40+15+35+25=115 120+85+60+25=290
Life Compounding Subscrip-
tion in existing grade)
2.4 For each Journal (Optional) 250 (for 1 year) 25 (for 1 year)
1000 (for 5 years) 100 (for 5 years)
N.B.
(i) In case of member elected AMIE after April 1, 1989, the total composite subscription in the existing grade must be cleared
before transferring to a higher class of membership.
(ii) The breakup as shown in the table above are in the following order:
Regn Fee+Entrance Fee+Composite Subscription (in single remittance)+Fee for Photo Identity Card [for direct enrolment]
or
Regn Fee+Transfer Fee+Difference in Composite/Life Compounding Subscription+Fee for Photo Identity Card [for transfer cases].
(iii) Modes of payment are:
By Cash at 8 Gokhale Road, Kolkata 700 020 on any working day between 10.00-13.30 hrs and 14.00-17.00 hrs, or
By Demand Draft drawn in favour of ‘THE INSTITUTION OF ENGINEERS (INDIA)’, payable at KOLKATA, or
By Credit Card authorisation as per proforma enclosed, or
By Online Payment through our Website : www ieindia.org, or
By ‘At Par’ outstation cheques.
3.0 DOCUMENTS (ATTESTED PHOTOCOPIES) TO BE ATTACHED:
3.1 Certificate in support of date of birth.
3.2 Certificate in support of examinations passed including BE/B.TECH final pass certificate (or marksheets with Provisional
Certificates).
3.3 Documentary proof in support of present position/designation.
3.4 In case the applicant is working in a private degree/diploma Engineering College, the Letter of Approval (LOA) of the
Institute from AICTE.
3.5 For Self Employed Persons, following additional documents (duly certified by a Chartered Accountant) should be attached:
i) Company profile, ii) Age of the organisation, iii) Annual Turnover of the organisation (last 3 years), iv) Number of
technical personnel engaged in the organization with details of hierarchy and the position of the applicant therein,
v) Important jobs/projects executed during last five years and the involvement of the applicant therein, vi) Contribution
to the society through the product or service of the company, and vii) Administrative/Management experience and/or
professional attainments, if any.
NOTE: ALL OF THESE DOCUMENTS MUST BE ATTESTED BY ONE OF THE SUPPORTERS OF THE APPLICATION. EACH
INFORMATION PROVIDED BY THE APPLICANT IN THE APPLICATION FORM MUST BE COUNTERSIGNED BY AT LEAST
ONE SUPPORTER.
Rev. 01/0311
2 of 9
4.0 ACKNOWLEDGEMENT:
Acknowledgement is sent by SMS regarding receipt of money within seven working days after receiving the documents.
Please quote mobile number to get SMS acknowledgement of receipt of money as well as other important announcements.
The SMS message containing the reference no. should be noted for any future communication.
5.0 QUERY FOR THE STATUS OF APPLICATION:
Through Internet:
The processing of application for enrolment normally takes two months time after receipt of the application. The list of ‘New
Enrolment’ and the list of ‘Discrepancies in Applications’ are available at our website. To know the status of application (after
allowing the usual processing period) visit: www.ieindia.org and click on the ‘Membership’ tab on the homepage. In case of
further query/clarification, applicants may feel free to contact the Membership Department in the Headquarters through the
email id: [email protected]. Please quote your mobile number and DD no. of remittance in all such communication.
Through IVRS:
Applicants may also get their queries answered through our Interactive Voice Response System (IVRS). To know the status
of application (after allowing the usual processing period), applicants should dial (033) 40155400 in telephone and follow
the instructions as sounded by the system.
6.0 OTHER INFORMATION:
(1) Surname and remaining name together should not be more than 37 characters. Leave one box blank after each
completed word in filling up names and address in the application form on page 7 of 9. Pin code no. must be
mentioned by the applicant correctly for attachment of Centre.
(2) Write clearly within the box without touching the boundaries.
(3) The form should be properly supported by specified number of member (F/M/AM) as required.
(4) Every applicant should carefully note the unique Reference No. received by SMS and DD No.(if paid by Demand Draft)
and refer the same for all future correspondence with IEI.
(5) Any change in address should be intimated to this office without delay by any of the following means:
i) By sending email to : [email protected], or
ii) By sending Letter addressed to the Superintendent, Members Service Cell, The Institution of Engineers (India), 8
Gokhale Road, Kolkata 700020.
However, change of address can be done by the members themselves by visiting his/her profile in our website:
www.ieindia.org. On clicking ‘Log In’ tab, a member has to register for password etc. If unable to do so, an email should
be sent to [email protected] requesting for password by giving mobile no. and email id.
(6) Any deficiency/ discrepancy in the application form is intimated by sending a letter. Also, month wise list of such
‘Discrepancy in Application’ with details are available in our website.
(7) Only corporate members are eligible for ‘Chartered Engineer’ certificate
(8) Choice of Division part of Journal is optional and a member can opt for two Division part of Journal at the most with fee
(see serial no. 2.4 on page 1 of 9).
(9) Choice of Division part of the Engineering Journal(s) should be clearly specified along with fee (see page 6 of 9).
(10) Signature of the Applicant on the application form, if in any language other than English, must be attested by a Gazetted
Officer with seal.
(11) For details of membership, please see the Bye Laws and Regulations as available in our website.
(12) Applicant residing/practising/working in abroad must remit the fee in US $ only.
(13) Complete Application Form along with all necessary documents duly signed by existing Corporate Member (F/M/AM)
must be sent by the applicant directly to the Headquarters of the Institution at 8 Gokhale Road, Kolkata 700 020 and
NOT through any agency.
(14) In case a candidate is not eligible for election, he/she is eligible for refund of his/her Entrance Fee and the amount
deposited for Composite Subscription, without any interest thereon, after deducting non-refundable Registration fee
and general office charges as per Regulation.
(15) Applicants are advised to keep the photocopies of the filled in Application Form along with the demand draft and all
documents attached therewith for information and future reference.
(16) Attested copy of documentary evidence (e.g. Marriage Certificate or Affidavit from First Class Magistrate) must be
enclosed in support of change in name (if any).
(17) No request for change in name is entertained after election.
(18) Final decision on every application rests with the Council of IEI only. The decision is final and binding on the applicant.
Rev. 01/0311
3 of 9
{
Name ......................................................................................................
(in Capitals)
Name and
Address to be Full Address .............................................................................................
filled in by the
applicant ................................................................................................................
Acknowledgement-cum-Receipt
(for Office use only)
NOTE : In case a candidate is not eligible for election as member, he/she is eligible for refund of his/her Entrance fee and the
amount deposited for composite subscription, without any interest thereon, after deducting non-refundable Registration fee
and general office charges as per Regulation.
Rev. 01/0311
4 of 9
For any clarification please contact any one of the following addresses
State Centres Dharwad : Balekundry Bhavan, Sir M Visvesvaraya Road, Dharwad 580 001 (Karnataka)
Andaman & Nicobar : PB No. 161, AHW-CSWD Store Complex, Port Blair 744 101 Ph : (0836) 2742979, e-mail: [email protected]
e-mail: [email protected] Durgapur : Nehru Avenue, B Zone, Durgapur 713 205
Andhra Pradesh : Visvesvaraya Bhavan, Khairatabad, Hyderabad 500 004 Telefax : (0343) 2564770, e-mail: [email protected]
Ph : (040) 23314969, e-mail: [email protected] Faridabad : YMCA Institute of Engineering, Quarter No. 45, Sector 6, Faridabad 121 006
Assam : Panbazar Overbridge, East Lane, Guwahati 781 001, Ph : (0361) 2548742, e-mail: [email protected] Ph : (0129) 4158798, e-mail: [email protected]
Bihar : 1942 Kranti Marg (Hardinge Road), Near R-Block Chauraha, Patna 800 001 Ghaziabad : 15 Shopping Complex, ALTT Centre, Raj Nagar, Ghaziabad 201 002 (UP)
Ph : (0612) 2222639, e-mail: [email protected] Ph : (0120) 2728699, e-mail : [email protected]
Chhattisgarh : NIT Campus, Raipur 492 010, Ph : (0771) 2254625, e-mail: [email protected] Gulbarga : Visvesvaraya Bhavan, Court Road, Gulbarga 585 102
Delhi : Engineers Bhawan, Bahadur Shah Zafar Marg, New Delhi 110 002, Ph : (011) 23379052 / 23379948 Ph : (08472) 229704, e-mail : [email protected]
e-mail: [email protected] Indore : SGSITS Campus, 23 Visvesvaraya Marg (Park Road), Indore 452 003
Goa : D Type Quarters D-8-1, Government Polytechnic Campus, Altinho, Panaji, Goa 403 001 Ph : (0731) 2434057, e-mail: [email protected]
Ph : (0832) 2434686, e-mail: [email protected] Jabalpur : Visvesvaraya Marg, Civil Lines, Jabalpur 482 001
Gujarat : Bhaikaka Bhavan, Law College Road, Ahmedabad 380 006, Ph : (079) 26400811 Telefax : (0761) 2678929, e-mail: [email protected]
e-mail: [email protected] Jammu : Institution Complex, Sector 3, Channi Himmat, Jammu 180 015
Haryana : H No. 9, Ranjeet Enclave, Ashoka Nursery, Kunjpura Road, Karnal 132 001 Ph : (0191) 2462545, e-mail: [email protected]
Ph : (0184) 2231202, e-mail: [email protected] Jamshedpur : Subarnarekha Link, Sakchi, Jamshedpur 831 001 (Jharkhand)
Himachal Pradesh : Victoria Place, Nigam Vihar, Shimla 171 002 Ph : (0657) 2427982, e-mail : [email protected]
Telefax : (0177) 2623736, e-mail: [email protected] Jodhpur : Residency Road, Jodhpur 342 011, Ph : (0291) 2432708, e-mail: [email protected]
Jammu & Kashmir : Near Amarsingh Club, Sonwarbagh, Srinagar 190 001 Kadapa : Prakash Nagar, Kadapa 516 004, Telefax : (08562) 245808, e-mail: [email protected]
Telefax : (0194) 2501156, e-mail: [email protected] Kakinada : JNTU College of Engg. Campus, NFCL Road, Kakinada 533 003
Jharkhand : Engineer Bhavan, Nepal Kothi Campus, Ranchi 834 002 Kalpakkam : 4th Avenue, DAE Township, Kalpakkam 603 102
Ph : (0651) 2491344/2490655, e-mail: [email protected] Telefax : (044) 27480068, e-mail: [email protected]
Karnataka : 3, Dr B R Ambedkar Veedhi, Bangalore 560 001 Kanpur : Engineers Bhawan, HBTI East Campus, Nawabganj, Kanpur 208 002
Ph : (080) 22264698/22207402, e-mail: [email protected], [email protected] Telefax : (0512) 2560034, e-mail: [email protected]
Kerala : Visvesvaraya Bhavan, Opp. to Kanakakunnu Palace, Thiruvananthapuram 695 033 Kharagpur : Indian Institute of Technology Campus, Kharagpur 721 302 (WB)
Ph : (0471) 2322991, e-mail: [email protected] Ph : (03222) 255221 to 224 / 277390 to 393 Extn 8047, e-mail: [email protected]
Madhya Pradesh : Dr M Visvesvaraya Marg, P.O. Habibganj, Bhopal 462 024 Kochi : St Benedict Road, Kochi 682 018, Ph : (0484) 2390286, e-mail: [email protected]
Ph : (0755) 2474572, e-mail: [email protected] Kolhapur : C/o Executive Engineer, Minor Irrigation Division, Sinchan Bhawan, Tarabai Park
Maharashtra : 15 Haji Ali Park, Keshavarao Khadye Marg, Mahalaxmi, Mumbai 400 034 Kolhapur 416 003, Ph : (0231) 2650263, e-mail: [email protected]
Ph : (022) 23543650/23542943, e-mail: [email protected] Kollam : TKM College of Engineering, TKM College P O, Kollam 691 005 (Kerala)
Manipur : Govt. Polytechnic Building, 1st Floor, Takyelpat, Imphal 795 001, e-mail: [email protected] Kota : Engineers Bhawan, Near ESI Hospital, Jhalawar Road, Kota 324 005
Meghalaya : Barik Point, Lachumiere, Shillong 793001 (Meghalaya) Ph : (0744) 2428250, e-mail: [email protected]
Ph : (0364) 2224981, e-mail: [email protected] Ludhiana : Institution Building, Dugri Road, Ludhiana 141 003, e-mail: [email protected]
Orissa : Sachivalaya Marg, Unit IV, Bhubaneswar 751 001 Madurai : T M Jambulingam Bhawan, 1, Vivekanandha Nagar, Surveyor Colony, 100 Feet Road
K Pudur, Madurai 625 007, Ph : (0452) 2561783, e-mail: [email protected]
Telefax : (0674) 2390630, e-mail: [email protected]
Mangalore : Second Floor, Opal Complex, Opp. Bejai Chuch, Bejai, Mangalore 575 004
Puducherry : 63, N S C Bose Salai, PWD Campus, 3rd Floor, Circle-I Office, Puducherry 605 001
Ph : (0824) 2400112, e-mail: [email protected]
Punjab and Chandigarh : Sector 19A, Madhya Marg, Chandigarh 160 019
Munirabad : Sir M Visvesvaraya Centenary Hall, Munirabad 583 233
Ph : (0172) 2775418, e-mail: [email protected] Muzaffarpur : Muzaffarpur Institute of Technology, Muzaffarpur 842 003 (Bihar), Ph : (0621) 2261918
Rajasthan : Gandhi Nagar, Tonk Road, Jaipur 302 015 Mysore : Jhansi Lakshmibai Road, Mysore 570 005
Ph : (0141) 2706327/2700413, e-mail: [email protected] Ph : (0821) 2421168/2421515, e-mail: [email protected]
Tamilnadu : 19 Swami Sivananda Salai, Chepauk, Chennai 600 005 Nagpur : North Ambazari Road, Nagpur 440 010
Ph : (044) 25360614/64998729, e-mail: [email protected] Ph : (0712) 2556231/2554387, e-mail: [email protected]
Tripura : Pandit Nehru Complex, Near Tripura Housing Board, P.O. Kunjaban, P. B. No. 139 Nashik : PWD Campus, Bharat Ratna, Sir Visvesvaraya Marg, Nashik 422 002
Agartala 799 006, Tripura, Telefax : (0381) 2304700, e-mail: [email protected] Ph : ( 0253) 2317701, e-mail: [email protected]
Uttarakhand : Saharanpur Road, Opposite ISBT, Mazra, Dehradun 248 001 Neyveli : Institution Building, Block 17, Neyveli 607 801
Ph : (0135) 2531122, e-mail: [email protected] Ph : (04142) 252597, e-mail: [email protected]
Uttar Pradesh : Engineers Bhawan, River Bank Colony, Lucknow 226 018 North Bengal : Jalpaiguri Govt. Engg. College, Jalpaiguri 735 102
Ph : (0522) 2625322, e-mail: [email protected] Ph : (03561) 255468, e-mail: [email protected]
West Bengal : 8 Gokhale Road, Kolkata 700 020, Ph : (033) 22238914, e-mail: [email protected] Palghat : Nerukakkad, Kalleppully, PO : Palakkad 678 005
Local Centres Ph : (0491) 2523137, e-mail: [email protected]
Ahmednagar : Irrigation Compound, Aurangabad Road, Ahmednagar 414 001 Pantnagar : 209A (Old Building), College of Technology, Pantnagar 263 145 (UP)
Ph : (0241) 2451323, e-mail: [email protected] Ph : (05944) 235582/233457, e-mail: [email protected]
Aligarh : Z H College of Engineering & Technology, Aligarh Muslim University, Aligarh 202 002 (UP) Pune : 1332, Shivajinagar, J M Road, Pune 411 005
e-mail: [email protected] Ph : (020) 25533376/25520239, e-mail: [email protected]
Allahabad : Teliarganj, Allahabad 211 004, Ph : (0532) 2545539/2271149, e-mail: [email protected] Ranipet : C-399 BHEL Township, Ranipet 632 406, Vellore Dist, Tamilnadu
Alwar : Govt. Polytechnic College Campus, Kali Mori, Alwar 301 001, e-mail: [email protected] Roorkee : IIT Campus, Roorkee 247 667, Ph : (01332) 284416, e-mail: [email protected]
Amravati : Triveni House, 10/43, Rukhmini Nagar, Amravati 444 606 (Maharashtra) Rourkela : NIT Campus, Rourkela 769 008, Telefax : (0661) 2472709, e-mail: [email protected]
e-mail: [email protected] Salem : 20A, ‘A’ Block, 2nd Floor, Green Park Avenue, Opp Hotel Ganesh Mahal, Omalur Main Road (Near
Angul : NALCO Smelter & Power, Training Institute, NALCO Nagar, P.B. No. 30, Angul 759 145 (Orissa) New Bus Stand), Salem 636 007, Ph : (0427) 2403564, e-mail: [email protected]
Telefax : (06764) 223463 Saurashtra : 312 Madhav Complex, Dr Yagnik Road, Rajkot 360 001, Ph : (0281) 2468409
Anpara : 2-Room Field Hostel, ATPS, PO : Anpara, Sonebhadra 231 225 (UP) Silchar : Trunk Road, Silchar 788 001 , Ph : (03842) 238945, e-mail: [email protected]
Telefax : (05446) 274888, e-mail: [email protected] Solapur : IV Floor, 3 North Kasaba, Near Laxmi Bank, Shivaji Chowk
Asansol : L W Office Campus, Indian Iron & Steel Co. Ltd, Burnpur Road, Burnpur 713 325 Solapur 413 001, e-mail: [email protected]
Dist. Burdwan (WB), Ph : (0341) 2230809, e-mail: [email protected] South Gujarat : Mahida Bhavan, Ichchanath, Surat 395 007, Ph : (0261) 2227340, e-mail: [email protected]
Aurangabad : Railway Station Road, Osmanpura, Aurangabad 431 005 Sunabeda : Post Box No. 11, Sunabeda 763 002, e-mail: [email protected]
Ph : (0240) 2325621, e-mail: [email protected] Tiruchirapalli : BHEL Main Office Road, Tiruchirapalli 620 014, Ph : (0431) 2554285
Barauni : Auditorium Complex, Barauni Thermal Power Station, Begusarai 851 116 (Bihar) e-mail: [email protected]
Ph : (06243) 205523 Tirupati : S V U College of Engineering Campus, Tirupati 517 502, Ph : (0877) 2248594
Bathinda : Kartar Colony, Behind Deaf & Dumb, School, Goniana Road, Bathinda 151 003 (Punjab) Trichur : TMC 36/5837, Vrindavan, Shornur Road, Trichur 680 022,
Ph : (0164) 3293900, e-mail: [email protected] Ph : (0487) 2321738, e-mail: [email protected]
Belapur : Plot No. 106, Sector 15, CBD, Belapur, Navi Mumbai 400 614 Tuticorin : 8/4 Jeyaraj Road, Meenakshipuram West, Tuticorin 628 002
Ph : (022) 27579935, e-mail: [email protected] Ph : (0461) 2300577, e-mail: [email protected]
Belgaum : Double Road, Shivabasavanagar, Belgaum 590 010 (Karnataka) Udaipur : 128 Hiran Magri, Sector 11, Opp. Central Excise, Udaipur 313 002
Ph : (0831) 2470258, e-mail: [email protected] Ph : (0294) 2593702, email: [email protected]
Berhampur : Room No. 225, U.C.P. Engineering School, Berhampur 760 010 (Orissa) Upper Assam : P.O. Parbatpur 786 623, Dist. Dibrugarh (Assam)
e-mail: [email protected] Ph : (0374) 2500421, email: [email protected]
Bhilai : Indira Place, Civic Centre, Bhilai 490 006, Ph : (0788) 2858287, e-mail: [email protected] Vadodara : Race Course Circle, Opp. GERI, Vadodara 390 007
Bokaro Steel City : Abhiyanta Bhavan, Sector 5-A, Bokaro Steel City 827 006 Ph : (0265) 2310800/6586873, e-mail: [email protected]
Ph : (06542) 276227/288972, e-mail: [email protected] Vallabh Vidyanagar : C/o B V Mahavidyalaya (Engineering College), P B No. 20, Vallabh Vidyanagar
Calicut : Anand Buildings, Second Floor, Pavamani Road, Calicut 673 004, e-mail: [email protected] Dist. Anand 388 120 (Gujarat), Ph : (02692) 230104,
Chandrapur : Campus of Rajiv Gandhi College of Engg. & Technology, Ballarpur Road Varanasi : 2nd Floor (Above Room G-14), Institute of Technology, Benaras Hindu University
Chandrapur 442 403, Ph : (07172) 225168 Extn 201/236, e-mail: [email protected] Varanasi 221 005 (UP), Ph : (0542) 2307086, e-mail: [email protected]
Coimbatore : PSG College of Technology Campus Peelamedu, Coimbatore 641 004 Vijayawada : Dr K L Rao Bhavan, Governorpet, Vijayawada 520 002,
Ph : (0422) 2580733, e-mail: [email protected] Telefax : (0866) 2576822, e-mail: [email protected]
Davangere : Post Box No. 319, M.C.C. ‘B’ Block, Davangere 577 004 Visakhapatnam : Visvesvaraya Bhavan, Station Road, Dondaparthy, Visakhapatnam 530 016 (AP)
Dhanbad : Veena Engineers’ Building, Golf Ground, Dhanbad 826 001 Telefax : (0891) 2747460, e-mail: [email protected]
Ph : (0326) 2311020, e-mail: [email protected] Warangal : D-7/2 Nit Quarters, Warangal 506 004
Specimen Signature
of the applicant
Passport or stamp
(preferably in English) size photograph to be
pasted here
(do not sign on the
photograph)
The signature should not touch the box
(Use black ink only)
Signature * Attested
* In case of regional language, signature attestation is a must by a
Gazetted Officer with Seal
Supporter : Verified the photograph and signature of the applicant
Name (in Capitals) Membership No. Signature (in English only) with date
Note : The Photograph and signature are to be verified by one of the supporters who will sign on page 7 of 9 of the
membership application form.
Meeting No. _____________ Date _____________ Excess amount, if any, received for
Approved for ______________________________ Chartered Engineer Certificate : Rs.
Director (Membership)
Name :
(in Capitals) [Surname] [Remaining Name]
Specimen Signature
of the applicant
Passport or stamp
(preferably in English) size photograph to be
pasted here
(do not sign on the
photograph)
The signature should not touch the box
(Use black ink only)
Rev. 01/0311
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Note 1 : The applicant shall be attached to the Division as per his/her engineering qualification.
Choice of attachment to any other Division needs to be supported by adequate proof of
expertise/experience in that Division.
*Note 2 : The applicant of Group of Engineering / Technology shall be attached to the respective
Engineering Division as per table given below. For Instrumentation & Measurement,
Instrumentation Group, option may be exercised and indicated.
* Please indicate choice of attachment to Division where applicable, Please see ‘Note 2’ above. (indicate one
Division only with a tick P mark inside the box).
Aerospace Computer Mechanical
Agricultural Electrical Metallurgy & Materials Science
Architectural Electronics and Telecommunication Mining
Chemical Environmental Production
Civil Marine Textile
Please tick P in the box if you wish to receive on payment ONE or TWO Division part(s) of the journal
Aerospace Computer Mechanical
Agricultural Electrical Metallurgy & Materials Science
Architectural Electronics and Telecommunication Mining
Chemical Environmental Production
Civil Marine Textile
Interdisciplinary
I wish to have the journal in softcopy/ hardcopy (please tick P the appropriate box).
Rev. 01/0311
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SUPPORTERS : From personal knowledge of the applicant and in consideration of his/her qualifications as stated on the reverse, I recommend him/
her to the Council as being in every way a fit and proper person to be admitted to the Institution as a Member.
Name (in Capitals) Membership No. Signature (in English only) with date
1................................................................. F ....................................................... .................................................................
2. ............................................................... F/M/AM ............................................. .................................................................
Rev. 01/0311
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Note : Each information provided by the applicant must be authenticated by a supporter of the application
Name of Examination/s Branch of Examining Full Name and Address of the Year of
Authentication by a Supporter
Passed or Section Engineering Authority College/Institution IE(I) Passing
ENGINEERING
Exact Designation Place of Posting Full name and address of the present employer
Present Position
Authentication by a
Supporter
l
Authentication by a
Supporter
l In the case of Self-employment / Consultancy, please enclose i) Company profile, ii) Age of the organisation, iii) Annual Turnover
of the organisation (last 3 years), iv) Number of technical personnel engaged in the organization with details of hierarchy and the
position of the applicant therein, v) Important jobs/projects executed during last five years and the involvement of the applicant
therein, vi) Contribution to the society through the product or service of the company, and vii) Administrative/Management experience
and/or professional attainments, if any (all documents duly attested by a supporter).
For Military Personnel only
(i) Present Rank,
(ii) Actual date of Commission, and
(iii) Personal Number
Details of Professional Career :
(a) Most Important Engineering works for which personally responsible (Please attach statement duly attested)
(b) Research and Teaching Experience (if any) [Please attach statement duly attested]
(c) Specialisation (if any) [Please attach sheet duly attested]
Technical Papers Published (if any) [Please attach sheet duly attested as per following format]
Membership of other Engineering Institutions/Societies (if any) [Please attach sheet duly attested as per following format]
Rev. 01/0311
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AUTHORISATION
Credit Card
MASTERS VISA OTHERS
DUPLICATE
AUTHORISATION
Credit Card
MASTERS VISA OTHERS
Rev. 01/0311