The Institution of Engineers(India)

Tel No.(91)(033)2223-8311/14/15/16/33/34,Fax No.(91)(033)2223-8345,E-mail:membership@ieindia.org

Note: The facility of online submission of application form does not include the upgradation of membership of the existing member from one class of membership to another class. Therefore, existing members are requested not to use this facility.

After filling up the form,please take a print out and send it to IEI Headquarters duly signed by the applicant and supporters.Attested documents as mentioned in the 'Instruction' should be sent along with the application as enclosed.

Use All Capital Letters within the box.

*SURNAME
*REMAINING NAME

*As per B E Degree Certificate and should not be more than 37 characters

SON/DAUGHTER/WIFE OF		Gender

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EXISTING GRADE AND MEMBERSHIP NO.:

The Secretary of Director General
The Institution of Engineers(India)
8 Gokhale Road,Kolkata 700020

Dear Sir,

Date................

I hereby apply for election as a Member of the Institution of Engineers(India) in accordance with the Charter of Incorporation and the Bye-Laws as they may be legaly altered hereafter.
I do hereby undertake that in the event of my election as a Member,I will be governed by the Bye-Laws and the Regulations of the Institution as they now are or as they may hereafter be legally altered and that I will accept as final and binding the decisions of the Council in all matters dealt with by them in accordance with the provisions of the Charter,Bye-Laws and Regulations, and will forthwith cease to describe myself as a Member or to designate myself as belonging to the Institution in any other form, on receipt of a notice from the Secretary and Director General that acting under the powers conferred upon them by the Bye-Laws and Regulations the Council have declared me to be no longer as a Member of the Institution.I further undertake that I will promote the objects of the Institution,as per as may be in my power,provided that whenever I shall signify in writing to the Secretary and Director General that I am desirous of withdrawing from the Institution,I shall after the payment of any arrears which may be due by me at that period be free from this obligation.
I have noted that the decision of the Council of the Institution shall be final in granting the Membership and the District courts at Alipore, 24 parganas(South) shall have the exclusive jurisdiction in setting the dispute,if any,arising out of this Membership.
I accept responsibility for the accuracy of the particulars contained in the application form with regard to my qualification and experience and agree that if I am elected the validity of my election shall depend upon the accuracy of such particulars as required in the Bye-laws.I also undertake to abide by professional conduct rules and/or code of ethics that the Council may frame from time to time.

Yours faithfully

Encl. Copies of .......................documents.

........................................

Signature of the applicant(*in English only)

..............................................................................
Signature
*Attested

*In case of regional language,signature,
attestation is a must by a Gazetted Officer with Seel

Do not write anything within the box
(for office use only)

SUPPORTERS : From personal knowledge of the applicant and in consideration of his/her qualifications as stated on the reverse.I recommended 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
.................................................. ..................................................	F................................................. F/M/AM......................................	................................................. .................................................

All attached documents are to be attested by the supporters only

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