The Institution of Engineers (India) : 8, Gokhale Road, Kolkata 700020
The Institution of Engineers (India) : 8, Gokhale Road, Kolkata 700020
E-mail : …………………………………………………………………………………………………………………………………………………
Engineering
MEMBERSHIP GRADE Scheme Code Branch Code
(T/ST/AM/M/F) MEMBERSHIP NUMBER (AN = 2, AD = 3, B = 4) (CH = 04, CV = 05, ……………)
* For example, refer Rules : Vol 1 effective from Summer 2005 Examination.
C V 4 1 3
(b) Secured exemption from Section A / Sections A and B in …………………………………… (term / year)
I shall abide by the Rules of the Institution Examinations as printed in Rules (Vol. I) effective from Summer 2005 Examination and revised from time to
time. I have knowledge of the Govt. letters and Delhi High Court Stay Order given overleaf. I am fully aware about the implications and consequences.
___________________________________
Full Signature of Candidate with Date
Form No: EXAM/01
REV 03/01032019 Please see backside of the Examination Form
The Institution of Engineers (India)
8, Gokhale Road, Kolkata 700020