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AM-IIW-EXAMINATION_PART-C-ENROLLMENT-FORM-FOR-NEW-SYLLABUS

The document is an application form for enrolment in the AM – IIW Examination Part – C by The Indian Institute of Welding. It requires candidates to provide personal details, project information, and payment confirmation, along with signatures from project guides. The form also lists necessary enclosures such as a crossed bank draft and a list of subjects passed or exempted.

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4 views

AM-IIW-EXAMINATION_PART-C-ENROLLMENT-FORM-FOR-NEW-SYLLABUS

The document is an application form for enrolment in the AM – IIW Examination Part – C by The Indian Institute of Welding. It requires candidates to provide personal details, project information, and payment confirmation, along with signatures from project guides. The form also lists necessary enclosures such as a crossed bank draft and a list of subjects passed or exempted.

Uploaded by

pbujair
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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THE INDIAN INSTITUTE OF WELDING

(A Member Society of the International Institute of Welding)


Registered & Head Office
IIW-INDIA HOUSE, Plot No. 38, Geetanjali Park,
200 Kalikapur Main Road, PO: Mukundapur, Kolkata - 700099, INDIA
Tel: 91 33 2416 0826 / +91 98301 23968 | Telefax: 91 33 2416 0826
E-mail: [email protected] | Website: https://iiwindia.com
CIN: U27310WB1966GAP026807 | GSTIN: 19AAATT5926E1ZC

AM – IIW EXAMINATION
APPLICATION FORM FOR ENROLMENT FOR PART – C
(As per New Syllabus June 30 2020)

Enrolment Fee amounting to Rs. (Rupees


)for Practical/ Project/ Comprehensive Viva Voce is enclosed by Crossed Bank Draft in
favour of “The Indian Institute of Welding”, payable in Kolkata.

Number: Date:

Amount: On (Bank):

Membership No.: Roll No.:


____________________________________________________________________________________

Candidate’s Name

Age Yrs Date of Birth

Address
(Mailing)

Pin-Code:

Email:

Phone No.1: Phone No.2:

____________________________________________________________________________________

No. of Subjects Passed, or Exempted:

N.B.: Enclose details of Subject No., Name of the Subject, Marks Obtained, Session (Winter /
Summer), Year.

Aggregate Percent:

____________________________________________________________________________________

Name(s) of the Project Guide(s) / Supervisor(s):

1) Name: Designation:

2) Name: Designation:
THE INDIAN INSTITUTE OF WELDING
(A Member Society of the International Institute of Welding)
Registered & Head Office
IIW-INDIA HOUSE, Plot No. 38, Geetanjali Park,
200 Kalikapur Main Road, PO: Mukundapur, Kolkata - 700099, INDIA
Tel: 91 33 2416 0826 / +91 98301 23968 | Telefax: 91 33 2416 0826
E-mail: [email protected] | Website: https://iiwindia.com
CIN: U27310WB1966GAP026807 | GSTIN: 19AAATT5926E1ZC

Topic of Project Work Proposed:

Brief details of Work Project to be carried out, viz. Literature Review / Line of Study or
Investigation:

(Attach a separate sheet, if necessary)


____________________________________________________________________________________

Declaration by the candidate:

I have read the Rules regarding Project Work and Viva Voce and I declare that

(i) all the requirements for commencement of the Project have been met, and

(ii) shall abide by the Rules in carrying out the Project Work.

Signature of the Candidate:

Place: Date:

____________________________________________________________________________________

Countersigned by the Guide(s) / Supervisor(s):

I agree to act as the Guide / Supervisor of Mr.

1) Name:

Signature:

Date:
THE INDIAN INSTITUTE OF WELDING
(A Member Society of the International Institute of Welding)
Registered & Head Office
IIW-INDIA HOUSE, Plot No. 38, Geetanjali Park,
200 Kalikapur Main Road, PO: Mukundapur, Kolkata - 700099, INDIA
Tel: 91 33 2416 0826 / +91 98301 23968 | Telefax: 91 33 2416 0826
E-mail: [email protected] | Website: https://iiwindia.com
CIN: U27310WB1966GAP026807 | GSTIN: 19AAATT5926E1ZC

2) Name:

Signature:

Date:

List of Enclosures:

1) Crossed DD.

2) List of subjects Passed / Exempted.

3)

4)

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