APPENDIX VI

APPLICATION FOR REGISTRATION OF SECTION B EXAMINATION FOR CANDIDATES EXEMPTED TO APPEAR IN SECTION A EXAMINATION
For Office Use The Director (EEA) The Institution of Engineers (India) 8, Gokhale Road Kolkata 700 020 Dear Sir, Registration for Section B Examination You are requested to register me for Section B Examination. For this purpose, I enclose a demand draft of Rs. 3,000/(US$ 200 for overseas candidates) (draft no. .................................................... drawn on ........................................................................ ........................ dated ................................) in favour of The Institution of Engineers (India) payable at Kolkata. Please note my particulars, including choice of engineering branch and a set of three optional subjects, as given below ( mark as applicable) : I am exempted to appear in Section A Examination by virtue of my qualification. I passed Sections A & B Examinations with membership no. T/ST

NAME (in capital letters)

ADDRESS (in capital letters)

PIN PHONE NUMBER (with STD Code) MOBILE NUMBER

MEMBERSHIP GRADE AND NUMBER

Choice of Engineering Branch (Code No. only*)

Code Nos. of Optional Subjects*

*Refer Rules & Syllabi : Vol I (effective from Summer 2005 Examination) for selection of branch and subject codes.

Date : RULES & SYLLABI : VOL I

Full Signature of Candidate 39