THE INSTITUTION OF ELECTRONICS AND TELECOMMUNICATION         
                                                      ENGINEERS
                                         2, Institutional Area, Lodi Road, New Delhi-110 003.
                       Phones: +91(11)41504751 EPABX: 24631830/40/50 Fax: +91(11) 24649429
                                  e-Mail: membership@iete.org; ietend@giasdl01.vsnl.net.in
                                        Website: http://www.iete.org  http://www.iete.info

Name of the Firm/ Organisation / Institution:________________________________________

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Name of the Head of the Organisation:____________________________________________

Contact Person & Designation:__________________________________________________

Address:___________________________________________________________________

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Phone(s):_________________Fax:________________e-mail:_________________________

Nature of Business /Profession:__________________________________________________

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                                 Declaration By the Organisational Member 

We, the undersigned agree that in the event of our election to Organisational Membership of the Institution of Electronics and Telecommunication Engineers, we will be governed by the constitution of the Institution as it is now, or as it may hereafter be altered: and that we shall advance the objects of the Institution, as far as they shall be in our power. Further, as an organisational member of the Institution, we shall follow professional ethics, maintain integrity in judgement, and strive for the enrichment of the human values and thoughts.

Provided that, whenever we shall signify in writing to the Secretary General, IETE that we are desirous of withdrawing from the Institution, we shall after the payment of any arrears which may be due from us at the period, be free from this obligation.

Witness our hand...........................day of ...............................20..............................................

Name and Designation...........................................................Signature(s).................................

Fee Structure                          Institution / Govt Organisation               Industry

Admission Fee                                               Rs 3,500                                Rs 6,000
Annual Membership Subscription                   Rs 3,500                                Rs 6,000
Total                                                              Rs 7,000                                Rs12,000 
Life Membership subscription (in addition to the admission fee)
                                                                   Rs 30,000                                Rs 50,000   

                                  Annual Subscription due on 1st April every year

Bank Draft / Cheque No.................. for Rs.................in favour of IETE New Delhi is enclosed. 

                                                         For Office Use

1. Date of Receipt___________________Membership No._____________________
2. Date of Election___________________Date of enrolment_____________________
3. M&G No._______________________Received amount______________________
    Remarks________________________Receipt No____________Date___________


Asst. Secretary (M&PR)               Secretary General                        EDP