The Institution of Electronics and
Telecommunication Engineers

Application form for IETE Students'
Forum Membership (ISF)

Phones: +91(11)41504751/4631820/30/40/50
Fax: +91(11)4649429 / 4631810
E-mail: ietend@giasdl01.vsnl.net.in
membership@iete.org
Website : http://www.iete.org
http://www.iete.info

The Secretary General,
IETE,
2, Institutional Area,
Lodhi Road,
New Delhi - 110003

Dear Sir,

I__________________________________________________________________ Son/Daughter

of________________________________________ born on _____________________________

and a student of BE/Diploma _______________________________ is desirous of becoming a
                                                   (write Branch/discipline)
member of IETE students' Forum to be started at______________________________________

______________________________________________________________________________
                                       (College)

My mailing address is_____________________________________________________________

Phone :___________________ Fax_________________ E-mail:___________________________

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A DD in Favour of "IETE, New Delhi" towards subscriptions as* ( i ) Student ( PG ) for Rs. 400/- ( max. life 4 years ); ( ii ) Student ( FD ) for Rs. 300/- ( max. life 3 year ) along with recent Passport Size Photograph is sent herewith.

*Student(s) Studying
in Engineering
College

Polytechnic

I Yr. Rs. 400/-

II Yr. Rs. 300/-

III Yr. Rs. 200/-

IV Yr. Rs. 100/-

Rs. 300/-

Rs. 200/-

Rs. 100/-

---

(Signature)

Date:_________

_____________________________________________________________________________________

(Endorsement by the Principal or Head of the college / Institution where the student is studying) or any corporate member of IETE

I Certify that Shri _______________________________________is a bonafide student of____________year of BE/B. Tech. Degree/Diploma in Electronics and Telecommunication Engineering, and the information given is correct as per the college records.

Place:______________

Signature: __________________

Date: ______________

Name: _____________________
(Office Stamp)

IETE Membership No.: __________________

Place:______________	Signature: __________________
Date: ______________	Name: _____________________ (Office Stamp)
	IETE Membership No.: __________________

The Institution of Electronics and Telecommunication Engineers

I Certify that Shri _______________________________________is a bonafide student of____________year of BE/B. Tech. Degree/Diploma in Electronics and Telecommunication Engineering, and the information given is correct as per the college records.

The Institution of Electronics and
Telecommunication Engineers

I Certify that Shri ___________________________is a bonafide student ofyear of BE/B. Tech. Degree/Diploma in Electronics and Telecommunication Engineering, and the information given is correct as per the college records.