Sir,

I...................................................................................Life Fellow / Member IETE wish to apply for Grant of Chartered Engineer (C Eng IETE).

My particulars are as follows :

1. Name..........................................................................................................................
   (IN CAPITALS)             (SURNAME)                          (FIRST)                   (MIDDLE)
2. Class & Life Membership No..........................................................................................
3. Address........................................................................................................................
   .....................................................................................................................................
   .....................................................................................................................................
4. Phone (O)......................................... (R)........................................................................
   Fax .................................................. E-mail..................................................................
5. Present class of Membership from .................................................................................
                                                                                   (Date/Year)
6. Qualifications : Academic/Professional
   
   
   
   
   
   

7. Employment :
   (Please give brief resume of Professional experience of last ten years with present status in Organisation/Department
   
   
   
                                                                         Signature........................... 

8. I am enclosing herewith the Demand Draft No.............................. for Rs 1000/- dated............................. in favour of IETE, New Delhi.