APPLICATION FOR DUPLICATE MARKSHEET/CERTIFICATE/TRANSCRIPT “The Director (EEA) ‘he Institution of Engineers (India) or Office use ‘8 Gokhale Road Kolkata 700 020 Dear [require the following as ticked (Vn appropriate box: Mem (Per Copy) Intand Foreign Documents Eneoned (Nepaland | including Postage Tha) ‘by Air Mai) Rs. USS (TT) Pepe Mara Comer) 50 5 ony of FIRIGD Carpe mai only) 1] Duplicate Marksheet (previous session) 125 10 Copy of FIRIGD (for pass marksheets only) [I] Peotone Marsa oner20 year ok) 1025; 100 Cony of FIRIGD J] Drone Combined Coie 525 50 Cony of FRIGD [J] Dvpicne Combined Cerise (ner 20 years ok) | 1025 100 Cony of FIRIGD [J] Noobjection Cerificate 125 10. | Arpearanc Certcate 225 20 [Manse er Seton 4 ana B 323 30 J] rami fo Setons A and B over20 years ok® | —_ 1025, 100 ‘My particulars are given below : NAME (in capital letters) ADDRESS (in capital letters) PIN fevers ranean NO. assed Section A in Summer/Winter ‘with Roll No oR Exempted from Section A having passed Examination from inthe yea (apy ofthe documents enclosed) Passed Section Bin Sommer/ Winter with Rall No. and Membership No. im ranch ‘A Demand Draft No. dated for RVUSS. is ‘enclosed along with the above documents Full Signature of Candidate with Date [Note : 1. All payments must be made hy Demand Draft drawn in favour of “The Institution of Engineers (India,” payable at Kolkats, ‘Candidate's name and membership 20. are to be written on reverse of demand drat. 2. ‘The Oficial Transcript will be sent directly to the concerned universityFinsttution/collese, * The name and address of the concemed universityfinsttution/eollege is essentially to be Furnished while sending the draft