APPLICATION FOR REGISTRATION OF SECTION B

Dear Sir,
I am sending the application for Registration of Section B. Choice of engineering branch and optional subjects and
certificates of engagement.The information provided by me in the application is correct to the best of my knowledge.

Name: MR KARUPPUSAMY M [ST6060620]

Branch of Engineering : Electrical Engineering

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Subject Details : Full Signature of the Candidate with date
1) ENERGY SYSTEM (EL-411)
2) HIGH VOLTAGE ENGINEERING AND POWER APPARATUS(EL-413)
3) POWER SYSTEM PERFORMANCE (EL-414)

Payment Details :
Reference No :180101478020 Order No : OID180101478020V191835
Date : 15/Aug/2018 Auth-Code :*

Amount: 4,800.00 (INR)

CERTIFICATE OF ENGAGEMENT
(To be filled-in by the Engineer under whom the candidate is working)

1. Name of the organigation (in BLOCK letters) :

2. Address of the organisation (in BLOCK letter) :

Photo
3. Nature of the organisation (Mark in the relevant box):

Company Public Sector Undertaking

Firm Research Organisation
Statutory Body Education Institute
Govt. Dept. Others

4. Nature of activities of the organisation

5. No. of Employees :
I Certify that Shri / Mr __________________________________________ , Whose Photo affixed above is
engaged/receving training in this organisation under me since _______________ as ____________________
(designation) . His date of appointment is________________

Seal of Organisation
Full Signature of the Certifying Engineer with Date

Designation

IEI Membership No. FIE/MIE/AMIE (If any)

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IMPORTANT INSTRUCTIONS
1. Please refer Rules(Vol. 1) effective from Summer 2005 examnitions as per Revised Syllabi.

2. Candidate is expected to be engaged in engineering profession with a registered engineering

establishment. As such the signature of the Engineer/Employing Authority is prerequisite in the
application from. Certification by T/ST members will not be accepted.
3. Please send the filled-in-application form to Assistant Director(EEA), The Institution
of Engineers (india), 8 Gokhale Road, Kolkata 700 020 by registered post superscribing on the
envelope "APPLICATION FOR REGISTRATION OF SECTION B"