THE INSTITUTION OF ELECTRONICS AND TELECOMMUNICATION ENGINEERS (IETE)
2, Institutional Area, Lodi Road, New Delhi-110003
Email: membership@iete.org, Website: https://iete.org

Note : The membership fee is inclusive of GST. If a member application is not accepted by the committee, his/her fee will be refunded except the GST amount.
New/Transfer Corporate Membership Registration Form
         
Class of Membership Applied For

[Click here to Check Eligibility Criteria & Fee for Various Grades of Membership] 		:   
         
IETE Membership Number
:
    
(a) In case of New Membership Registration, Leave blank.
(b) In case of Transfer of Membership, write your Membership No. with Category.
Click here to check your Membership No.
         
Name * (in Capital Letters)
(Mr/Ms/Dr/Prof/Rank, First Name, Middle Name, Last Name)
:
    
         
Date of Birth *
(dd-mm-yyyy)		 :    
         
Father's/Mother's Name
:
    
         
Spouse Name
:
         
Mailing Address * (Residence)
with City, State and PIN code
:
   
         
Nation/Country
:
   
         
Mobile Phone N. *
:
   
         
Land Line Phone N.
(with STD code)		 :   
         
E-mail Id *
:
  
     
Qualification (Engg. Academic) in Chronological Order:
(For Corporate Membership Only)		        
Degree (PhD/ Doctorate)

:
 Name of Institution
Year of Passing
  
         
Qualification (Engg. Academic) in Chronological Order :
(For Corporate Membership Only)		   
Post Graduation

:
 Name of Institution
Year of Passing
  
         
Qualification (Engg. Academic) in Chronological Order :
(For Corporate Membership Only)		   
Graduation
:
 Name of Institution
Year of Passing 
  
         

Other Qualification

 :   
         

Total Years of Experience
:

  
     
Details of Organisations where you have worked. Starting from present/latest :
         
1. Org Name, City & State

: Designation & Type of Work
Month/Year (From To) 
  
         
2. Org Name, City & State

: Designation & Type of Work
Month/Year (From To) 
  
         
3. Org Name, City & State

: Designation & Type of Work
Month/Year (From To) 
  
 
PROPOSER'S RECOMMENDATION (Mandatory) :
         
1. Name

Based on personal knowledge of this professional competence, Qualification & Experience , through his work, publication & professional services in public domain. 		: Class & Membership No.

Email

Mobile
  
         
2. Name

Based on personal knowledge of this professional competence, Qualification & Experience , through his work, publication & professional services in public domain. 		: Class & Membership No.

Email

Mobile
         

Exposure in Any Technical Seminar/Research Activity

: Select   
         

Experience in Electronics domain

 : Select   
         

Area of Specialization

 :    
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(Photo, signature, qualification and experience certificates)

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Transaction Id *
(Mandatory) 		:    
         
Transaction Amount *
(Mandatory) 		:    

DECLARATION BY THE APPLICANT (FORM A BYELAW 6) :

I, the undersigned agree that in the event of my election to the membership of any class in the Institution of Electronics and Telecommunication Engineers, I will be governed by the Constitution of the Institution as it now is, or as it may hereafter be altered; and that I will advance the objects of the Institution as far as they shall be in my power. Further, as a member of the Institution, I shall follow professional ethics, maintain integrity in research and publications, uphold the cause and dignity of the Institution endeavour to be objective in my judgement and strive for the enrichment of human values and Provided that, whenever I shall signify in writing to the Secretary General that I am desirous of withdrawing from the Institution, I shall, after the payment of any arrears which may be due from me at the period, be free from this obligation.