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Last Date for Enrolment for June exam is 28 February and for December examis 31 August. Please submit your applicaton preferably 15 days before thesedates. Form IETE-4

THE INSTITUTION OF ELECTRONICS AND TELECOMMUNICATION ENGINEERS2, Institutional Area, Lodi Road, New Delhi-110 003.

Signature of the Candidate

To, A BThe Secretary General, IETE2, Institutional Area,Lodi Road,

New Delhi 110 003

Sir,

Size of photograph3.5x3.5cm exact.

*Paste with in the boxABCD. * To be attes-ted by the GazettedOfficer/Corporate

Member D C

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I wish to enroll myself as a Student Member of DIPIETE .. ...Please specify and fill up the course opted by you out of the following

Electronics & Telecommunication Engineering (ET) Computer Science & Engineering (CS)

Name................................................................................................................................................................... ..............(In Capitals)(Name should be as given in the High School Certificate)

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7.

Date of Birth .. . ..

Postal Address .. . ..(In Capitals ) .. .

.

State .. . Pin...............................

Phone No (O)........................(R).......................... .....

4. Fathers/Husbands Name ........ ..... .......

6. Permanent Address .. .......(In Capitals )

.........................................

................................................................................................

................................................................................................

State ... Pin.............................................

Fax.........................E-Mail......................................................

8. Educational Qualifications (Attach attested copies of certificates of Age/Qualifications/Training/Study etc.)

Examination Passed

Class 10 with General Science(Math, Physics and Chemistry)

10+2 / Intermediate

Subjects Board/University Year of Initial of Passing Proposer (s)

1.2.3.

AcceptedWithheld/Rejected with reasonRemarks

Student Member (D) ET/CS

FOR OFFICE USE ONLY

Mem No

Signature

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I enclose herewith Bank Draft No . Dated . for Rs.5000/-Drawn on .............................................. in favour of IETE, New Delhi. (Please see instruction No.10of Instructions to applicants )

If you are using downloaded form, Please send aPhotograph (3.5x3.5 cms) and Separate Bank Drafts inthe name of IETE Delhi.* Rs 250/- - Cost of Regulaties, Detailed Syllabus and Postage* Rs 5000/- - Enrollment Fee

Certificate Practical Experience/Training/Study to be filled in by the Head of Dept/Institution/Organization

(See Byelaw 17 Refer para 2, on page 4, of Regulations of DIPIETE Examination)I/We certify that ............................... has been studying/working/engaged.........................................................................................................(Write the field of his working/study)since......................

Seal of Dept/Org. Signature & Date

Name ..

Designation .

*PROPOSERS RECOMMENDATION (TO BE FILLED BY A CORPORATE MEMBER OF IETE ONLY) Hav -ing satisfied myself in respect of the applicants qualification and experience, I recommend him/her to the

Council as being in every way a fit and proper person to be admitted as a STUDENT MEMBER of theInstitution, in accordance with Byelaw 17.

Mem.No ..

Signature & Date Name of the Proposer

DECLARATION BY THE CANDIDATE

I declare that the information given in this form is accurate to the best of my knowledge. Obligationduly signed is given on the Card is enclosed.

Name of the candidate............................................

Signature of the Candidate

Date............................IMPORTANT

1. The Institution of Electronics and Telecommunication Engineers (IETE) neither recognises nor acceptsaffiliations of any coaching institute/college.

2. Membership form IETE- 4 forms part of the Regulation & Syllabi of DIPIETE Examination.

3. *In case candidate is finding difficulty in getting his application proposed, he may send his application toHQ , IETE Directly for necessary assistance.

4. Student members are advised toensure that they donot accept the membership form (IETE-4) with out thecopy of the Regulation and Syllabi of DIPIETE Examination.

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INSTRUCTIONS TO APPLICANTS (To be retained by the student)(To be read in conjunction with Regulations & Syllabi for DIPIETE Examination)

There are two streams available to a candidate for enrolment viz. Electronics &Telecommunication Engineering, and Computer Science & Engineering Applicant is required to write hisenrolment option in Column 1.

2. Applicants are advised to submit their forms duly filled in direct to the IETE HQ. IETE neither recognises nor accepts affiliation of any private coaching institution. Col 10 if filled and certified

by these institutions will not be accepted. Incomplete application form will be rejected.

3. One shall be allowed to appear in the DIPIETE Examination only after onesenrolementas a Student member with the Institution. Only those Student members who get enrolled on or

before 28 February and 31August will be allowed to appear in the next DIPIETE Examination,held in June and December respectively. Processing of application takesminimum 15 days,therefore to get enrolled, the application completed in all respect must reach IETE HQ well

before 14 February for June examination and 14 August for December Examination.Time periodfor LAB practice examination is counted from the date of enrollment, therefore, students areadvised not to wait for last dates but get enrolled as early as possible.

4. Candidates are advised to submit all documents such as Membership Form, Identity Card, IETEMembership Card, self addressed envelope duly filled in, Qualification Certificates, Mark Sheet, Date of Birth Certificate and Experience Certificate (attested copies arerequired to be submitted ) alongwith, thedeclaration on the reverse of the Membership Card duly signed by the candidate to IETE HQ only.

5. Membership No. will be allotted by IETE HQ Office. Candidates are advised to leave these columns blank. Membership No will be mentioned while corresponding with IETE HQ.

6. Candidates are advised to paste their stamp size photograph and fill in other columns of the IdentityCard and IETE Membership Card. The photographs pasted (not stapled) on the applicationand MembershipCard should be attested by either a Corporate member of the Institution or a Gazetted Officer, with hismembership No./ Stamp affixed on it. They must write their complete address with Pin Code No.

7. Membership number, Identity card, receipt of amount paid and examination form will be sent to the

applicant within 8-10 weeks of receipt of the application in IETE HQ.

8. FEE FOR ENROLMENT

Admission FeeApplication FeeBuilding-cum-Library FeeComposite Subscription (for 5 years)Lab Infrastructure FeeDevelopment Fee

Members in India(Rs)

20 0.0020 0.00

1300.0018 00.00

5 00.005 00.00

5 00.00 100.00

Members Abroad(US $)

4 0.004 0.00

26 0.00360 .0010 0.0010 0.00

Establishment Fee

Total 5000.00 1000.00

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Once the candidate is enrolled, the enrolment fee will not be refunded under any circumstances.

All remittances shall be made by crossed Bank Draft, drawn in favour of Secretary General,IETE, New Delhi.MONEY ORDER, CHEQUES, IPO or CASH WILL NOT BE ACCEPTED.

11. Any change in the mailing address should be notified immediately. This will help the Office to keepits database up-to-date, and mail important Circulars/Notices/Letters and Journals of Education at thecorrespondence address.

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The IETE neither recognises nor accepts affiliations of any private coaching institution.

The student membership will be valid for 10 consecutive examinations from the date of enrollment.Thereafter, the student members not completing their DIPIETE Examination are to seek re-enrollment byremitting applicable amount before or immediately after the expiry of the membership period to continuetheir membership to enable them to appear in the remaining papers and completeDIPIETE. Any examination

chance not availed by a student due to whatsoever reason will be counted within 10 examinations. No Notice for renewal of membership will be sent.

14. A student is required to complete DIPIETE Examination within 2 enrollment periods from the dateof initial enrollment. The student will, therefore, be permitted to seek only one renewal of membership.Renewal is to be applied for before or immediately after the expiry of initial enrollment with continuity of

enrollment maintained by the student. Missed chances will be counted towards total number of examinations and no relaxation in this regard will be permissible. If the request for renewal is made after thestipulated period of two enrollments, admission will be treated as a fresh enrollment and no benefit interms of exemptions in respect of subject(s) passed or exempted during the earlier enrolment will begranted. Students must renew their membership in time. Otherwise they will not be allowed to appear inthe DIPIETE examination.

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All Legal cases concerning IETE HQ shall lie within jurisdiction of Delhicourts only.

Every Student member successfully completing Sections A&B subjects and project work of

DIPIETE Examination as per regulations prescribed by the Council from time to time shall be awarded acertificate of having passed the DIPIETE examination of the Institution. The student is required to payconversion fee as applicable. The pass marks for DIPIETE Examination is 40% in individual subject(except Project & Lab Practice) with an aggregate of 50% marks with other conditions/norms as laiddown by the Institution. Pass marks for Project & Lab Practice Examination are 50%.

17. First examination application form as per the stream opted by the student will be dispatchedto him/her along with the identity card at the time of enrolment.