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8, Gokhale Road, Kolkata 700 020 EXAMINATION APPLICATION FORM SUMMER / WINTER 20..........
Name and Address of the Candidate Grade
PG
I shall abide by the Rules of the Institution Examinations as in vogue. Incomplete or illegible application shall be rejected. 1. 2. I wish to appear in Part I / Part II A of the Postgraduate Diploma Programme.
Code nos. of subjects in which I desire to appear (as per the revised scheme and syllabus effective from Summer 2010 Examination) are given below:
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4. 5.
Enclosed please find a Bank Draft No. ............................................ dated ......................... for Rs. ....................... on .......................................................................... (Bank) in favour of The Institution of Engineers (India), payable at Kolkata. I also enclose a self-addressed stamped envelope with a request to acknowledge the receipt of the Examination Form and the Demand Draft by the Secretariat. .............................................................................................................................................................................................................
P I
Second Choice
Received the Examination Form with a Demand Draft of Rs ............................ for Summer / Winter 20 ............. Examination (A / AM / M / F ......................................................... ) and Registration No. ............................................
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10. Violation of any of the rules of examinations, as stated above, shall make an examinee liable for penal measures and punishment as may be decided by the Council of the Institution. 11. Notwithstanding the issue of Admission Card, the Institution shall have the right, for any reason which may appear sufficient, to cancel the admission of any examinee whether before, during or after the examination. 12. The District Court at Alipore, 24-Parganas (South) shall have the exclusive jurisdiction in matters arising out of conduct of Institution Examinations and / or penal measures or any decision of the Council of the Institution giving or conferring punishment to any examinee.
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