The Institution of Engineers (India) Udaipur Local Centre 128, Hiran Magri, Sector 11, Udaipur 313 002 Phone: 0294-2583702 E-mail: insti_of_eng@yahoo.co.in ieiulc@gmail.com IE/ULC/10/262 Dated 15/2/2010 To, All Corporate Members & Graduate Members Udaipur Local Centre It is proposed to publish a new updated directory of the members of THE INSTITUTION OF ENGINEERS (INDIA), Udaipur Local Centre. In this connection following information is required in the prescribed Performa. Kindly fill up the following information with your latest photograph and sent to us latest by 15.3.2010 (Dr. Y.C. Bhatt) Honorary Secretary Member’s Information for Directory of the Institution of Engineers (India), Udaipur Local Centre Name (In Capitals) & Address Photograph (Please write name in back side) Professional Qualification Date of Birth Membership No. F/M/AM/A/G Telephone No. Office: Residence: Mobile: e-mail address Date (O) (R) (M) Signature