Member Update Form - The Institution of Engineers (India)

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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
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