The Institution of Electronics and Telecommunication Engineers 2, Institutional area, Lodhi Road, New Delhi-110 003.

EXEMPTION APPLICATION FORM

Dear Sir/Madam,

1. I, student membership NoName..of stream.request you to grant me exemption based on my qualification in the following subject.

Sub Code

Subject

Qualification based on which exemption asked for

(a) (b) (c) (d) (For more subjects, use photo copy of this from) 2. A DD No ________dated __________of Rs _________ drawn on ______________ ____________________________ is enclosed herewith as exemption fee. 3. I am enclosing following documents (Photo-copies duly attested) (a) (b) (c) (d) 4. 5. 6. Final/Provisional certificate. Marksheets of all semesters. Copy of the syllabus of the course. Any other document.

Email address :_________________________________ Phone No ______________________

Mobile No. _______________

(Signature of Student) Note : 1. Fee for exemption for AMIETE is Rs 500/- where as for DipIETE, it is Rs 400/2. This application is not to be clubbed with exam form.