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  • Please Add Rs. 500/-Cost of Application Form With Your Admission Fee

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    vishalsidankar
    19 views5 pages
    The document is an application form for admission that requires Rs. 500 to be added for the cost of the application form. It specifies that the applicant's photo must be affixed and attested by a corporate member, government official, or notary. It also includes spaces for applicant information like name, address, and signature to be completed for office use and a student identification card.

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    Admission Form

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    The document is an application form for admission that requires Rs. 500 to be added for the cost of the application form. It specifies that the applicant's photo must be affixed and attested by a corporate member, government official, or notary. It also includes spaces for applicant information like name, address, and signature to be completed for office use and a student identification card.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    19 views5 pages

    Please Add Rs. 500/-Cost of Application Form With Your Admission Fee

    Uploaded by

    vishalsidankar
    The document is an application form for admission that requires Rs. 500 to be added for the cost of the application form. It specifies that the applicant's photo must be affixed and attested by a corporate member, government official, or notary. It also includes spaces for applicant information like name, address, and signature to be completed for office use and a student identification card.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 5

    Please add Rs.

    500/- cost of application form with your admission fee

    To be attested by a Corporate Member of IIIE or a Govt. Gazetted Officer or Notary

    To be completed by the applicant

    ATTESTED BY ME Name

    Affix Passport size Photo here

    Signature Address

    Name

    Signature
    Seal (Complete Reverse side also)

    To be completed by the applicant

    IDENTITY CARD

    Name Full Address

    FOR OFFICE USE Student Membership No.: SDate of Admission: Controller of Examination

    INDIAN INSTITUTION OF INDUSTRIAL ENGINEERING


    National Headquarters ( )
    Sector-15, Plot No.103 CBD Belapur, Navi Mumbai- 400 614. Tel. 022- 2757 9412, 2756 2562 Fax: 022-2757 8526 E-mail ID: iiiestudents@gmail.com www.iiie-india.com

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