IEI

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Application Form for Student Membership (SMIE)

1.1 Personal Information

Applicant Name:* Name field can't be blank.

Mobile* The valid Mobile is required.

Email* The valid email is required.

Date of Birth: (DD/MM/YYYY) * The DOB is required.

Aadhar No: * The valid AadharNo is required.

Gender*

Nationality: * This field is required.

Select a Country *

Address*

This field is required.

The valid pin is required.

1.2 Educational Qualification

Course Approved By *

College Name *

Degree Course *

Branch *

Course duration: Form (Year)*

To (Year)* This is a mandatory field.

Semester *

College Address *

PIN * This is a mandatory field.

1.3 Bank Details

Bank Name * This is a mandatory field.

Branch Name* This is a mandatory field.

Account Holder Name* This is a mandatory field.

Account No* This is a mandatory field.

IFSC Code* This is a mandatory field.

1.4 I came to know about IEI Membership from :

I came to know about IEI Membership from:*

IEI WEBSITE

SOCIAL MEDIA

IEI PROMOTIONAL CORRESPONDENCE

EXISTING MEMBER OF IEI

IEI CENTRE:

Other:

1.5 Upload Section

Upload Section

#	Document Type	Instructions	File Configuration	File
[A] Upload Images
1.	*Photograph.	Upload your recent passport size photo.	Format: .jpg / .jpeg Minimum Resolution: 240 x 320 pixels Maximum Resolution: 480 x 640 pixels
2.	*Signature.	Upload your Specimen Signature.	Format: .jpg / .jpeg Signature Format: In black colour with white background Minimum Resolution: 80 x 280 pixels Maximum Resolution: 160 x 560 pixels
[B] Upload supporting documents for personal Information
3.	*ID Proof	Id-Cards Issued by College	Format: *.pdf Document Size:should not excedes 1Mb	View File... No file selected
4.	*Cancel Cheque	Cancel Cheque	Format: *.pdf Document Size:should not excedes 1Mb	View File... No file selected

Your Membership Application is under process.

Congratulation! Your Membership Number : {{applicationData.MEMBCODE}}

Application Ref No. {{appRecslno}}

Membership Application Form

1.1 Personal Information

1.2 Educational Qualification

1.3 Bank Details

1.4 I came to know about IEI Membership from :

1.5 Upload Section

Upload Section

[A] Upload Images

[B] Upload supporting documents for personal Information

Examination Results