12.07.2015 Views

DETAILS AND BROCHURE OF MAIN AWARDS - IETE

DETAILS AND BROCHURE OF MAIN AWARDS - IETE

DETAILS AND BROCHURE OF MAIN AWARDS - IETE

SHOW MORE
SHOW LESS

You also want an ePaper? Increase the reach of your titles

YUMPU automatically turns print PDFs into web optimized ePapers that Google loves.

THE INSTITUTION <strong>OF</strong> ELECTRONICS <strong>AND</strong> TELECOMMUNICATION ENGINEERS2, INSTITUTIONAL AREA, LODI ROAD, NEW DELHI 110003NOMINATION FORM FOR <strong>IETE</strong> <strong>AWARDS</strong>Name of the Award:1. NAME <strong>OF</strong> THE NOMINEE (as it appears in official records) ____________________________________Present occupation (Position, organisation)________________________________________________Office Address (including fax and e-mail)________________________________________________________________________________________________________________________________________Residential Address ___________________________________________________________________Phone No. (O) _______________________ (R) __________________Mobile No __________________Fax No. ___________________e-mail ______________________________Age and Date of Birth _________________________________________________________________2. (a) EducationDegree Year University / Institution(b) Membership of Professional Society (ies) with category of membership.(i)(ii)(iii)3. PROPOSED CITATION (not more than 50 words highlighting the nominee’s significant contributions).4. PR<strong>OF</strong>ESSIONAL EXPERIENCE <strong>OF</strong> NOMINEE (Present position first; please limit to the space, attachannexure, if required).

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!