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Membership form

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Enrolment form for Membership
From   Place
The Hon General Secretary
Institution of Permanent Way Engineers,(India)
G-11, Railway Board Office,Rail Bhawan
Raisina Road, New Delhi - 110001
Dear Sir,
               I have gone through the rules of the Institution of Permanent Way Engineers; (India) and am desirous of joining the Instituition as :
(i) Life Fellow
(ii) Life Member
(iii) Life Associate Member
Details of my academic qualifications and other personal data are given below :
1. Name in full
2. Date of birth and age and address
3. Present Occupation and address
4. Permanent address Academic
qualifications experience in terms of
qualifications stipulated in the rules
(State period of each type of experience)
  Special interest
An amout of Rs. by money order / cash / draft . Representing life time subsription has been remitted to you.