INSTITUTION OF ENGINEERS (Mauritius)
STUDENT MEMBER APPLICATION FORM
APPLICANT'S PARTICULARS
Name
Title
Miss
Mrs
Mr
Title
NID Number
Nationality
Please select
Afghan
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Please select
Phone Number
Email
Address
QUALIFICATIONS
Cambridge SC
Name of School
Year of Examination
MM
/
YYYY
Cambridge HSC
Name of School
Year of Examination
MM
/
YYYY
Applicant’s Enrolment in an Undergraduate Degree / Diploma Course in Engineering or Related Subject
Name of University / Institution
Address of University / Institution
Course Title
(e.g BEng. (Hon) Civil Engineering)
Course Duration
Year of Admission
Year of Completion/ Expected Year of Completion
Upload Certificate from University to confirm your present enrolment
Delete all uploads
Choose files or drag here
Please note that a transfer of MUR 200 Annual Membership Fee should be made to our IEM Bank Account to consider your application
(IEM account SBM 62020100000804)
I, hereby confirm that I have already paid the Annual Membership Fee of MUR 200
YES
NO
DECLARATION
I, the Applicant, declare that the information contained herein is correct, and further declare that upon my admission as a Student of the Institution, I shall conduct myself in accordance with the Rules of the Institution.
Date
MM
/
DD
/
YYYY
Verification
Submit
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