BMSCE IEEE REGISTRATION FORM

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***Read the instructions***
This is an online form for registering to BMSCE IEEE. Kindly fill the form if you are willing to join IEEE as a student member. The IEEE membership fee is Rs 2,000/-(inclusive of the IEEE tshirt).

After filling the form, please contact:

Sanjana Kumari (97420 85121) in order to pay the amount.

*The fee may change due to varying Dollar rate.

Full Name *

Write your full name. All CAPS.

Branch *

Program *

Year of Study *

Semester *

Year of Graduation (Expected) *

Email ID *

Phone Number *

Gender *

Address *

Please provide your permanent address with PIN code.

Date of Birth *

dd/mm/yy

YYYY

Place of Birth *

T-Shirt Size *

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