BMSCE IEEE Membership Application Form
Please fill out the details carefully to avoid future problems. Provide working contact number, email id and contact address.

Please send SMS to +91-99808-26881 or email to ksamdarshi@ieee.org stating your name to confirm the registration process.

Do not create any IEEE web account at IEEE.org.

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Membership Details
Provide membership details. These details can not be altered for a year, so be careful.
Preferred Username (in capitals only and minimum six characters) *
Desired User ID
Membership Grade (By default IEEE Student membership will be provided) *
Memberships grade required
Membership Applied (By default IEEE & WIE - Women in Engineering membership will be provided)
Memberships required separated by semicolon (;) viz Computer Society, Communication Society etc
Personal Details
Provide your personal details. These details can be altered later.
First Name *
First name. Capatilize first letter of each word
Middle Name/Initials
Middle name or Family Name. Capatilize first letter of each word
Last Name *
Last Name. Capatilize first letter of each word
Date of Birth *
DD-MON-YYYY (MON in three letter short form viz JUN, JAN, APR etc)
Place of Birth *
Native place (Remember this for future usage)
Gender *
Educational Details
Provide your educational details. These details can be altered later.
College/Institution of study *
Name of institution currently studying in.
Branch *
viz Electronics & Communication, Computer Applications etc
Course *
Course viz BE, MCA
Semester *
Current semester
Graduation Year *
Year of completion of current course
Contact Details
Provide your contact details. These details can be altered later but, are of utmost importance and must be working ones.
Address *
Provide door no, street, locality etc.
City/Town *
Place of living
Pin *
Postal index
Email *
Working Email ID (preferably Gmail)
Contact No. (Preferably mobile) *
Mobile/Landline no. (with std code)
BMSCE Student Details
Specific to BMSCE students only
BMS Webmail (Applicable to B.M.S. College of  Enginering Students only)
Working BMS webmail ID (Get it from Datacenter, BMSCE)
BMSCE IEEE Committee (Applicable to B.M.S. College of  Enginering Students only)
BMSCE IEEE student chapter working committee membership
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