List of Council Members for the Term 2011 2012

INDIAN INSTITUTE OF CERAMICS Affix Passport C/o. Central Glass & Ceramic Research Institute size Kolkata – 700 032 Photograph APPLICATION FORM FOR ASSOCIATE MEMBERSHIP EXAMINATION (For NEW SYLLABUS)

1. Full Name : ……………………………………………………………. (Block letters, Surname first)

2. Address : ……………………………………………………………………………..

……………………………………………………………………………..

…………………………………………………………………………….. 3. Father’s Name …………………………………………………………………………. 4. Mother’s Name ………………………………………………………………………… 5. Registration No. ……………………………….. Roll No. ………………………… Subject o Examination (Please write subject code only) Part – I Part – II Part – II Part – II (Papers) Section – A Section – B (Glass) Section – B (Ceramic) Subject Code (Papers) (Papers) (Papers) GE1 – 1001A (M) Subject Code Subject Code Subject Code – 1001B (E) CSI – 1009 PPTG – 1014 PPEC – 1021 GE2 – 1002 CSII – 1010 GEP – 1015 ACM – 1022 FFE – 1003 EM – 1011 SG – 1016 WHC – 1023 CRM – 1004 BTCCM – 1012 ECWHC – 1017 RFT – 1024 EMTH – 1005 DCCRML – 1013 ECRFT – 1018 GST – 1025 ECT-I – 1006 GTEP – 1019 WHCP – 1026 IEM – 1007 VIVA – 1020 RFTP – 1027 ENACS – 1008 VIVA – 1020

Amount Remitted : Rs. ………………………. (Rupees ……………………………………...... )

in by Bank Draft No. ……………………………………… dated ………………………….

I declare that all the particulars stated above are true to the best of my knowledge and belief. I shall abide by the decision of the Council in all matters regarding Associate Membership Examination.

………………………………… Place :…………………………………… (Signature of the applicant) Date : ……………………………. Phone No. :

( 2 ) Associate Membership Examination

Subjects of Examination (Please write Subject Code only)

Subject o Examination (Please write subject code only) Part – I Part – II Part – II Part – II (Papers) Section – A Section – B (Glass) Section – B (Ceramic) Subject Code (Papers) (Papers) (Papers) GE1 – 1001A (M) Subject Code Subject Code Subject Code – 1001B (E) CSI – 1009 PPTG – 1014 PPEC – 1021 GE2 – 1002 CSII – 1010 GEP – 1015 ACM – 1022 FFE – 1003 EM – 1011 SG – 1016 WHC – 1023 CRM – 1004 BTCCM –1012 ECWHC – 1017 RFT – 1024 EMTH – 1005 DCCRML – 1013 ECRFT – 1018 GST – 1025 ECT-I – 1006 GTEP – 1019 WHCP – 1026 IEM – 1007 VIVA – 1020 RFTP – 1027 ENACS – 1008 VIVA – 1020

This card must be shown to the officer supervising the examination. A candidate without the valid admit card shall be debarred from taking the examination

Violation of any instruction and adoption of any unfair means in the Examination Hall shall render a candidate liable for cancellation of his / her script and forfeiture of his / her claim for admission. Decision of the local Officer-in-Charge of Examination Centre shall be final. INDIAN INSTITUTE OF CERAMICS C/o. Central Glass & Ceramic Research Institute Kolkata – 700 032

ASSOCIATE MEMBERSHIP EXAMINATION, 20………….. ADMIT CARD

Affix Passport size Photograph duly attested by a responsible Person

Signature of Applicant ………………………………………………………………………

Full Name : …………………………………………………………………………………………………. (Block letters, Surname first)

Address : …………………………………………………………………………………….

…………………………………………………………………………………….

Registration No. : ……………………………………………………………………………….

Roll No. …………………………………………………………………………………….

Please (√ ) any one of the following Examination Centre

(Kolkata / Chennai / Khurja / Bangalore)

Convener of Examination Hony Secretary