Sub. paid upto.....................................

Tel. : 26863069
26512469

Sl. No. ...................

(Application for appearing in the Professional Examination)

THE INSTITUTION OF SURVEYORS

SARVEKSHAN JYOTI
B-15/7, Qutab Institutional Ares,
New Mehrauli Road, New Delhi-110016

Passport Size
photograph
to be affixed

Prefessional Examination April/September 200 .................

DIRECT FINAL EXAMINATION

Note : Last Date for submission of application without Late Fee
1) April Examination ................................. 10th February
2) September Examination ....................... 10 July

with late fee of Rs. 300/20th February

20th July

1.

Name of Applicant (Block Letters)

: ........................................................................................................

2.

Studentship No.

: ........................................................................................................

3.

Address for Correspondence

: ........................................................................................................
........................................................................................................
........................................................................................................

4.

Telephone No.

Office .............................
Resi. ..............................
Mobile ............................

5.
6.

Date of Birth
: ........................................................................................................
Details of Examination and Group(s) Subject(s) in which the applicant intends to appear :
Sub-Division
Group(s) / Subject(s)
Remarks
(also see Sl. No. 7)
...................................................................................................................................................................................
...................................................................................................................................................................................
...................................................................................................................................................................................

7.

Centre at which the applicant intends to appear out of the following

April Examination :
Bangalore, Chandigarh, Chennai, Delhi
Hyderabad, Kolkata, Lucknow, Mumbai, Pure
September Examination :
Bangalore, Chandigarh, Chennai, Delhi, Hyderabad, Jabalpur
Kolkata, Lucknow, Mumbai, Pune, Shillong, Vallabh Vidya Nagar

Date : .............................
Note : 1.
Attestation shall be got done from a Gazetted Officer.
Receipt No. .........................
Rs. ...................
Exam. Fee

Rs. ...................

Mark Sheet

Rs. ...................

Postage

Rs. ...................

Exam. Form Rs. ...................

Sub for

Rs. ...................

Late Fee

Rs. ...................

Total

Rs. ...................

I Preference ...................................
II Preference ..................................
I Preference ...................................
II Preference ..................................
Signature of applicant ...................................

2
(Applicable to Sub-Division I a, I b, II and III)
8.

* I Certify that I appeared in the Direct Final Examination (Sub-Division ......................) in the subjects as listed
below and was declared as passed in the subjects as indicated.
Year of
appearing

Roll No.

Subject(s)
appeared

Subjects(s)
passed

I therefore intend to appear in the subjects detailed in Serial No. 6 above.

(Applicable to Sub-Division III only)
9.

* I certify that I have passed the Final/Direct Final Examination in Sub-Division in the year .................. my Roll No.
being .................... and therefore I request that I may be exempted from appearing for the undermentioned subject.
...................................................................................................................................................................................
...................................................................................................................................................................................
...................................................................................................................................................................................
* Delete as not applicable

10.

* I enclose herewith the following :

(a) Examination fee Rs. .....................................
Vide Bank Draft No. ........................................................................................................ Date .................................
drawn on ......................................................................................................................................................... (Bank)
...................................................................................................................................................................................

Note : All payments are to be made in faovur of The Institution of Surveyors by Bank Draft payable at Delhi. Cheques &
Postal orders will not be accepted.
(b) Certified true copies of Certificates listed below :
(i)
(ii)
(iii)

Date : .......................................
Note : (1)
(2)
(3)
(4)
(5)

.....................................................
(Signature of Applicant)

Examination fee plus Mark Sheet cost as notified.

Examination fee once paid is neither refundable nor transferable to a subsequent Examination or to any
other account.
Examination fee is to be remitted by Bank Drafts only in favour of Institution of Surveyors.
To become eligible to appear in the Examination, candidate has to pay arrears to annual subsciption including
for the current year.
For eligibility, the candidates should refer to the syllabus.