NATIONAL STOCK EXCHANGE'S CERTIFICATION IN FINANCIAL MARKETS (NCFM)
FIRST NAME MIDDLE NAME
LAST NAME
NAME TO BE PRINTED ON CERTIFICATE
(WILL BE PRINTED SAME AS 'FIRST NAME MIDDLE NAME LAST NAME')
DATE OF BIRTH (DD-MMM-YYYY) MALE/FEMALE
- -
Fees Details
Fees Rs. 20060/- (17000 + G.S.T. 18%)
(Candidates Signature- Sign inside the box)
CITY PINCODE (Mandatory) RESIDENCE/MOBILE NO: (WITH STD CODE)
OFFICE NUMBER (WITH STD CODE) E MAIL - (MANDATORY)
PAN
QUALIFICATION DETAILS Below Higher Secondary Higher Sec / Technical Diploma Graduate Post Graduate
BELOW HIGHER SECONDARY ONLY Yes No
HIGHER SECONDARY / TECHNICAL DIPLOMAMAJOR SUBJECT
GRADUATION DETAILS
MAJOR SUBJECT
POST-GRADUATION DETAILS
MAJOR SUBJECT
OCCUPATIONAL DETAILS
OCCUPATION Student Self Employed Service Others ____________________(pls specify)
IF EMPLOYED, KINDLY PROVIDE CURRENT EMPLOYMENT DETAILS:
NAME OF THE ORGANISATION
DESIGNATION FROM DATE (DD-MMM-YYYY)
- - -
ADDRESS OF THE ORGANISATION
CITY PINCODE TELEPHONE NO. (WITH STD CODE)
FAX NO. (WITH STD CODE)
REGISTRATION FORM
(Please read instructions carefully before filling up the form)
PART-I PERSONAL DETAILS
YR OF PASSING UNIVERSITY / INSTITUTE % / GRADE
D.D. In favour of "Narsee Monjee College of Commerce &
Economics"
YR OF PASSING UNIVERSITY / INSTITUTE % / GRADE
YR OF PASSING UNIVERSITY / INSTITUTE % / GRADE
RecentPassport size
Colour Photograph
Page 2
TOTAL DD AMOUNT
- -ISSUING BANK (NAME AND BRANCH)
I certify that the above information provided by me is true and correct to the best of my knowledge, information and belief.
PLACE
DATE - - 2 0
(CANDIDATE'S SIGNATURE)
NATIONAL STOCK EXCHANGE'S CERTIFICATION IN FINANCIAL MARKETS (NCFM)
(Please read instructions carefully before filling up the form)
PART-III PAYMENT DETAILS
DD NUMBER 1 DD NUMBER 2 DD NUMBER 3 DD DATE ( DD-MM-YY)
NSE (NCCMP)
Student Name :- …………………………………………………… Reg. No. :-……………………………………………………………... Batch :- ……………………… Exam Year………………………. Date of birth :-……………………………………………………... Batch Start date :- ………………………………………………... Batch End Date :- ………………………………………………… OFFICE STAMP
Matereal Issued :- Macro Economics, Technical Analysis, Fundamental Analysis,
Introduction to Financial Markets, Derivatives
Group:-……………………………………………………………….... Mob no1……………………………Mob no 2 ……………………………...
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