PART-I PERSONAL DETAILS - STOCK EXCHANGE'S CERTIFICATION IN FINANCIAL MARKETS (NCFM) ... Fundamental Analysis, Introduction to Financial Markets , Derivatives

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NATIONAL STOCK EXCHANGE'S CERTIFICATION IN FINANCIAL MARKETS (NCFM)FIRST NAME MIDDLE NAMELAST NAMENAME 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 DetailsFees 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)PANQUALIFICATION DETAILS Below Higher Secondary Higher Sec / Technical Diploma Graduate Post GraduateBELOW HIGHER SECONDARY ONLY Yes NoHIGHER SECONDARY / TECHNICAL DIPLOMAMAJOR SUBJECT GRADUATION DETAILSMAJOR SUBJECTPOST-GRADUATION DETAILSMAJOR SUBJECTOCCUPATIONAL DETAILSOCCUPATION 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 ORGANISATIONCITY 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 DETAILSYR OF PASSING UNIVERSITY / INSTITUTE % / GRADED.D. In favour of "Narsee Monjee College of Commerce & Economics"YR OF PASSING UNIVERSITY / INSTITUTE % / GRADEYR OF PASSING UNIVERSITY / INSTITUTE % / GRADERecentPassport size Colour PhotographPage 2TOTAL 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.PLACEDATE - - 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 DETAILSDD 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 no1Mob no 2 ... PHOTO

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