User Form
NCFM : Registration
Personal Information
* Title
* First Name
 Middle Name
 * Last Name
* Date of Birth
* Gender
  PAN Number
(Without furnishing your PAN details, certificate for NISM modules will not be issued. Other modules do not require PAN number.)
  Confirm PAN Number
* Name to be Printed on Certificate
* User Id
* Password
(Password must be atleast 8 characters & must contain atleast one number and one special character.)
* Confirm Password
   
Address and Contact Details (for dispatch of study material and certificate on completion of test)
* Address Line1
   Address Line2
   Address Line3
* City
* State
* Country
* Pin code
  Tel. Residence (Pls do not preffix '0'(Zero) or '+' in STD and Country Code)
- -
ISD Code    STD Code        Phone No.
  Tel Office - -
ISD Code    STD Code        Phone No.
  Mobile Phone -
ISD Code    Phone No.
(Atleast One Contact Number is Mandatory)
* Email ID (All further communication will be sent to this ID)
* Confirm Email ID
Qualification details :
 *Educational Qualification.
Below Higher Secondary Only Yes No
Higher Secondary/Technical Diploma
* Major Subject
* Institute/University
* Year Of Passing
* Percentage/Grade
Graduation (Use Add/Remove to enter more than one qualification)
Major Subject
Institute/University
Year Of Passing
Percentage/Grade
Post-Graduation (Use Add/Remove to enter more than one qualification)
Major Subject
Institute/University
Year Of Passing
Percentage/Grade
* Occupation
Employment details(Kindly provide the current employment details)
* Employed Yes No
* Name Of The Organization
* Designation
* From Date
* Address Line1
   Address Line2
   Address Line3
* City
* State
* Country
* Pin code
   Phone no. (Pls do not preffix '0'(Zero) or '+' in STD and Country Code)
- -
ISD Code    STD Code        Phone No.
   Fax no. (Pls do not preffix '0'(Zero) or '+' in STD and Country Code)
- -
ISD Code    STD Code        Phone No.
 Company Details (Please enter employer's SEBI registration no.,if applicable)

Registration number         Category
* As the last step to register with NCFM, please enter these characters as it is shown.