NATIONAL STOCK EXCHANGE'S CERTIFICATION IN FINANCIAL MARKETS (NCFM)

REGISTRATION FORM
(Please read instructions on page 2 carefully before filling up the form)
FIRST NAME MIDDLE NAME

SURNAME

PART-I (In case you are already registered, please ignore Part I and fill-up Part II and III)
NAME TO BE PRINTED ON CERTIFICATE

Recent
Passport size
Colour Photograph
DATE OF BIRTH (DD-MMM-YYYY) MALE/FEMALE
- -
ADDRESS
FLAT NO/ H.NAME & NO.
STREET NAME :
VILLAGE/AREA/DISTRICT :
LANDMARK :
STATE : ________________________________________________________ (Candidates Signature- Sign inside the box)
CITY PINCODE RESIDENCE/MOBILE NO: (WITH STD CODE)

OFFICE NUMBER (WITH STD CODE) E MAIL - (MANDATORY)

QUALIFICATIONS
PROFILE
COURSE YR OF PASSING UNIVERSITY / INSTITUTE % / GRADE

PART-II TEST DETAILS

NCFM-_____________________________ (specify registration number, if already registered under NCFM.)

MODULE NAME (Select the desired Module) For Office Use only

Financial Markets: A Beginners' Module Commodities Market Module Hand Del/ Courier
Securities Market (Basic) Module AMFI-Mutual Fund (Basic) Module Mails of the Day
Capital Market (Dealers) Module AMFI-Mutual Fund (Advisors) Module Chkd/Reg./Scanned
Derivatives Market (Dealers) Module in: Surveillance in Stock Exchanges Module Enrollment/DD Entry
English language Corporate Governance Module SM Issued/SM Sent
Gujarati language Compliance Officers (Brokers) Module
Hindi language Compliance Officers (Corporates) Module
FIMMDA-NSE Debt Market (Basic) Module Information Security Auditors Module (Part-I)
NSDL- Depository Operations Module Information Security Auditors Module (Part-II)

Note: Test in Derivatives Market (Dealers) Module is available in English, Gujarati and Hindi languages.
Please tick the appropriate language.

TEST SCHEDULE
TEST CENTRE TEST DATE TEST TIME
- - :
D D M M M Y Y Y Y H H M M
Once the test details has been specified by the candidate, the test cannot be rescheduled
Fees once paid shall not be refunded.

PART-III PAYMENT DETAILS

DD NUMBER 1 DD NUMBER 2 DD NUMBER 3 DD DATE ( DD-MM-YY) 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 0
(CANDIDATE'S SIGNATURE)
 INSTRUCTIONS FOR FILLING-UP REGISTRATION FORM
Please fill in all details in the entire form only in BLOCK LETTERS. Write only one alphabet in each square provided. Leave one square blank between
1 words. Please fill in the First Name, Middle Name, Last Name and Date of Birth mandatorily. Fill in your DATE OF BIRTH in the following format :- DD-
MMM-YYYY (e.g. 23 MAR 1974)
You are required to paste a recent colour passport size photograph in the space provided. Do not staple the photograph. Do not sign across the
2
photograph. Sign in the block provided for signature.
3 Please mention full contact details with city, pincode & state. Please specify your telephone no./mobile no. and email.
All fees to be paid by Demand Draft in favour of 'NATIONAL STOCK EXCHANGE OF INDIA LIMITED'. Please enter the details of your mode of payment
4 in the space provided. Also keep a photocopy of the demand draft with you, before you send it to NSE. Please write the name of the candidate on the
reverse of the demand draft.
5 Fees Table :-
Enrollment Fees : (see Module table given in point 7) Please note that test fees once paid are non-refundable.
Score card: Scorecard is issued on the spot to the candidate after the completion of test. This service is free of charge. For subsequent requests for
scorecard a demand draft of Rs.50/- is payable.
6 On-line registration is also possible on www.nseindia.com. Please visit the website for complete details.
7 Please tick the box of the module you wish to appear. The details of NCFM modules are as follows.
Pass Certificate
Sr. Duration No. of Max
NAME OF MODULE Marks Validity (in Enrollment Fees
No. (in mins) Questions Marks
(%) years)
1 Financial Markets: A Beginners' Module 60 50 100 50 5 500
2 Securities Market (Basic) Module 105 60 100 60 5 1000
3 Capital Market (Dealers) Module 105 60 100 50 5 1000
4 Derivative Market (Dealers) Module* 120 60 100 60 3 1000
5 FIMMDA-NSE Debt Market (Basic) Module 120 60 100 60 5 1000
6 NSDL - Depository Operations Module 75 60 100 60# 5 1000
7 Commodities Market Module 120 60 100 50 3 1200
8 AMFI-Mutual Funds (Basic) Module 90 62 100 50 No limit 1000
9 AMFI-Mutual Funds (Advisors) Module 120 72 100 50 5 1000
10 Surveillance in Stock Exchanges Module 120 50 100 60 5 1000
11 Corporate Governance Module 90 100 100 60 5 1000
12 Compliance Officers (Brokers) Module 120 60 100 60 5 1000
13 Compliance Officers (Corporates) Module 120 60 100 60 5 1000
Information Security Auditors Module (Part-I) 120 90 100 60 1500
14 2
Information Security Auditors Module (Part-II) 120 90 100 60 1500
* Candidates have the option to take the test in English, Gujarati and Hindi language. The workbook for the module is available in ENGLISH ONLY.
# Candidates securing 80% or more marks in NSDL-Depository Operations Module ONLY will be certified as ‘Trainers’.
In the space provided for TEST DETAILS (Part-II), Please mention Test Center. Test date and time may be submitted as per your choice and as per the
availability at each test center. Test date can be informed by e-mail. Please refer the format given on the website under off-line registration procedure.
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In case of non-NSE centres the test date and time will be allotted by the Exchange depending on the availability at that particular non-NSE centre. The
list of the candidates who have been enrolled will be displayed on the site.

The study material of all modules (except for AMFI-Mutual Fund, Corporate Governance & Compliance Officers Modules) will be sent to you by courier
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in case of test request sent to the Exchange by courier. Please mark your envelopes as 'To NCFM Department'.

Forms can be sent by courier / post to any of the NSEIL offices. Form submission by hand delivery and collection of study material at all NSEIL offices
(except Mumbai, Delhi and Chennai) is on Mon-Fri between 10:00 am to 5:00 pm only. (In case of Ahmedabad it is between 10:00 am to 4:00 pm). In
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case of Mumbai office, the duly filled up form with requisite payment can also be put in a drop-box kept at the main entrance at the Bandra-Kurla office
on any day during the aforesaid timings.

NCDEX distributes the training material of Commodities Market Module free of cost only to their active members and to others at a cost of Rs. 500/- plus
11 courier charges. Kindly contact NCDEX, Exchange Plaza, Bandra Kurla Complex, Bandra East, Mumbai - 400051 office for this training material. #022-
56406789
Study Material for the AMFI modules is available for sale at AMFI's office at Association of Mutual Funds in India, 709, Raheja Center, Free Press
12
Journal Marg, Nariman Point, Mumbai - 400021. #022-66101886 / 7, 22876338 / 9

Study Material for the Corporate Governance module is available for sale at ICSI offices at: A) ICSI-Centre for Corporate Research & Training, Plot No.
101, Sector 15, Institutional Area, CBD Belapur, Navi Mumbai-400614 #022-27577814 - 16 Extn. 406, email: ccrt@icsi.edu, ccrt@vsnl.com B) Western
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Indian Regional Council (WIRC) of the ICSI, 13 Jolly Makers Chambers -II, First Floor, Nariman Point, Mumbai 400021, #022-22047569, Contact Person:
Mr. Mani, email: wiro@icsi.edu
In case of Compliance Officers Modules, candidates are required to refer to the relevant books, circulars, manuals etc., as per the given curriculum, on
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their own. No study material will be provided for the Compliance Officers Modules.
Please note that the NCFM tests are conducted at NSEIL's offices from Monday to Friday only(At Mumbai-on Sat also). Also once enrolled, tests cannot
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be rescheduled / postponed. The details of test centres and timings are given below:
Name of Test Centre Time Slots (in hours)
National Stock Exchange of India Ltd., NCFM Test Centre-Mumbai United India Building, 2nd
9:30 to 11:30 to
1 Floor, Near Kashmir Emporium, Sir Phirozeshah Mehta Road, Fort, Mumbai-400001. E-mail : 13:30 to 15:30 15:30 to 17:30
11:30 13:30
ncfm@nse.co.in
National Stock Exchange of India Ltd., 4th Floor, Jeevan Vihar Building, Parliament Street,
9:45 to 11:45 to
2 New Delhi - 110001 Tel.: (011) 23344313-27 Fax: (011) 23366658 e-mail: 13:45 to 15:45 15:45 to 17:45
11:45 13:45
ncfm_delhi@nse.co.in
National Stock Exchange of India Ltd., 1st Floor, Park View Apartments,
9:40 to 11:40 to
3 99, Rash Behari Avenue, Kolkata – 700029. Tel. (033) 24631802-1805, 1809-1812 (Board 13:40 to 15:40 15:40 to 17:40
11:40 13:40
Nos); Fax. (033) 24631791/1806; e-mail: ncfm_kolkata@nse.co.in
National Stock Exchange of India Ltd., 2nd Floor, Ispahani Centre, Door No. 123-124,
9:35 to 11:35 to
4 Nungambakkam High Road, Nungambakkam, Chennai - 6000034 Tel.: (044) 28332511; Fax : 13:35 to 15:35 15:35 to 17:35
11:35 13:35
(044) 28332521 ; e-mail: ncfm_chennai@nse.co.in
National Stock Exchange of India Ltd., H No.3-6-322, Mahavir House, IInd Floor, Chamber
9:30 to 11:30 to
5 no.203 & 204, Basheerbagh, Hyderabad - 500029. Tel : (040) 23227084/5 Fax : (040) 13:30 to 15:30 15:30 to 17:30
11:30 13:30
23227086. e-mail: ncfm_hyderabad@nse.co.in
National Stock Exchange of India Ltd., 406, Sakar II, Near Ellis Bridge, Ahmedabad - 380006 9:30 to 11:30 to
6 13:30 to 15:30 15:30 to 17:30
Tel.: (079) 26580212/3 Fax: (079) 26576123. e-mail: ncfm_ahmedabad@nse.co.in 11:30 13:30
7 Any other centre (depending on demand) - visit our website: nseindia.com > ncfm > testing > test at other locations