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NATIONALSTOCKEXCHANGE'SCERTIFICATIONINFINANCIALMARKETS(NCFM)

REGISTRATIONFORM
(Pleasereadinstructionscarefullybeforefillinguptheform)
FIRSTNAME

MIDDLENAME

LASTNAME

PARTIPERSONALDETAILS
NAMETOBEPRINTEDONCERTIFICATE
(WILLBEPRINTEDSAMEAS'FIRSTNAMEMIDDLENAMELASTNAME')
DATEOFBIRTH(DDMMMYYYY)

Recent
Passport size
Colour Photograph

MALE/FEMALE

ADDRESS
FLATNO/H.NAME&NO.
STREETNAME:
VILLAGE/AREA/DISTRICT:
LANDMARK:
STATE:________________________________________________________
CITY

(CandidatesSignatureSigninsidethebox)

PINCODE(Mandatory)

OFFICENUMBER(WITHSTDCODE)

EMAIL(MANDATORY)

BelowHigherSecondary

QUALIFICATIONDETAILS

RESIDENCE/MOBILENO:(WITHSTDCODE)

BELOWHIGHERSECONDARYONLY

Yes

HigherSec/TechnicalDiploma

Graduate

PostGraduate

No

HIGHERSECONDARY/TECHNICALDIPLOMA
MAJORSUBJECT

YROFPASSING

UNIVERSITY/INSTITUTE

%/GRADE

UNIVERSITY/INSTITUTE

%/GRADE

UNIVERSITY/INSTITUTE

%/GRADE

GRADUATIONDETAILS
MAJORSUBJECT

YROFPASSING

POSTGRADUATIONDETAILS
MAJORSUBJECT

YROFPASSING

OCCUPATIONALDETAILS
OCCUPATION

Student

SelfEmployed

Service

Others____________________(plsspecify)

IFEMPLOYED,KINDLYPROVIDECURRENTEMPLOYMENTDETAILS:
NAMEOFTHEORGANISATION
FROMDATE(DDMMMYYYY)

DESIGNATION

ADDRESSOFTHEORGANISATION

CITY

FAXNO.(WITHSTDCODE)

PINCODE

TELEPHONENO.(WITHSTDCODE)

NATIONALSTOCKEXCHANGE'SCERTIFICATIONINFINANCIALMARKETS(NCFM)
(Pleasereadinstructionscarefullybeforefillinguptheform)
Page2
PARTIITESTDETAILS
NCFM

(specifyregistrationnumber,ifalreadyregisteredunderNCFM.)

MODULENAME(TickthedesiredModule)
FinancialMarkets:ABeginners'Module
English

CorporateGovernanceModule

Gujarati

Hindi

MutualFunds:ABeginners'Module

ComplianceOfficers(Brokers)Module
ComplianceOfficers(Corporates)Module

CurrencyDerivatives:ABeginner'sModule

InformationSecurityAuditorsModule(PartI)

EquityDerivatives:ABeginner'sModule

InformationSecurityAuditorsModule(PartII)

HandDel/Courier

InterestRateDerivatives:ABeginner'sModule

CommoditiesMarketModule

MailsoftheDay

SecuritiesMarket(Basic)Module

NSDLDepositoryOperationsModule

Chkd/Reg./Scanned

OptionsTradingStrategiesModule

Enrollment/DDEntry

InvestmentAnalysisandPortfolioManagementModule

SMIssued/SMSent

CapitalMarket(Dealers)Module
English

Gujarati

Hindi

DerivativesMarket(Dealers)Module
English

ForOfficeUseonly

CommercialBankinginIndia:ABeginner'sModule

Gujarati

Hindi

FinancialModelingModule

FIMMDANSEDebtMarket(Basic)Module
SurveillanceinStockExchangesModule

Note: TestinCapitalMarket(Dealers)Module,DerivativesMarket(Dealers)Module,FinancialMarkets:ABeginners'Module
areavailableinEnglish,GujaratiandHindilanguages.Pleaseticktheappropriatelanguage.
PREFERREDTESTCENTRE

(mandatory)
TEST SCHEDULE
TESTSCHEDULE

TESTCENTRE

TESTDATE

D D
M M M
Y
Oncethetestdetailshasbeenspecifiedbythecandidate,thetestcannotberescheduled
Feesoncepaidshallnotberefunded.Testfeesarevalidfor180daysfromthedateofpayment.
Candidatesneedtoenrollforthetest(s)within180daysfrompaymentoffees.

TESTTIME
:
Y

H H

M M

PARTIIIPAYMENTDETAILS
DDNUMBER1

DDNUMBER2

DDNUMBER3

DDDATE(DDMMYY)

TOTALDDAMOUNT

ISSUINGBANK(NAMEANDBRANCH)
Icertifythattheaboveinformationprovidedbymeistrueandcorrecttothebestofmyknowledge,informationandbelief.
PLACE
DATE

0
(CANDIDATE'SSIGNATURE)

INSTRUCTIONSFORFILLINGUPREGISTRATIONFORM
1

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
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
MMMYYYY(e.g.23MAR1974)

2
3

NametobePrintedonCertificatewillbeprintedsameas'FirstNameMiddleNameLastName'.

4
5

Pleasementionfullcontactdetailswithcity,pincode&state.Pleasespecifyyourtelephoneno./mobileno.andemail.
Pleasefillinthequalificationandoccupationdetailsasmaybeapplicable.

Fees to be paid by Demand Draft in favour of 'National Stock Exchange of India Limited, payable at the nearest NSE office. Also keep a photocopy of the
demanddraftwithyou,beforeyousendittoNSE.Pleasewritethenameofthecandidateonthereverseofthedemanddraft.

Fees:(seeModuletablegiveninnextsheet)Pleasenotethattestfeesoncepaidarenonrefundable.

Scorecard: Scorecard is issued on the spot to the candidate after the completion of test (only if photograph is uploaded). This service is free of charge. For
subsequentrequestsforscorecardademanddraftofRs.50/ispayable.

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
photograph.Signintheblockprovidedforsignature.

9 Onlineregistrationisalsopossibleonwww.nseindia.com.Pleasevisitthewebsiteforcompletedetails.
10 Pleaseticktheboxofthemoduleyouwishtoappear.ThedetailsofNCFMmodulesaregiveninthenextsheet
Feesoncepaidshallnotberefunded.Testfeesarevalidfor180daysfromthedateofpayment.Candidatesneedtoenrollforthetest(s)within180
daysfrompaymentoffees.
Atthetimeofthetest,ifitisseenthatthephotographhasnotbeenuploaded,thenyouwouldbeallowedtotakethetestonlyonfurnishingapassport
12 sizephotographandanattestedcopyofaphotoidproof(attestationbyGazettedOfficer).Theoriginalphotoidproofwouldberequiredtobeshownat
thetimeoftheexamination.
11

In the space provided for TEST DETAILS (PartII), Please mention Test Center. Test date and time may be submitted as per your choice and as per the
13 availability at each test center. Test date can be informed by email or fax. Please refer the format given on the website under offline registration
procedure.Thelistofthecandidateswhohavebeenenrolledwillbedisplayedonthesite.
The study material of all modules (except for Corporate Governance & Compliance Officers Modules) will be sent to you by courier in SEVEN working days
14 from date of payment. Please mark your envelopes as 'To NCFM Department'. Please note that study material will NOT be provided in case of balance
paymentbeingmade.
Forms can be sent by courier / post to any of the NSEIL offices. Form submission by hand delivery at all NSEIL offices is on MonFri between 10:00 am to
15 5:00 pm only. (In case of Ahmedabad it is between 10:00 am to 4:00 pm). In case of Mumbai office, the duly filled up form with requisite payment can also
beputinadropboxkeptatthemainentranceattheBandraKurlaoffice.
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
16 courier charges. Kindly contact NCDEX, Akruti Corporate Park, 1st Floor, Near G. E. Garden, LBS Marg, Kanjurmarg (West), Mumbai 400078 office for this
trainingmaterial.TelNo:02266406789
Study Material for the Corporate Governance module is available for sale at ICSI offices at: A) ICSICentre for Corporate Research & Training, Plot No.
101, Sector 15, Institutional Area, CBD Belapur, Navi Mumbai400614 #02227577814 16 Extn. 406, email: ccrt@icsi.edu, ccrt@vsnl.com B) Western
17
Indian Regional Council (WIRC) of the ICSI, 13 Jolly Makers Chambers II, First Floor, Nariman Point, Mumbai 400021, Tel No: 02222047569, Contact
Person:Mr.Mani,email:wiro@icsi.edu
IncaseofComplianceOfficersModules,candidatesarerequiredtorefertotherelevantbooks,circulars,manualsetc.,asperthegivencurriculum,on
18
theirown.NostudymaterialwillbeprovidedfortheComplianceOfficersModules.
19

Please note that the NCFM tests are conducted at NSEIL's offices from Monday to Friday only (at Mumbaion Sat also). Also once enrolled, tests cannot be
rescheduled/postponed.Thedetailsoftestcentresandtimingsaregivenbelow:
NameofTestCentre

TimeSlots(inhours)

NationalStockExchangeofIndiaLtd.,NCFMTestCentreMumbaiUnitedIndiaBuilding,2nd
Floor,NearKashmirEmporium,Opp.ApnaBazaar,SirPhirozeshahMehtaRoad,Fort,Mumbai 9:30to11:30
400001(LandmarkAboveIndianBank).Email:ncfm@nse.co.in

11:30to
13:30

13:30to15:30 15:30to17:30

NationalStockExchangeofIndiaLtd.,4thFloor,JeevanViharBuilding,ParliamentStreet,New
Delhi110001(LandmarkNearPatelChowk,MetroStation).Tel.:(011)2334431327Fax: 9:45to11:45
(011)23366658email:ncfm_delhi@nse.co.in

11:45to
13:45

13:45to15:45 15:45to17:45

NationalStockExchangeofIndiaLtd.,1stFloor,ParkViewApartments,
99,RashBehariAvenue,Kolkata700029(LandmarkDeshpriyaPark,NearPriyaCinema,
AboveGKBOpticals).Tel.(033)24631802/40400400Fax.(033)40400440;email:
ncfm_kolkata@nse.co.in

9:40to11:40

11:40to
13:40

13:40to15:40 15:40to17:40

NationalStockExchangeofIndiaLtd.,2ndFloor,IspahaniCentre,DoorNo.123124,
NungambakkamHighRoad,Nungambakkam,Chennai6000034(LandmarkNexttoIncome
9:35to11:35
TaxOffice/CAInstitute).Tel.:(044)28332500/01;28332511;Fax:(044)28332521;email:
ncfm_chennai@nse.co.in

11:35to
13:35

13:35to15:35 15:35to17:35

NationalStockExchangeofIndiaLtd.,HNo.36322,MahavirHouse,IIndFloor,Chamber
no.203&204,Basheerbagh,Hyderabad500029(LandmarkNearPoliceCommissioner's
Office,BasheerbaghSquare).Tel:(040)23227084/5Fax:(040)23227086.email:
ncfm_hyderabad@nse.co.in

11:30to
13:30

13:30to15:30 15:30to17:30

6
7

9:30to11:30

NationalStockExchangeofIndiaLtd.,406,SakarII,NearEllisBridge,Ahmedabad380006
11:30to
(LandmarkOpp.TownHall,NearEllisbridge).Tel.:(079)26580212/3Fax:(079)26576123.e 9:30to11:30
13:30
mail:ncfm_ahmedabad@nse.co.in
Anyothercentre(dependingondemand)visitourwebsite:nseindia.com>ncfm>testing>testatotherlocations

13:30to15:30 15:30to17:30

LISTOFMODULES
Sr.No. NAMEOFMODULE

Certificate
Duration No.
of
Pass Marks
MaxMarks
Validity (in Fees(Rs.)
(inmins)
Questions
(%)
yrs)
120
60
100
50
5
1500
120
60
100
50
5
1500
120
60
100
50
5
1500
120
60
100
50
5
1500
120
60
100
50
5
1500

1
2
3
4
5

FinancialMarkets:ABeginners'Module*
MutualFunds:ABeginners'Module
CurrencyDerivatives:ABeginner'sModule
EquityDerivatives:ABeginner'sModule
InterestRateDerivatives:ABeginner'sModule

CommercialBankinginIndia:ABeginner'sModule

120

60

100

50

1500

7
8
9
10

SecuritiesMarket(Basic)Module
CapitalMarket(Dealers)Module*
DerivativesMarket(Dealers)Module**
FIMMDANSEDebtMarket(Basic)Module

105
105
120
120

60
60
60
60

100
100
100
100

60
50
60
60

5
5
3
5

1500
1500
1500
1500

11

InvestmentAnalysisandPortfolioManagementModule

120

60

100

60

1500

12
13
14
15
16
17

NSDLDepositoryOperationsModule
CommoditiesMarketModule
SurveillanceinStockExchangesModule
CorporateGovernanceModule
ComplianceOfficers(Brokers)Module
ComplianceOfficers(Corporates)Module
InformationSecurityAuditorsModule(PartI)
InformationSecurityAuditorsModule(PartII)
OptionsTradingStrategiesModule

75
120
120
90
120
120
120
120
120

60
60
50
100
60
60
90
90
60

100
100
100
100
100
100
100
100
100

60#
50
60
60
60
60
60
60
60

5
3
5
5
5
5

120

75

140

60

NA

240
120
120
120
150

30
65
80
50
50

100
100
100
100
75

50
55
55
55
50

NA
2
2
2
NA

1500
1800
1500
1500
1500
1500
2250
2250
1500
2000per
exam
5000
1500
1500
1500
1000

18
19
20
21
22
23
24
25

FPSBIndiaExam1to4***
Examination5/AdvancedFinancialPlanning***
EquityResearchModule##
IssueManagementModule##
MarketRiskModule##
FinancialModelingModule###

2
5

*CandidateshavetheoptiontotakethetestinEnglish,GujaratiandHindilanguages.TheFMBM&CMDMworkbookisavailableinENGLISHONLY.
**CandidateshavetheoptiontotakethetestinEnglish,GujaratiandHindilanguages.TheDMDMworkbookisavailableinallthreelanguages.
***FollowingarethemodulesofFinancialPlanningStandardsBoardIndia(CertifiedFinancialPlannerCertification):
FPSBIndiaExam1to4i.e.(i)RiskAnalysis&InsurancePlanning(ii)RetirementPlanning&EmployeeBenefits(iii)InvestmentPlanningand(iv)Tax
Planning&EstatePlanning
Examination5/AdvancedFinancialPlanning
#Candidatessecuring80%ormoremarksinNSDLDepositoryOperationsModuleONLYwillbecertifiedasTrainers.
##ModulesofFinitiativesLearningIndiaPvt.Ltd.(FLIP)
###ModuleofIMSProschool

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