NISM: Candidate Registration Form

Candidate Registration Form

All fields marked with * are mandatory.

Personal Information :

*E-mail Address:

Note: Certificates will be sent to this email address.

*Confirm E-mail Address:

*Password:

*Confirm Password:

*Title:

*First Name:

Middle Name:

Last Name:

*Father Name:

*Date of Birth:

Clear

*Gender:

*Permanent Account Number (PAN):

*Confirm PAN:

*Photo:

Browse Image Click here to view Photograph Specifications
Note: Photo size not to exceed 1 MB. Photo File name should contain alphabets, numbers, hyphen, spaces only.
Photo File name should NOT contain more than one fullstop i.e. ".".
Photograph Upload is mandatory prior to examination. You may not be permitted to appear for exam in absence of a proper photograph.

*Scanned Image of PAN Card:

Browse PAN Image
Note: PAN Scanned image size not to exceed 1 MB. PAN Scanned image File name should contain alphabets, numbers, hyphen, spaces only.

Aadhaar Number:

*Proof of Address (PoA)

*Scanned Image of PoA:

Browse PoA Image
Note: Proof of Address Scanned image size not to exceed 1 MB. Proof of Address Scanned Image File name should contain alphabets, numbers, hyphen, spaces only.

Passport Number:

Alternate Email Address:

Contact Information :

*Address Line 1:

Address Line 2:

Address Line 3:

*City:

*Pincode:

Search Pincode (India Only)

*State:

*Country:

Tel. Residence:

ISD: + STD: Phone:

*Mobile Phone:

ISD: + Mobile:

Educational Qualification Details:

*Educational Qualification:

Below Higher Secondary:

*Class:	*School/Board:	*Year Of Passing:	*Percentage/Grade:

Higher Secondary/Diploma:

*Major Subject:	*Institute/University:	*Year Of Passing:	*Percentage/Grade:

Graduation:

*Major Subject:	*Institute/University:	*Year Of Passing:	*Percentage/Grade:

Details of Post-Graduation

*Major Subject:	*Institute/University:	*Year Of Passing:	*Percentage/Grade:

Professional Details:

Professional Qualification:	Institute/University:	Year Of Passing:	Percentage/Grade:

Occupational Details:


*Occupation:
*Employed: YesNo
*Total Experience (In years):

*Name of the Organization:

*Designation:

*From Date:

Clear

*Address Line 1:

Address Line 2:

Address Line 3:

*City:

*State:

*Country:

*Pincode:

Search Pincode (India Only)

*Phone no.:

ISD: + STD: Phone:

Fax no.:

ISD: + STD: Fax:

Please enter the verification code as it is shown in the image alongside.

I certify that all the above information provided by me is true to the best of my knowledge. I am aware that if any of the above information is found to be incorrect/incomplete NISM may take disciplinary action including withdrawal of certificate.