Candidate Registration Form
All fields marked with * are mandatory.
Personal Information :
*E-mail Address:
  Note: Certificates and Study Material 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):

*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:
 Passport Number:

 Alternate Email Address:
Contact Information :
Please provide accurate address for proper dispatch of workbooks/certificates.
*Address Line 1:
 Address Line 2:
 Address Line 3:
*City:
*Pincode:    Search Pincode (India Only)
*State:
     
*Country:
 
Please provide atleast one contact number for communication.
 Tel. Residence: ISD: +   STD:   Phone: 
*Mobile Phone: ISD: +   Mobile: 
Educational Qualification Details:
*Educational Qualification:
Professional Details:
Professional Qualification: Institute/University: Year Of Passing: Percentage/Grade:
Occupational Details:
*Occupation:         
*Total Experience (In years):



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.