THE STOCK EXCHANGE, MUMBAI

REGISTRATION FORM FOR BCCSM PROGRAMME

Name :_______________________________________

Age :_____________________   Sex : Male/Female
       (round off to nearest year)

Designation :___________________________

MailingMail to my office   Mail to my residence   

AddressOffice AddressResidence Address
  
  
  

Telephone No/s (O)________________________(R )____________________

Fax No/s________________________(R )____________________

Cell________________________Pager____________________

Email________________________



Educational Qualifications                          Experience (yrs) _________

Yr of passingDegree /DiplomaPercent /GradeUniversity
    
    
    

Payment Details : DD No. _______________________________ Dated __________________________

Amt. Rs. ________________ Drawn on Bank ______________________ Branch__________________

For office use only

Test Centre opted _________________ Test Centre Code________ Date Time opted ________________

Registration number ___________________________ (for office use only)

I declare that the information supplied above is true and correct to the best of my knowledge, information and belief. I undertake to abide by the terms and conditions of The Stock Exchange. Mumbai regarding the above-mentioned certification programme.

Place : __________________________________________
Date : __________________(Candidates Signature)



N.B:

Alongwith duly filled form
  • The candidates are requested to send the registration form with a Demand Draft of Rs. 600/- (Rs. Six hundred only), payable at Mumbai in favour of 'THE STOCK EXCHANGE, MUMBAI' and five copies of his passport size photograph for getting the Admit Card for the test.
  • The registration is given on first come first served basis.