Permanent Address of the Applicant (Building, Street, City etc.) *
Your answer
District *
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State *
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Pin Code *
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Phone No. *
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Email ID *
Your answer
Whether you meet the requirement of the Occupation/Profession as per the guidelines? *
Educational Qualification *
Whether you meet the requirement of the Work experience as per the guidelines? *
Whether you have completed the requirement of NISM certification as per the guidelines? *
Whether the applicant has been awarded any penalty by SEBI or Govt. Authority? *
Whether the applicant has been found guilty of any economic offence or violation of securities law? *
Whether the suits/proceedings are pending against the applicant? *
Whether applicant has been debarred by financial sector regulators due to violation of respective laws/rules? *
Whether applicant is registered as an intermediary with SEBI or associated with any of the intermediaries registered with SEBI, directly or indirectly, in any capacity including by employment or professional or business relationship? *
Whether applicant is/was registered/recognised/empanelled as trainer by SEBI/RBI/IRDA/PFRDA/NISM etc.? *
A copy of your responses will be emailed to the address you provided.