National Institute of Securities Markets
The form duly completed and typed in the prescribed format only
may be attached at the given link. Please ensure that the data
filled up in the prescribed format shall only be considered for
further process. Incomplete/ blank or resume in a different format
shall not be considered as valid and the same shall be rejected
without citing any further reason.
Application Form
Applying for the position of: -
Area of Proficiency: -
Recent passport size
photograph
1. Personal Details: -
First Name Middle Name Last Name
2. Date of Birth:
3. Gender (M/F/O):
4. Mobile No and Landline No.
5. Email-id:
6. Nationality:
7. Address:
A) Permanent Address:
House No./Flat No.-
Street-
City/Town-
Post Office-
District-
State-
PIN Code-
B) Communication Address:
House No./Flat No.-
Street-
City/Town-
Post Office-
District-
State-
PIN Code-
Educational Qualification: -
Sr Examinat Name of Subje Universi School/ Perce Year
. ion the ct/ ty/ College ntile / of
N Passed Exam/Deg Strea Board / CGPA Passi
o. ree m Institut ng
ion
1 SSC/10th
HSC/12th/
2
Diploma
Graduati
on/
3
Bachelor’
s Degree
Post-
Graduati
on/
4 Master’s
Degree
(most
relevant)
Other
Qualificat
5
ion (if
any)
(Add additional rows if required)
Details of Ph.D. Thesis Submitted (if applicable):
Thesis Title
Research Area
Date of Ph.D. award.
University & Dept
Professional Certifications: -
Certification Institution Year of Passing
(Add additional rows if required)
Total relevant Post P. G. Qualification Experience: -
Years Months
Work Experience Details till date (Chronologically, starting with
the recent).
INDUSTRY WORK EXPERIENCE
Period of Service
Sr Natu Annu
Name of Pay
. Designa Fro Fro re of al
the To To Scal
N tion m m Duti Gros
Employer Mon Ye e
o. Mon Yea es s Pay
th ar
th r
1.
2.
3.
4.
ACADEMIC WORK EXPERIENCE
1.
2.
3.
4.
(Add additional rows if required)
Awards / Recognitions:
Organization Type of Duration Remarks
Affiliation
(Add additional rows if required)
Professional References: -
Sr. E-mail Mobile
Name Designation Affiliation
No. id No.
1
2
Declaration
I, -----------------------------------------(Name), hereby declare that all
the statements made in this application are true, complete and
correct to the best of my knowledge and belief. I certify that no
disciplinary/ vigilance/criminal proceedings are either pending or
contemplated against me. I have not been awarded any
major/minor penalty during my service. I understand that if at any
stage, it is found that any information given in this application is
false / incorrect or that I do not satisfy the eligibility criteria
prescribed in the advertisement, my candidature / appointment is
liable to be cancelled / terminated. I have read and understood
the stipulations given in the advertisement and hereby undertake
to abide by them
Place:
Date:
Signature of the Applicant:
