Registration DetailsKindly note that you will not be able change your NCFM Number or Education Provider after submission of this form. Information marked with a * is required.NCFM Number (11 digits)*Education Provider / Resource Person / Other*Firm*How did you hear about CFPCM certification program?*Personal DetailsThe information below must exactly match the information you provided for your NCFM registration.Salutation*-- Select --Dr.Mr.Mrs.Ms.Prof.Gender*-- Select --MaleFemaleFirst Name*Middle Initial/NameLast Name*Date Of Birth* Date Format: MM slash DD slash YYYY Upload PhotoAccepted file types: jpg, jpeg, gif, png, pdf.PanNo*Contact DetailsKindly make sure you provide accurate contact details. FPSB Ltd. will send all notifications relating to CFP certification to the details given below.Email-id 1*Email-id 2Mobile Phone*Residence No. (Pls prefix area-code)Business No.Correspondence Address* Address City State Pin Code Same as Correspondence Address Same as Correspondence Address Permanent Address* Address City State Pin Code Education DetailsYour level of education must include Std X/SSC and Std XII/HSC. Additional items such as MA, MBA, BA, BCA may also be included.*Std X/SSC CredentialsInstitute NameSpecialization (if applicable)Year of Completion(%) PercentageStd X/SSC*Std XII/HSC CredentialsInstitute NameSpecialization (if applicable)Year of Completion(%) PercentageStd XII/HSCAdditional EducationInstitute NameSpecialization (if applicable)Year of Completion(%) PercentageAdditional EducationInstitute NameSpecialization (if applicable)Year of Completion(%) PercentageProfessional QualificationsKindly select the qualification attained by you under which you are applying for the Challenge Status Program and attach the attested photocopy of the certificate while submitting the Form. CTRL click to select multiple entries. (command click on Mac)*Chartered Accountant (CA) / Intermediate level from Institute of Chartered Accountants of India (ICAI)Chartered Financial Analyst (CFA) from CFA Institute, USACost Accountant (ICWA) from the Institute of Cost and Works Accountants of India (ICWAI)Certified Associate of Indian Institute of Bankers (CAIIB)PhD./ M.Phil in Economics, Econometrics, Statistics, Commerce, Mathematics, Finance, Management, Financial Planning/ Advising, Investment (or any other similar discipline)Post Graduate in Economics, Econometrics, Statistics, Commerce, Mathematics, Finance, Management Financial Planning/ Advising, Investment (or any other similar discipline)LLB (Law) or equivalentLicentiate/Associate/ Fellowship of Life Insurance from Insurance Institute of IndiaActuary from Institute of Actuaries of IndiaCivil Service Examinations by Union Public Service Commission (UPSC)Company Secretary from Institute of Company Secretaries of India.Fellow, Financial Services Institute (FFSI) / Fellow, Life Management Institute (FLMI) from LOMANISM-Series- X-A: Investment Adviser (Level 1) CertificationNISM-Series-X-B: Investment Adviser (Level 2) CertificationPGDFAAdditional CertificationsAMFIIRDAOther CertificationsQualifying Work ExperienceKindly enter details of your work experience which qualifies for applying for the Challenge Status Program and attach the attested photocopy of the experience certificate while submitting the Form. While updating employment details, please start with your latest employer and work backwards.Use the + button to add more rows.*Nature of EmploymentName of the OrganizationDesignationJob DescriptionNumber of Years --Select--CorporateSelf-employedOther--Year--01234567891011121314151617181920212223242526272829303132333435363738394041424344454647484950--Month--0123456789 Document UploadsPlease upload the following required documents: Graduation and Post-graduation certificate (i.e. self-attested supporting documentation), Work experience documents having 3 years work experience in finance or 5 years work experience in non-finance, and marriage certificate/PAN card/passport copy in case of change of name after marriage.*Note: Only jpg and pdf file types are supported. Drop files here or Accepted file types: jpg, pdf. DeclarationRequired* I understand and agree that FPSB Ltd., as owner and administrator of the CFP certification program in India, has sole authority to establish, update, and enforce CFP certification requirements and that all decisions made by FPSB Ltd. with regard to my eligibility for CFP certification, including whether or not I have met any certification criteria, are within FPSB Ltd.’s sole discretion and are binding on me. This iframe contains the logic required to handle Ajax powered Gravity Forms.