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Application Form PGED

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Gokhale Institute of Politics and Economics

In Collaboration With

Passport Size Photograph

National Stock Exchange


INVITES APPLICATION FOR Post Graduate Executive Diploma in Financial Markets (2013) Choice of centre for the course (please tick) Pune
Name of the Participant (in BLOCK LETTERS) Father's/Husband's Name Date and Place of Birth (enclose copy of birth certificate or school leaving certificate) Nationality Educational Qualification (enclose copies of certificates) Degree/Certificate University Year of Passing % Marks

Mumbai
Mr./Ms. First & Middle Name Last Name

Work Experience

Designation

Organization

From

To

Address

City:

State:

Pin Code:

Country Code Phone: Landline Mobile Email :

STD Code

Number

I undertake to declare that upon my admission to Post Graduate Executive Diploma in Financial Markets conducted by GIPE-NSE, I would abide by rules and regulations governing the conduct of the programme. Signature of Applicant

Kindly enclose a Demand Draft of Rs. 900/- drawn in favour of the Gokhale Institute of Politics & Economics, payable at Pune, and send alongwith application form to the National Stock Exchange of India Ltd., SBU-Education Dept., Exchange Plaza, Bandra Kurla Complex, Bandra (East), Mumbai 400051. The envelop should be superscribed by Application for PGED-FM. Enclose :
1. Copy of birth certificate or school leaving certificate 2. Copies of educational qualification certificates

Registration form duly completed in all respect must reach before December 23, 2012 at the following address: Ms. Vineeta Sawant National Stock Exchange of India Ltd. SBU-Education Dept. Exchange Plaza Bandra Kurla Complex Bandra (East) Mumbai 400051. Phone : 9819111072 (Mobile) 022-26598216 (Direct)

For further details please contact: National Stock Exchange of India Limited (NSE) SBU-Education Dept., Exchange Plaza, Bandra Kurla Complex, Bandra (East), Mumbai 400051. Contact persons : Ms. Vineeta Sawant / Ms. Namitha Poman Email : nbannanje@nse.co.in, Phone : 9819111072 / 9769583023 / 022-26598216 (Direct)

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