7/30/23, 7:12 PM NISM

Candidate Registration Form

Personal Information :

E-mail Address: bs8587884344@gmail.com

Title: Mr
First Name: Bhaskar
Middle Name:

Last Name: Sharma

Father Name: Rajesh Sharma
Date of Birth: 09/05/2003
Gender: Male
Permanent Account Number (PAN): OQNPS5055N

Photo:

Scanned Image of PAN Card:

Aadhaar Number: 384048251148

Proof of Address (PoA): Aadhaar

Scanned Image of PoA:

Passport Number:

Alternate Email Address:

Contact Information :

Please provide accurate address for proper dispatch of workbooks/certificates.

3\477 TRILOKPURI, CHILLA SARODA KHADAR, PATPARGANJ, PREET VIHAR
Address Line 1:

Address Line 2:

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7/30/23, 7:12 PM NISM

Address Line 3:

City: DELHI
Pincode: 110091
State: New Delhi
Country: India
Tel. Residence: ISD: STD: Phone:
Mobile Phone: ISD: +91 Mobile: 9410849984

Educational Qualification Details:

Higher Secondary/Diploma:

Major Subject: Institute/University: Year Of Passing: Percentage/Grade:

Commerce CBSE 2021 68
Educational Qualification Details:
Occupation: Not Employed
Total Experience (In years): No experience

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