National Stock Exchange of India Ltd

Summer Attachment Program

Registration Form

Name: ______________________________

Mobile ______________________________

Email ID: ____________________________

Date of Birth___/___/_____

Correspondence Address:

___________________________________________________________________________

____________________________ City: ______________________ PIN: _______________

Name of Institution with which associated:

_____________________________________________

Name of the course that is being pursued:

______________________________________________

Date: ____/_____/ 2015 Signature: ___________