For Office Use Only
Branch Date
 
CFPCM /AFP CERTIFICATION EDUCATION PROGRAMME
ENROLLMENT FORM

* Course Applied For:

 

Select the Modules:  
 
Note: Introduction to Financial Planning module is mandatory for AFP
Fields marked * below are mandatory
  
* Examination Semester  
(Period of all semesters is subject to change.)
Candidate Details
* Prefix      
* Candidate First Name    
* Candidate Last Name  
* Father's/Husband's Name  
* Date of Birth
   
* Sex  
* Nationality  
* Marital Status  
* E-Mail Address  
 
* Correspondence Address  
* City  
* State  
* Country   
* Pin Code    (Must Be 6 digits eg. 125050)
 
   STD/Area Code TelePhone No.
  Phone Number
 		   eg 011-2536467
 
* Mobile Number  (Must Be 10 digits eg 9999675898 & Do not add 0)
 
                 
 

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