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(Insert Date And Place here)

AMFI Training Registration Form

Name: ________________________________________________________________________

Father’s / Husband’s Name: _______________________________________________________

Date of Birth: ____________________

Sex: M F Marital Status : Married Single

Office / Residence Address:

______________________________________________________________________________

______________________________________________________________________________

City:____________________________Pin:________________________State:_______________

Tel. No.: _____________ Fax No.: __________ Email: _______________________________

Mobile ____________________Educational Qualifications: ______________________________

Any Training taken for AMFI Certification Yes No

Languages: Speak: _____________________________________________

Read: ______________________________________________

Write: ______________________________________________

Professional Experience: Below 3yrs 3 to 5 years 5 to 7 years 7 years &


above

Employment Details : Employed Self Employed

Agencies Held(if self employed): Insurance Fixed Deposits Mutual Funds

Areas Of interest:

Date: Place: Signature:


…………………………………………………………………………………………………………………

AMFI Certification Workshop - Admit Card


(For Official use only)

Name : ____________________________________________________________

Registration No. : ____________________________________________________________

Venue : ____________________________________________________________

Date : ____________________________ City : __________________________________

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