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Loing Image Organization Registration * Please read instructions carefully before filling the form.
Please do not use special characters in Name fields of the form.
Organization Details
Name of the Applicant
Date of Incorportaion Type of Organization
PAN No. Email Id (Username) Email Id (Alternate)
GSTIN Enter Verification Code
Registered Address of Organization
Address Line 1
Address Line 2
State/UT District
Pincode
Location
Mobile 1 (+91) Landline 1
Mobile 2 (+91) Landline 2
Details of the Contact Person / Principal Officer / CEO
Title
First Name Middle Name Last Name
Designation Email Id Phone Number
Present Address of the Contact Person / Principal Officer/ CEO
Upload documents of the Contact Person / Principal Officer / CEO Fetch From DigiLocker
Upload Aadhar card Upload Aadhar card through Digilocker(Mandatory)
Upload Pancard Upload Pancard through Digilocker(Mandatory)
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APPLICATION FOR EMPANELMENT AS SECURITIES MARKET TRAINERS FOR INDIVIDUAL
  1. Application form shall be properly filled up.
  2. Supplementary details can be attached in other document section, if need be.
  3. All the pages of the document if any shall bear the signature of the individual applicant.
  4. SEBI may call for additional information on any aspect, if required.
  5. SEBI reserves the right to reject any application without assigning any reason thereof.
  6. Submission of this form does not in any way provide assurance of empanelment by SEBI.
  7. Please be brief while providing your remarks / comments in the space provided in the form.
  8. Any incomplete, un-clear application or application not accompanied by necessary supporting documents as per the checklist, shall not be considered by SEBI and may be summarily rejected by SEBI
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