Registration Form

NOTE: Registration Form to be duly filled in. The course fee of Rs 7670/- (Rs 6500 plus GST@18%) to be paid before proceeding for registration. The fees may be transferred by RTGS/NEFT/ECS to our A/c No. 20002400021 with Bank of Maharashtra, NIBM Branch, Pune (IFSC Code MAHB0001124).The beneficiary name is National Institute of Bank Management.

General Details

Username

First Name

Middle Name

Last Name

Alternate Email

DOB

Day Month Year

Enable

Gender

Male Female Others

Course

Mailing Address

House Number/Area

Locality/Street

City/Town

State

Country

Pin Code

Mobile

STD Code/Tel. No.

Current Employment Details

Institute/Organization

Employee ID

Attachment

Please upload proof of employment file above

Details of NEFT

Remitter’s Name

UTR No/IMPS

UTR No IMPS

Amount (Rs)

Date of Remittance

Day Month Year

Enable

Transaction Receipt

Please upload fee payment transaction receipt above

Details for Invoice (For any GST related claims)

Reimbursement

Please check here,If you want to apply for fee reimbursement.

Current Official Address

GSTIN No.

PAN No.

Declaration:

All entries made in this application form are true to the best of my knowledge and belief. I am willing to produce original certificates in support thereof if asked to do so at any stage. Admission can be cancelled at any stage, if any information given is found to be incorrect.