EXAMINATION REGISTRATION FORM

Exam Date 16-03-2024

Welcome to the Examination Registration Form! We appreciate you taking the time to provide us with the information we need. Please read the following instructions carefully before filling out the form:

  • Required fields are marked with an asterisk (*). Please make sure to fill them out completely.
  • Once you verify your email address, you will be redirected to a detailed registration form to fill in more details.
  • Once you have completed the form, you will be redirected to make the payments for the examination.
  • If your payments are successful, you will be notified with your registration details through email.
  • Please make sure to check your spam or junk folder in case it goes there.
  • Please note that all information you provide will be kept confidential and used only for the purposes stated in the form.

Thank you for your cooperation!

Exam Registration


Resend OTP

Verify your personal details given above. It will be required by you for download of your Admit Card, Score Card etc.
Details of your Company
Educational Qualification: (Select Highest Educational Qualification from the list provided below) *
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Professional Qualification*

Examination Fess : Rs. 2500/- & GST (18%) : Rs. 450/-
Total Fees Charged : Rs. 2950/-

Your photograph in jpeg format, file size below 30 kb. File name should be given as your?Name_PAN Number ?(e.g. PriyankaDeshmukh_AJCPK1122R.jpg)

 

Upload your valid Brokers Training Completion certificate (Fresh) in pdf format, file size below 100KB. File name should be given as your Name_PAN Number (e.g. PriyankaDeshmukh_AJCPK1122R.pdf)

 
  I am aware of the Qualification and Eligibility Criteria for Brokers Online Training as prescribed by IRDAI and declare that I have fulfilled the same. I further declare that the information given by me is true and I am aware that if any deviation from facts is noted or noticed, my application will be considered null and void