NIFMT DOCUMENT CENTRE

Investor Registration & Membership Documentation Pack

One professionally organised pack containing investment, nominee, applicant family, spouse family (when applicable), sanction request letter, source of income, membership, agreement and certificate sections. Complete only relevant fields and review before signing or printing.

Application / Form Number

Application / Form Date

Section 1 — Investment Application Form

Applicant and project information for review by NIFMT.

Applicant / Customer Full Name *

Date of Birth *

Sex

Marital Status

Place of Birth (city/state/country)

Nationality

Occupation

Employer / Business Name

Workplace / Business Address

Approximate Annual Income Range

Educational Qualification (optional)

Alternate Contact Number (optional)

Email Address *

Mobile Number *

Residential / Correspondence Address

City / State

PIN Code

Applicant Bank Details

Provide only the bank details required for verification or permitted settlement. Never enter a PIN, password, CVV or OTP.

Bank Name

Branch Name

Account Holder Name

Account Type

Bank Account Number

IFSC Code

Attach Bank Proof (optional)

Bank Details Notes

Investment Project *

Sub-project Name

Plan Category *

Proposed Investment Amount (₹) *

Contribution Type

Requested Tenure

Payment Method

Payment Reference / Transaction ID

Attach Payment Proof (required for the complete form) *

Attach a payment receipt, bank transfer confirmation, UPI receipt or cheque proof. This attachment is required for the full application pack.

Additional Information

Applicant Photo & Signature — choose either option

Digital option: select photo/signature files below where electronic attachments are accepted. Printed option: leave the boxes blank, print this form, affix a recent passport-size photo and sign in the boxes.

Attach Applicant Photo (JPG, PNG or PDF)

Attach Applicant Signature (JPG or PNG)

Applicant Photo — printed form option

Affix recent passport-size photograph here

Applicant Signature — printed form option

Sign inside this box

For printed forms, sign using blue or black ink.

Applicant declaration: I confirm that the information provided is accurate to the best of my knowledge. I understand that project details, eligibility, payments and any investment-related terms are subject to verification, the applicable signed agreement and applicable law. No return or outcome is guaranteed.

Applicant Signature / Date

For NIFMT — Verification / Authorised Signatory

Section 2 — Nominee Application Form

Provide nominee details for administrative records. Nomination acceptance, changes and legal effect are subject to applicable law and the relevant signed agreement.

Nominee Full Name

Relationship to Applicant

Nominee Date of Birth (if applicable)

Nominee Contact Number (optional)

Nominee Sex

Nominee Marital Status (optional)

Nominee Place of Birth (optional)

Nominee Occupation (optional)

Nominee Address (optional)

Nomination Share / Percentage (if applicable)

Requested Effective Date

Nomination Notes / Supporting Documents

Nominee Bank Details (if required)

Complete only if nominee bank information is legitimately required for the selected arrangement.

Bank Name

Branch Name

Account Holder Name

Account Type

Bank Account Number

IFSC Code

Nominee Photo & Signature — choose either option

Digital option: select nominee photo/signature files below where electronic attachments are accepted. Printed option: print the form, affix the nominee photo and have the nominee sign in the boxes, if applicable.

Attach Nominee Photo (JPG, PNG or PDF)

Attach Nominee Signature (JPG or PNG)

Nominee Photo — printed form option

Affix nominee passport-size photograph here

Nominee Signature — printed form option

Nominee to sign inside this box, if applicable

For printed forms, sign using blue or black ink.

Nominee declaration: I request that the above nomination details be recorded, subject to review and applicable requirements. The nominee is not automatically entitled to any payment or benefit solely by completing this form.

Applicant / Member Signature / Date

For NIFMT — Verification / Authorised Signatory

Section 3 — Applicant Family Information Form

Provide only relevant family and dependent information needed for application review. Do not provide unnecessary sensitive information.

Marital Status

Spouse Name (if applicable)

Father / Guardian Name

Mother Name (optional)

Number of Dependants

Family Emergency Contact (optional)

Family Members / Dependants — Name, Relationship, Age and Occupation

Additional Family Information (optional)

Applicant Signature / Date

Office Verification / Date

Section 4 — Husband / Spouse Family Information Form

This section is always visible for review. Complete it only when applicable, with the spouse's knowledge and consent; otherwise leave the fields blank.

Husband / Spouse Full Name

Date of Birth (optional)

Occupation

Contact Number (optional)

Spouse Family Details (optional)

Additional Notes (optional)

Applicant Signature / Date

Spouse Acknowledgement (if required) / Date

Section 5 — Investment Project Sanction Request Letter

A customer request addressed to the Programme Director, NIFMT. This letter is a request only and does not itself constitute sanction or approval.

To,
The Programme Director
National Institute of Financial Markets and Technology (NIFMT)

Subject: Request for consideration of investment project application

Respected Sir/Madam,

I, , request that my application for the project specified in this form be reviewed for consideration, subject to the institute's applicable eligibility, due diligence, legal and compliance checks.

Project Name

Sub-project Name

Proposed Amount (₹)

Date

Purpose / Supporting Explanation

I confirm that the details supplied are true to the best of my knowledge and agree to provide further information if lawfully required.

Yours faithfully,

Applicant Signature / Name

Office Receipt / Date

Section 6 — Source of Income Form

Record the source of funds for due diligence. Provide supporting evidence only when required and through an approved secure channel.

Primary Source of Income *

Years in Current Occupation

Source of Funds for Proposed Investment *

Approximate Monthly Income (optional)

Details / Explanation of Source of Funds

Attach Supporting Evidence (optional)

Evidence Description

I confirm that the source of income and funds stated above is lawful and accurate to the best of my knowledge.

Applicant Signature / Date

Office Verification / Date

Files selected in this browser form are not uploaded or stored by the server unless a secure PHP upload workflow is separately configured.

Section 7 — Membership Application Form

Membership details reuse the customer and project information supplied in Section 1. Complete the remaining membership fields as applicable.

Membership Number (if assigned)

Requested Membership Date

Membership Amount Proposed / Agreed (₹)

Nominee Name (optional)

Nominee Relationship

Membership Status

Membership Remark

I have reviewed the membership details and understand that membership is subject to verification and the applicable terms.

Applicant Signature / Date

Membership Office / Authorised Signatory

Section 8 — Membership Agreement Form

Agreement draft for review. This section is a template and should be checked for legal and regulatory compliance before it is signed or used to accept funds.

Agreement Parties

This Membership Agreement Form is intended to record the terms between the customer identified in Section 1 and the authorised entity responsible for the selected project, subject to verification of the entity's legal details and authority.

Agreement Effective Date

Authorised Representative

Special Terms / Written Clarifications

General Terms

The customer and project details recorded in this combined form are subject to review and verification.
Any payment, membership fee, tenure, payment schedule, rights, obligations and settlement terms must be clearly stated in the final signed agreement and comply with applicable law.
Non-refundable charges: Membership fees, interstate fees, interproject transfer fees, membership registration charges, documentation charges, and any other charges are non-refundable, subject to applicable law and the final signed agreement. All applicable charges must be disclosed to the customer before signature or payment.
Market-linked activity involves risk. Past performance, examples or indicative figures do not guarantee future results, principal repayment or returns.
No application, membership, certificate or payment record should be treated as approved until the authorised office has completed its checks and confirmed the status in writing.
Changes to the agreement must be recorded in writing and accepted by the relevant parties.

I confirm that I have had the opportunity to read and ask questions about the proposed agreement. I understand this draft does not replace a final legally reviewed agreement.

Customer Signature / Date

Authorised Entity Representative / Date

Section 9 — Membership Certificate Form

Certificate application and record. The certificate becomes valid only when reviewed, approved and issued by an authorised representative.

Certificate Number

Certificate Issue Date

Validity / Membership Period

Certificate Status

Certificate Remarks

Certificate notice: This is a certificate application / draft record only. It is not proof of membership or investment approval until duly authorised and issued.

Member Signature / Date

Authorised Signatory / Official Seal

Document Checklist & Office Verification

Tick the box beside each document submitted with this application. Payment proof must be attached for the complete application pack. You may select supporting document files below for digital submission where electronic attachments are accepted, or submit printed copies with this form. Use only documents necessary for verification; provide masked copies where accepted and avoid unnecessary sensitive information.

Attach Supporting Documents (optional)

Select supporting document files

Attachment Description

Note: this form currently provides file-selection controls; files are not transmitted to or stored on the website server until a secure PHP upload handler is configured.

Document Name	Submitted	Office Verified	Remarks / Pending Details
Government-issued photo identity proof (masked copy where accepted)
Address proof, if required
Bank account proof / cancelled cheque, if required
Payment receipt / transaction proof (required)
Nominee identity / relationship supporting document, if applicable
Other supporting document(s)

Document Notes / Pending Documents

Documents Received By (office use)

Date Received

Privacy: use only information needed to process the application. Do not enter passwords, full payment-card details or unnecessary identity information. This template is not legal or investment advice and does not guarantee approval or returns.