Class2 IND
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Transcript of Class2 IND
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Toll Free : 1800 233 1010
1 Year 2 YearValidity Only Siging Sign & EncryptType
PostofficeID Card
DrivingLicense
Passport Copy of Bank Account Passbook contiaining photo & signedby applicant with attestation by concerned Bank Officer
Govt.ID Card
*PANCard
*For PAN based DSC, pls provide the PAN Card details and enclose the copy of same.
Date :
Place : Signature of Applicant
Nationallity :
Visa Details : Passort No. :
I hereby agree that I have read and understood (n)Code Solutions CA CPS and the subscriber agreement and promise to abide the same. I have read and understood guidelines for storage of private keys mentioned in (n)Code Solutions CPS and risk involved by using other storage devices to store private keys. I shall be held responsible for all risks arising out of not using USB Crypto Tokens to store private key.
Residential Address
(As mentioned in attachedsupporting)
For LRA use only
All Documents Checked & Verified by :
LRA Name, Seal & SignatureSeal & Signature
Verified by (n)Code Office
All Documents Checked & Verified by :
State/Union Territory
PIN
Town/City/District
Identity Detail of Applicant
INSTRUCTIONS:
DETAILS REQUIRED IF APPLICANT IS FOREIGN NATIONAL :
Contact No. PH MO
Please tick any one and enclose the copy of same
Applicant Name
Email ID
D D M M Y Y Y Y
Date of Birth
Surname First Name Middlename
Affix recent passport
size photograph of the applicant
Applicant to sign across the photograph extended to application form
6. All supporting documents should be attested by Gazetted officer Bank Manger or Post Master. Alternatively the applicant can present originals to LRA for verification and attestation.7. The Validity of address proof in case of utility bills shall not be older than 3 months from the date of application.8. For any assistance Please get in touch with us at : [email protected] or call : 1800 - 233 - 1010. [email protected] or call : 1800 - 233 - 1010.
e-Safe , e-Secure , e-Sure
Class 2Individual Certificate
Customer Identification Number : _______________________________ (for office use only)
Registration Form for Class 2 Digital Certificate
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Toll Free : 1800 233 1010
Checklist of the document to be submitted with Application
Documents Required for Verification
PANCard
DrivingLicense
Passport Post OfficeID Card
OR OR ORGovernmentID Card
OR
Copy of Bank Accuont Passbookwith attested photograph by the bank
OR
TelephoneBill
VoterID Card
Passport GasConnecton
OR OR OR
ElectricityBill
OR
WaterBill
DrivingLicense/RC
OR ORProperty Tax / Corpoation TaxMunicipal Corporation Receipt
OR
Services Tax / VAT Tax /Sales Tax Reg. Certificatte
Bank Statementattested by the Bank
OR OR
Attested copy of any one documents as proof Identity. (Please tick the one submitted)
Attested copy of documents as proof of Address. (Please tick the one submitted)
Document as proof of Address (Please tick the one submitted)
1
2
Mumbai
022-22048908
Delhi
011-26452279/80
Bangalore
080-25272525
Chandigarh
0172-2707732
Surat
0261-3003690
(n)Code Offices Corporate Office Ahmedabad : 079-4000 7300 [email protected]
Cheque / D.D. to be Drawn in favour of (n)Code Solutions, Division of GNFC Ltd. (Cheque should be Payable at Par)
DD / Cheque No. :Date : Amount :Bank Name :
Payment Details (Applicable for applicant obtaining DSC from any of (n)Code Offices)
e-Safe , e-Secure , e-Sure
Class 2Individual Certificate
Customer Identification Number : _______________________________ (for office use only)
Registration Form for Class 2 Digital Certificate