APPLICATION FOR DIGITAL SIGNATURE CERTIFICATE CLASS-2 CERTIFICATE FOR INDIVIDUALS

Transcription

1 APPLICATION FOR DIGITAL SIGNATURE CERTIFICATE CLASS-2 CERTIFICATE FOR INDIVIDUALS (To be filled by applicant) Name of Applicant: Id. User Id: City Tel/Mobile No. Enrollment Request No. Validity of DSC Payment details Acknowledgement / Receipt Received an application form from with Enrollment Request No. for obtaining a Class 2 Digital Signature Certificate for year (s). The applicant will receive notification over once the digital signature certificate is created and ready for download. Received Rs. by DD/ Cheque No. drawn on Bank. Seal & Signature of CPFC Administrator/RA Administrator Contact us:- Meharson Management Consultant Pvt Ltd

2 Digital Signature Certificate Application-Check List Please check the following ( For official use only) PHOTOGRAPH CPFC RA 1. The Application Form contains a passport size Photograph of the applicant 2. The Photograph is signed across its face 3. The photograph affixed on the Application matches with the photograph on the Identity Proof attached with the application 4. The signature on the photograph matches with the signature made on the application form ID PROOF 1. The Identity Proof Number is the same as on the Identity Proof 2. The Proof of Identity is duly attested by a Gazetted Officer/CS/CA in Practice with his stamp & CP No. or duly notarized by a notary public with stamp and number. PROOF OF RESIDENT: 1. The residential address as written in the Form match with the address provided in the Address Proof attached to the Form 2. The Proof of Residential Address is duly attested by a Gazetted Officer/CS/CA in Practice with his stamp & CP No. or duly notarized by a notary public with stamp and number. ID: 1. The Id as provided in the Application Form is same as on Certificate Enrollment Request GENERAL: 1. All the mandatory fields (fields marked with an *) are filled-up 2. The Enrollment Request Number as written on the Form is same as on the Copy of Certificate Enrollment Form attached with the Application 3. The subscriber has marked the Validity Period for the DSC 4. The Subscriber has signed the application at both the places 5. The date and place of signing is mentioned at the places given for it. PAYMENT: By CHEQUE/DD: 1. The Cheque is in the name of KVH Corporate Services. Ltd. payable at Delhi 2. The amount of DD/Cheque is correct as per the Validity Period opted by the subscriber Payment Details: Cheque/DD No. Date: Amount: Bank Name & Branch Address: Checked by CPFC: Checked by: CPFC Administrator Date: (Seal & Signature) RA Office: Checked by: RA Administrator Date: (Seal & Signature)

3 TATA CONSULTANCY SERVICES LIMITED CERTIFYING AUTHORITY REQUEST FORM FOR CLASS-2 CERTIFICATE USER TYPE INDIVIDUAL 1. Please fill the form in BLOCK LETTERS 2. Items marked with * are mandatory. 3. Please read the checklist and instructions before filling the form DETAILS TO BE FILLED OR TYPED IN BY THE APPLICANT: * Affix recent passport-size photograph of the applicant. Applicant to sign across the photograph FULL NAME * Last Name/Surname First Name Middle Name GENDER *(Tick as applicable) Male Female Residential Address * Mobile Phone No. Pin Code Telephone No. Area Code -- Telephone No.

4 Office Address Pin Code Details of at least one are mandatory for identity proof (copy required) # PASSPORT NO. # VOTER S IDENTITY CARD NO. # INCOME TAX PAN NO. # ADDRESS * (Mandatory - a valid and active ID that is accessed frequently and same as is entered in Certificate Enrollment Request Form) Validity of DSC required: 1 Year 2 Years The information provided above in the Request Form for procuring a DSC from TCS-CA is true and correct to the best of my knowledge. Date Signature of the Applicant

5 CHECKLIST FOR INDIVIDUAL TYPE OF CERTIFICATE The following is a list of the supporting documents that you need to submit along with the Certificate Request Form. All the following must be sent along with form. NOTE: COPY OF DOCUMENTS FOR IDENTITY PROOF AND ADDRESS PROOF (MUST BE ATTESTED BY GAZETTED OFFICER OR NOTARY OR CA/CS WITH THEIR NAME, CP NO. WITH RUBBER SEAL) Sr. No. Required Documents (Photo copies) Applicant to check Verification by Associate Verification by RA 1 Identity proof (same as filled in the form) Passport Voter s ID PAN 2 (i) In case of PAN No., which doesn t contains address; (ii) In case address in above document is different as given in form, Please furnish any of the following address proof: Bank Account Details showing address Driver s license Ration Card Any Other proof of address (e.g. Electricity bill, Telephone bill, etc.) 3 Online Certificate Enrollment Form with Request Number (Available for printing on completion of Online Enrollment)

6 Instructions 1. All subscribers are advised to read Certificate Practice Statement of CA available at 2. The certificate shall be downloaded onto the same computer / Hardware device (USB token) by login as same computer user account from where the request was initiated. 3. After placing an online request for a certificate, the following activities shall not be carried out until the certificate is successfully downloaded: Formatting of the computer Deletion of computer user account used to logon when the request was initiated Reinstallation or upgrade of the Internet browser on the computer from which the certificate request was initiated. 4. The certificate must not be shared with others or used by them on your behalf. 5. If you lose your key pair, you shall inform the RA Administrator immediately and apply for the revocation of your certificate. 6. Incomplete/Inconsistent application is liable to be rejected. Declaration I hereby confirm that I have read and understood the above instructions and will follow the above instructions for obtaining and using the Digital Signature Certificate. Date: Place: Signature of the Applicant TO BE FILLED BY RA OFFICE The above details have been verified and found to be correct. Name: Date Signature of RA Office

7 Demand Draft/ Cheque and the Document Checklist along with all the supporting documents have to be forwarded at the following address: Duly mark the envelope as APPLICATION FOR DIGITAL CERTIFICATE Meharson Management Consultants Private Limited Address : # 2382 Sector-16 Faridabad Haryana meharson@gmail.com Telephone : URL :