10/22/2018 https://register.csc.gov.

in/vle/register_print

CSC VLE REGISTRATION

Your Application Reference Number is : 2031878744076146

PERSONAL DETAILS    

Name : Mohammad Naseeb Raza

Gender : Male

D.O.B : 01-01-1996

Marital Status : Married

Spouse Name : Shahnaz Fatima

Email : mohdnaseebraza@gmail.com

Moile : 9838402492

Father's Name : Riyasat Beg

Mother's Name : Mahrun

Mother's Maiden Name : Nisha

RESIDENTIAL DETAILS    

Rural / Urban : Rural

State : Uttar Pradesh

District : Kheri

Block/Tahsil/Taluka : Nighasan

Gram Panchayat : Mirjaganj

Street : Rakehati

Locality : Mirjaganj

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KIOSK DETAILS    

Kiosk Name/VLE Name : Raza

Rural / Urban : Rural

State : Uttar Pradesh

District : Kheri

Street : Rakehati

Locality : Mirjaganj

Pin Code : 262903

BANK DETAILS    

Bank : State Bank Of India

Account Holder : Mohammad Naseeb Raza

Account No : 33839453238

IFSC Code : SBIN0011225

PAN Type : Individual

PAN No : CUNPR0413H

Account Type : Saving Account

INFRASTRUCTURE DETAILS    

Total Computer : 2

Total Operators / Employees : 1

Computer Peripherals : Inkjet|Laser|Scanner

Biometric Devices : Biometric Finger device

Other Devices : Tablet|Smart Phone

NDLM|Election|IRCTC|Bharat Bill Payment

Services :
Services|Passport|RAP

Internet Connection : Yes

Internet Provider   Reliance jio

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TERMS    

I agree that I will install the DigiPay application and will provide DigiPay services within 30 days of getting a CSC ID (VLE).

☑ DigiPay will enhance your portfolio and add to increased income opportunities. For running DigiPay you would require a

biomteric device.

I agree that I will register under the IRCTC programme o៛�ered by CSC to become a corporate agent within 15 days of

getting a CSC ID (VLE). I understand that by registering with CSC as a corporate agent, I will only use the corporate agent
☑
credentials to book the tickets on IRCTC and will not use any other personal/commercial account. IRCTC services will

enable you to deliver Railway ticket services around your area & enhance your service portfolio.

I agree that after my CSC account is created i will register for the Rural Authorised Person (RAP) program within 30 days of

☑ account activation. Through RAP, I will be able to solicit or negotiate an Insurance policy with a client on behalf of the

insurance companies.

I agree to setup a PMGDISHA Centre within 90 days of becoming a VLE or my CSC ID activation. PMGDISHA is the most
☑
popular program for delivery of Digital Literacy across the country.

I agree to undergo the Telecentre Entrepreneur Course (TEC) & certify for the same within 60 days of getting a CSC ID. TEC

☑ course is mandatory for all applicants who are interested in operating a Common Service Centre in their locality. Click

here to know more about the Telecentre Entrepreneur Course.

I agree that the data submitted here will be used to open a zero balance current account with IndusInd bank. I also agree

to the terms and conditions of CSC e-Governance Services India Limited for becoming a VLE, & also certify that the
☑
information provided in my application is true to the best of my knowledge and agree that any discrepancy may lead to

rejection of my application or termination of my account.

 
 
 
 

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