TATA CONSULTANCY SERVICES LIMITED CERTIFYING AUTHORITY REQUEST FORM FOR CLASS-2 CERTIFICATE User Type -Individual

Instructions: Items marked with * are mandatory.

Validity of DSC *
GENDER *

6 Months
Male

1 Years
Female

2 Years

Affix recent passport-size photograph of the applicant. Applicant to sign across the photograph.

Name * (Full Name) E-MAIL ADDRESS * (Mandatory - a valid and active email ID that is accessed frequently)

Residential Address *

City* Country*

State* Ph. NO*

PIN Code* Mobile No*

Documents Check List * (Notarized Copies of following docs must be provided to TCS-CA for ID & Add Proof) PAN Number * PAN is Compulsory to Get Digital Signature.

Address Proof * Identity Proof*

Instructions -

Can Copy of Passport/ DL/ Ration Card / Utility Bill / LIC Receipt/ Bank Statement/PAN Allotment Letter

Can Copy of Passport/DL/PAN Card Employer ID card (In case of Bank/Govt./Public Ltd) ------------------------------------------------------------------------------------------------------------------------------------------------------------------------All subscribers are advised to read Certificate Practice Statement of CA. The Certificate shall be downloaded onto same Computer/ Hardware which used during Enrollment. The Certificate must not be shared with others or used by them on your behalf. If you loose Key Pair, you shall inform RA Administrator and apply for Revocation of Certificate. After placing the online request following things should not be carried out until successful installation of Certificate- a) Formatting of Computer b) Deletion of User Account c) Up gradation of IE or Windows OS Application form must be submitted in person, incomplete forms are liable to reject. RA Declaration: The Above details have been verified and found to be correct.

Applicant Declaration: I hereby confirm that I have Read and Understood Instructions and will follow for obtaining and using Digital Signature Certificates

Signature of Applicant Signature of RA Officer -----------------------------------------------------------------------------------------------------------------------------------------Enrollment Request No: Used ID:

e-Solutions- Private & Confidential

Declaration by Applicant

I _________________________________________________________________________( Applicant Name ) Hereby declare that the details mentioned in the application form are true & correct to my knowledge & belief. I hereby authorize e-Solutions to enroll & download my Digital Signature on my behalf.

____________________ Signature of Applicant

_____________________ Date & Place

Declaration by Proposer ( By CA/ CS/ ICWA/Any Other)

I __________________________________________________________________________________(Name) Certify that I have submitted the correct details for _________________________________( Applicant Name) my client mentioned in the application form to get the DSC as required. ID proof & Address Proof are duly certified and attested by me.

___________________________________ Signature of Proposer With Stamp

________________________ Date & Place

__________________________________________________________________________________________
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DOCUMENTS REQUIRED & TO BE SUBMITTED BY THE APPLICANT FOR CLASS 2A

1. Application Form duly filled in. 2. Photograph of Applicant ( Must be pasted on form with Cross Signature ) 3. Duly Attested Photocopy of anyone of the following ID Proof of Applicant :

- Passport - Driving License - PAN Card Copy - Govt. Issued ID Card 4. Duly Attested Photocopy of anyone of the following Address Proof of Applicant :

- Passport - Driving License - Latest Utility Bill ( Telephone Bill / Mobile Bill / Electricity Bill / LIC Receipt / Water Bill) - Not older than three months - Ration Card - Voter ID Card - Bank Account Statement ( Not older than three months)

5. Declaration Letter (Format Attached )

Note: - All Supportive Documents must be attested by Public Notary OR Practicing CA/CS/ICWA OR Gazetted Officer . - To obtain PAN Based Digital Signature , Photocopy of PAN Card is mandatory. - Payment Mode : Cash / DD Should be in favor of e-Solutions

Regards, E-Solutions Team

e-Solutions | www.esolutions.net.in |
CLASS 3 DIGITAL SIGNATURE | DGFT DIGITAL SIGNATURE | CLASS 2 DIGITAL SIGNATURE | USB TOKENS

e-Solutions- Private & Confidential