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! "# $% & % ’( ’ !" !! !# $$% ) % $% & ’( ’ !" !! !# $$% * !" !! !# $$% . % "# / % + , 0+ 1 -% 2 - 2 0 ’ ! , # " 3333333333333333333333 $0 ( ’ 5 & # - ’ " ’ - !& $ ’’(!) 333333333333333 *!)++++++++++ (!) 333333333333 the form are true and correct to my knowledge & belief. I hereby authorise D. Sign Softech (With Blue ink only.) (With Blue ink only.) (In other than Black ink.) (In other than Black ink.) (In other than Black ink.) (With Blue ink only.) (With Blue ink only.) The Organisation Proof (As per List C below) should be compulsorily MOBILE VERIFICATION Upon receiving an Auto generated email or SMS from Sify Safescrypt, the applicant has to do mobile verification from her/his mentioned mobile number in the application form. The Applicant has to provide correct details as filled by her/him in the application form. If wrong details provided during this verification process, your DSC will be rejected and you have to submit documents and payment again. So it is suggested to you to keep a copy of application form in front of you while doing this process. Unique email ID and unique Mobile number should be used for each applicant. Photograph should be colored and on photo paper only. Option 1 - Voice: Call Sify Toll free verification number 1800 419 2929 & Extn. 8 and answer 2-3 questions to confirm the identity of the applicant. (From Monday – Saturday 9.00 am - 8.00 pm excluding National Holidays) 9 The applicant herself/himself has to visit our office for Video recording. It is a verification Process. (With Blue ink only.) Option 2 - Text : SMS to Sify Safescrypt Self-Service number in specific format and complete the verification. Sify Safescrypt SMS based verification number: +91-9664166000 Format: Safe <Request id number> <Email id > confirmed Example: Safe 12345678 [email protected] confirmed

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the form are true and correct to my knowledge & belief. I hereby authorise D. Sign Softech

(With Blue ink only.)

(With Blue ink only.)

(In other than Black ink.)

(In other than Black ink.)

(In other than Black ink.)

(With Blue ink only.)

(With Blue ink only.)

The Organisation Proof (As per List C below) should be compulsorily

MOBILE VERIFICATION

Upon receiving an Auto generated email or SMS from Sify Safescrypt, the applicant has to do mobile verification from her/his mentioned mobile number in the application form. The Applicant has to provide correct details as filled by her/him in the application form. If wrong details provided during this verification process, your DSC will be rejected and you have to submit documents and payment again. So it is suggested to you to keep a copy of application form in front of you while doing this process.

Unique email ID and unique Mobile number should be used for each applicant.

Photograph should be colored and on photo paper only.

Option 1 - Voice: Call Sify Toll free verification number 1800 419 2929 & Extn. 8 and answer 2-3 questions to confirm the identity of the applicant. (From Monday – Saturday 9.00 am - 8.00 pm excluding National Holidays)

�����9 The applicant herself/himself has to visit our office for Video recording. It is a verification Process. (With Blue ink only.)

Option 2 - Text : SMS to Sify Safescrypt Self-Service number in specific format and complete the verification. Sify Safescrypt SMS based verification number: +91-9664166000Format: Safe <Request id number> <Email id > confirmed Example: Safe 12345678 [email protected] confirmed

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Supporting Documents in respect of Existence of organization: Category Documents required Proprietorship Firm Copy of Business Registration Certificate” (S&E / VAT / ST)

Copy of statement of bank account (First and second page) Copy of ITR accompanied by computation of income/financial

statement Front side page-1)Partnership Firm Copy of partnership deed ( Max of first three pages including

list of partners and authorised signatories) Copy of PAN card (Front side page-1) Copy of statement of bank account (First and second page) Copy of ITR accompanied by computation of income/financial

statement pertaining to last financial year (First and secondpage)

Corporate Entities Copy of Company Pan Card (Front side page-1) Copy of certificate of incorporation(page-1) Copy of article and memorandum of association(First two

page) Copy of statement of bank account (First and second page) The copy of audit report along with the annual return

pertaining to last financial year (First and second page) The authorized representatives for forwarding / certifying the

application form for DSC should be duly authorized by theresolution of board of directors

LIST - C

Association of person (body of individuals)

PAN Card of entity Incorporation and Registration Certificate issued by authority

such as Registrar Memorandum of Association/copy of rules/Bye laws Copy of Bank Statement Copy of Income Tax Return of last year Authority/Resolution for Authorization to Authorized

Signatories for DSC application/ forwarding/ attestation oforganizational documents

Certified copy of organizational ID proof of authorizedsignatory

Limited Liability Partnership

PAN Card of LLP Incorporation and Registration Certificate issued by authority

such as Registrar Copy of LLP agreement Memorandum of Association/copy of rules/Bye laws Copy of Bank Statement Copy of Income Tax Return of last year Authority/Resolution for Authorization to Authorized

Signatories for DSC application/ forwarding/ attestation oforganizational documents

Certified copy of organizational ID proof of authorizedsignatory

Non-Government Organisation /Trust

PAN Card of NGO/Trust Incorporation and Registration Certificate issued by authority

such as Registrar /sub-assurances Copy of Trust Deed Copy of rules and Bye laws of NGO Copy of Bank Statement verified/attested by Banker Copy of Income Tax Return of last year Authority/Resolution for Authorization to Authorized

Signatories for DSC application/ forwarding/ attestation oforganizational documents

Certified copy of organizational ID proof of authorisedsignatory

Group ‘A’ Gazetted officers include

a) All India services though posted to statesb) Promotes from states to the cadre of Assistant

commissioner and abovec) Police officers (Circle Inspector and above)d) Additional District Civil surgeonse) Executive Engineers and abovef) District Medical Officer and aboveg) Lt. Col and aboveh) Principals of Government Colleges and abovei) Readers and above of Universitiesj) Patent Examiner etc.

Group ‘B’ Gazetted officers include

a) Section Officerb) BDO(Block Development Officer)c) Tahsildard) Junior Doctors in Government Hospitalse) Assistant Executive Engineerf) Lectures in Government collegesg) Headmaster of Government high schoolsh) 2nd Lieutenant to Majori) Magistrate

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Digital Signature Certificate Subscription Form

Use blue-ink only including signature.

Ensure the Name, Designa-tion, Address and Contact number of the attesting offi-cer in at least one of the at-testation document.

I hereby declare that all the information provided in this Subscription form for the purpose of obtaining a digital certificate is true and correct to the best of my knowledge. I am aware, as a subscriber for the digital signature certificate, the duties and responsibilities which are applicable under the SafeScryptCA CPS (https://www.safescrypt.com/pdf/cps.pdf) and also under the Section 71 of IT Act which stipulates that if anyone makes a misrepresentation orsuppresses any material fact from the CCA or CA for obtaining any DSC such person shall be punishable with imprisonment up to 2 years or with fine up to one lakh rupees or with both.

D. Sign SoftechPrivate Limited