Form Csrf 1 - Subscriber Registration Form - National Pension System (Nps) Page 5
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7Annexure II to CSRF 1
ADDITIONAL REQUEST DETAILS
1. Name of Father
(required if name exceeds 30 characters and not able to be covered on page 1 of the application form)
First Name
Middle Name
Last Name
2. Name of Mother
(required only if the applicant wants mother’s name to be printed instead of Father’s name on PRAN Card)
First Name
Middle Name
Last Name
3. Request for Printing Permanent Retirement Account Number (PRAN) card in Hindi (required only if applicant wants PRAN
card in Hindi)
Please provide the following details in Devnagri script for printing the PRAN card in Hindi. Also, please note that the manner in which the names
are provided in this annexure will be displayed on the PRAN card. However, date of birth will be printed in English only. All the given below fields are
mandatory.
Subscriber’s Full Name in Hindi
Father/Mother’s Full Name in Hindi
(As selected in the Subscriber Registration form)
Please refer Sr. No. 1 of the instructions.
First Name
Middle Name
Last Name
Name:
Place:
Signature/Thumb Impression* of Subscriber in black ink
Date:
d
d
/
m
m
/
y
y
y
y
(* LTI (Left Thumb Impression) in case of male and RTI (Right Thumb Impression) in case of female)
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