Digital Signature Certificate Subscription Form Page 2
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1
2Important Instruction
Class 3 Individual (Non Aadhaar eKYC based)
(Video Recording During Enrollment & Physical Verification is Mandatory)
The Controller of Certifying Authorities of India has specified Identity Verification Guidelines and has made the same Mandatory w.e.f. July 01
2015. In accordance with the guidelines the Applicant should comply with the following.
Section 71 of IT Act stipulates that if anyone makes a misrepresentation or suppresses 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.
Please fill the form in BLOCK LETTERS in English. Use only Blue Ink. All signatures including DSC applicant, attestation and authorization
should be with blue ‐ink only .
Subscriber has cross-signed the photograph extending to the Application Form.
If the Signature on the Proof of Identity or Proof of Address does not match with the Signature on the Subscription Form, it should be
validated by the bank where the Subscriber holds a bank account.
In the case of applicant is unable to sign due to disability, paralysis, or other reasons, the DSC issuance should be through Aadhaar eKYC
service.
Power of attorney is not allowed to sign on behalf of subscriber.
Inconsistent/incomplete applications are liable to be rejected.
Subscriber’s Email ID in the application should be a valid and active, in order to issue the certificate.
Mobile Number of DSC Subscriber is Mandatory.
USB Token (FIPS 140 ‐1/2 level validated Hardware Token) is required for generation of Signing Certificates.
Proof of PAN is mandatory if PAN value is to be included in the Certificate (Required for Income Tax)
For Class 3 Digital Certificate, a Video capture facility will be provided.
Document for Indian Nationals – (To be Self Attested in BLUE INK)
Document as proof of identity (Any one)
Documents as proof of address (Any one)
a)
Valid Passport
a)
Telephone Bill, not earlier than 3 months
b)
Valid Driving License
b)
Electricity Bill, not earlier than 3 months
c)
PAN Card
c)
Water Bill, not earlier than 3 months
d)
Valid Post Office ID card
d)
Gas connection or Gas Bill, not earlier than 3 months
e)
Bank Account Passbook containing the photograph and
e)
Bank Statements signed by the bank, not earlier than 3 months
signed by an individual with attestation by the
f)
Service Tax/VAT Tax/Sales Tax registration certificate.
concerned Bank official.
g)
Valid Driving License (DL)/ Valid Registration certificate (RC)
f)
Valid Photo ID card issued by the Ministry of Home
h)
Voter ID Card
Affairs of Centre/State Governments.
i)
Valid Passport
g)
Any Government issued valid photo ID card bearing the
j)
Latest Property Tax/ Corporation/ Municipal Corporation Receipt.
signatures of the individual.
Attestation
Attestation of supporting documents by RA or its Associates is no more allowed. Copy of supporting document should be attested by Authorised
executive/Manager of the Bank or Post Master or Group ‘A’ or Group ‘B’ Gazetted officer after physical verification of original documents and with
his Seal & Signature specifying his Name, designation, office address and contact number which should be clearly visible.
Group ‘A’ Gazetted officers include
Group ‘B’ Gazetted officers include
a)
All India services though posted to states
a)
Section Officer
b)
Promotes from states to the cadre of Assistant commissioner and above
b)
BDO (Block Development Officer)
c)
Police officers (Circle Inspector and above)
c)
Tahsildar
d)
Additional District Civil surgeons
d)
Junior Doctors in Government Hospitals
e)
Executive Engineers and above
e)
Assistant Executive Engineer
f)
District Medical Officer and above
f)
Lectures in Government colleges
g)
Lt. Col and above
g)
Headmaster of Government high schools
h)
Principals of Government Colleges and above
h)
2nd Lieutenant to Major
i)
Readers and above of Universities
Magistrate etc.
i)
j)
Patent Examiner etc.
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