District Treasury Office Registration Form - Central Recordkeeping Agency (Page 2 of 2) in pdf

Annexure N2

Page 2

Designated Bank Account for NPS] [Refer instruction no. 4]

9. Bank Details*: [

Bank Account Type*

Savings A/c

Current A/c

Bank A/c Number *

Bank Name*

Bank Branch*

Bank Branch Address*

Pin Code*

Bank Branch MICR Code*

Bank Branch IFSC

(Indian Financial Systems Code)

I/We hereby agree and declare that the information provided in the application, is complete and true.

I / We understand that there would be PFRDA approved Terms and Conditions on the CRA website governing Nodal

Office’s use of I-Pin (to view and transact online) & T-pin to access CRA / NPSCAN. I /We agree to be bound by the said

terms and conditions and understand that CRA may, as approved by PFRDA, amend any of the services completely or

partially without any new Declaration/Undertaking being signed.

Signature of Authorised signatory of DTO

Name: ________________________ Place: _______

Designation: __________________ Date: ________

DTO Stamp

Signature of Authorised signatory of DTA

DTA Stamp

Name: ________________________ Place: ________

DTA Reg. No.

(Allotted by CRA)

Designation: __________________ Date: ______

(Refer instruction no.8)

Received on :

_____________________

Name of the officer : __________________

(To be filled at CRA)

Signature of the officer : ________________

CRA Stamp

Instructions for filling the form:

The form is to be submitted to the address - Central Recordkeeping Agency, National Securities Depository Limited, 4th Floor, ‘A’

Wing, Trade World, Kamala Mills Compound, Senapati Bapat Marg, Lower Parel (W), Mumbai - 400 013.

Form to be filled legibly in BLOCK LETTERS and in BLACK INK only.

Each box, wherever provided, should contain only one character (alphabet/number/punctuation mark) leaving a blank box after each

word. Details marked with (*) are mandatory fields.

Bank details are mandatory if the DTO will remit the NPS contributions to the Trustee bank (Bank of India)

AIN is the Account Identification Number allotted by Income Tax Department.

Email ID should be the official Email ID of the DTO & not of any individual person.

Kindly mention the DTO code allotted by the respective State Government / Union Territory. If DTO code is less than six digits,

prefix zeros to make a six digit number. For e.g.

Directorate of Treasury and Accounts

Kindly mention DTA Reg. No. allotted by CRA to the

Form has to be duly authorised by DTA registered at CRA. Till it has been registered, it shall retain the forms.

10.

The application form in the prescribed format can be freely downloaded from the CRA website ( ).

11.

For more information contact CRA at 022-24994200 or write to CRA at Central Recordkeeping Agency, National Securities

Depository Limited, 4th Floor, ‘A’ Wing, Trade World, Kamala Mills Compound, Senapati Bapat Marg, Lower Parel (W), Mumbai

- 400 013.

District Treasury Office Registration Form - Central Recordkeeping Agency Page 2

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