Registralion Form for Digital Certiticate
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GOVERIIIIIENT
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Customer Identifi.at,on Nsmber
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Reglstration Form for Digital Gertlflcate
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Gi\ FC
(n)code
Solutions
6OVERIIMETIT
Customer ldentificatlon Number
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{for ollic6 uEo only)
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Docurn6nts Requlrod lor Vorltlcatlon
AdB!.d copy of lollowlng tor
Governmeot Appllcalion
A Apdjerrs ad€ni y card
B Th. arrlicalbr lo. Dsc shollr, beiNarded / certrtied by the Head ol otrr.e
C A lele. / n4l.,icaton fton Head o, Oepznnrent (HOO) aulhonzing lhe Head otOfice
O Tne Goyermenl lD CardotHOD iAulho.iz.ng the apprrcant)
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Fo.
Clas
3 certincare, HOD shoutd certiry th€
phFic.l verinebn o,subscrilrer
O Ihe .n6teion ol do.umenrs may be cariied @t by Head
or
th. Oilc€/Gazened Oftcer
PAYIIENI OETA!LS
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OETAILS OF AUTHORISING PERSON
FIiOTOG*APH
A,er;Lrndmirk
OF
AUTHORISIN6
PEiSON
(n)Cods Otflco!
corpo.a16 onic. Abmodabad 079-.4000 7300
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d3caaloilon.od. ln
040-25212525
Mumbii
022"22048908
Sural
011-?64522?9r80
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Toll Frss : 1800
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A261 27A9914
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