Undertaking by Applicant for Digital Signature Certificate Instructions: For Office Use - Use Only Latest Application Form - Read the Instructions Carefully given
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[PDF] Digital Signature Certificate Subscription Form - E-SignIndia
Note*: Safescrypt at its discretion, will make a telephone call to verify the details of the Subscriber Attestation By Sify Authorised LRA/Partner(*For Class3 DSC
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[PDF] Digital Signature Certificate Subscription Form
Note*: Safescrypt at its discretion, will make a telephone call to verify the details of the Subscriber Attestation By Sify Authorised LRA/Partner(*For Class3 DSC
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Undertaking by Applicant for Digital Signature Certificate Instructions: For Office Use - Use Only Latest Application Form - Read the Instructions Carefully given
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Undertaking by Applicant for Digital Signature Certificate Instructions: For Office Use - Use Only Latest Application Form - Read the Instructions Carefully given
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I hereby declare that all the information provided on this Subscription Form for the I am aware, as a subscriber for a digital signature certificate, the duties and
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Digital Signature Certificate Subscription Form
I , _______________________________________________________ acknowledge by my signature, that the Subscriber information in this document
is complete and accurate as per our office records. I fully understand that the Subscriber is responsible to transact on the Organisation's behalf and I will
ensure timely revocation of Digital Signature Certificate in case the employee leaves the company in future.
Signature & Organisation seal*
SafeScrypt CA Services brought to you by:
Photo Identity Proo Address Proo
Identity Proof Name Address Proof Name Identity Proof Number
( Eg: Pan Card, DL, Passport, ...) Note*: Subscriber's signature should appear on the Photo ID Proof. ( Eg: Passport, DL, LatestTelephone Bill, ...)
I hereby declare that all the information provided on 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 a digital signature certificate, the duties and responsibilities are applicable under the IT Act, India and the Safe
Scrypt CA's CPS https://www.safescrypt.com/pdf/cps.pdf .Signature of the Subscriber*
Date*: Place*:
Date*: Place*: Date*: Place*: Date*: Place*: Date*: Place*: Date*: Place*: Date*: Place*: Date*: Place*: Date*: Place*: Date*: Place*: Date*: Place*: Date*: Place*: Date*: Place*: Date*: Place*: Date*: Place*: Date*: Place*: Date*: Place*:
Note*: Subscriber has to sign before the Authorised LRA/Partner for Class3 DSC. * Self Attested PhotoName*: Address(Residential address in case of Individual or Organization address in case of with ORG DSC)Organisation Name * :
(Mandatory in case of ORG DSC)Door No/Building Name * :
Road/ Street/ Post Office * :
Town/ City/ District * :
State/ Union Territory * :
Country* :
PIN Code*
Telephone Number* (with STD Code)::
Mobile Number* : Date of Birth*: Gender *: Male Female
DDMMYYYY
Designation :
Section 4: Authorisation (*only for ORG DSC)
Section 3: Declaration
Section 2: Identity Proof Details
Section 1: Subscriber Details
Partner Name:
City:Date of Issuance:I hereby declare that the subscriber has personally appeared before me and submitted the
original document Copies of ID proof. I have verified the same with TRUE COPY.Date * Name *
DDMMYYYY
Signature and Seal *
Note*: Safescrypt at its discretion, will make a telephone call to verify the details of this Subscriber.Attestation By Sify Authorised LRA/Partner(*For Class3 DSC Only)
Individual
With Org NameClass of Certificate Type of Certificate Certificate validity SigningEncryptionClass
2Class 31 Year
2 Years
Sify Technologies Limited, 2nd Floor, Tidel Park, #4, Rajiv Gandhi Salai, Taramani, Chennai - 600113. E-Mail: enquiries@safescrypt.com
Email id :Class 3 Digital Signature Certificate is the highest level of digital signature in ways of
security. Class 3 Digital Signature Certificates ensures secure transactions, transparency. Digital Signature Certificate (DSC) for Individuals , Companies and Organizations is mandatory to take part or who wish to take part in e-Tendering , e-Procurement , e- Ticketing , IPO, Patent, Trademark filing process on various websites in India. What are the Types of Class 3 Digital Signature Certificate Class 3 Digital Signature Certificate can be obtained by Individual User or Authorized Individual on behalf of Org / Firm / Company. We categories these types as this : Individual User ( Class 3A ) & Company user( Class 3B) . As per Information Technology Act and legal status, Class 3A / Class 3B digital signature certificates can be issued in two certificates :