Form Id OR27393217981

Goverment

Digital Certificate

Registration Form

  • Applicant Name
    SULEKHA S S
  • Email
    hslpspappanamcode@gmail.com
  • Mobile
    91949 775 9183
  • PAN Number
    DYFPS0243K
  • Class - 3
  • Year 2
  • Type Sign
Office Address
GOVT HSLPS PAPPANAMCODE
Town/City/District
Thiruvananthapuram
State/Union Territory
Kerala
PIN
695 019
Organization Name
GOVT HSLPS PAPPANAMCODE
Department
EDUCATION
Identity / Address Proof
eKYC
Note: 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.
Applicant Declaration

I hereby agree to abide and confirm, that I have read and understood Provisions, Guidelines & Practices of Certificate.Digital CPS and the Subscriber Agreement. The information provided in this application form is Correct and true in all respect.


Signature

Date: 03 Jul, 2021

Place: Thiruvananthapuram