PRINT DOWNLOAD

User Id: _____________________

RA Name: _____________________

TATA CONSULTANCY SERVICES LIMITED CERTIFYING AUTHORITY REQUEST FORM FOR CLASS 2 CERTIFICATE
USER TYPE COMPANY

Instructions:Items Items Items If you Note:

marked with * are mandatory. marked with ^ are prepopulated in the Certificate Enrollment form highlighted with black border are modified fileds and require reverification. want a DSC with PAN. Please select PAN card as proof of identity.

The applicants name in the Digital Signature Certificate is combination of 1) Surname,2) Given name,3) Father's/Husband's name and 4) Initials in the mentioned order(3 and 4 are optional). Please provide details accordingly.

Validity of DSC*

c d e f g c d e f g

Empower India DSC 2 Years

c d e f g

1 year

E-Mail Address*^ Alternative E-Mail Address

Corporate / Branch / Registered office - Organisation Details

Name*^ House Identifier* Street Address* City*^ State*^ Telephone* FAX PAN* Pin Code*^ Country*^ Mobile

Authorized Applicant - Applicant Details

Gender* Surname^ Father/Husband's Name^ House Identifier* Street Address* City* State* Telephone* Nationality* Pin Code* Country* Mobile

j k l m n

Male

j k l m n

Female Given Name*^ Initials^

DOCUMENT CHECKLIST FOR COMPANY TYPE OF CERTIFICATE

Note:

Enclose the copy of Company's PAN with the duly filled application form. Copies of one or more of the following must be provided to TCS-CA to authenticate the identity & proof of residence. Provide the appropriate identification details for the selected document. Attestation to be done by GAZZETTED officer or Notarization to be done by PUBLIC notary. In the case where the address on the photo-id proof provided e.g. copy of Passport or Driving License does not match with the address in address proof provided, an affidavit should be submitted along with the supporting documents and the application form.

Corporate / Branch / Registered office (any one NOTARIZED copy required)

c d e f g c d e f g c d e f g
c d e f g

Public & Private limited Certificate of incorporation Memorandum and articles Partnership Firms Partnership deed Latest balance sheet

c d e f g c d e f g

Business commencement Latest annual report.

c d e f g c d e f g

c d e f g c d e f g

Latest annual report Latest income tax return

c d e f g c d e f g c d e f g

Proprietorship firms Latest bank statement Latest balance sheet

c d e f g

Latest income tax return

Subscriber proof of identity and residence(any one ATTESTED copy required)

c d e f g c d e f g c d e f g c d e f g c d e f g c d e f g
c d e f g

Identity and Residence Passport Others Identity PAN Card Driving License Others Residence Latest Electricity Bill LIC Receipt Ration Card Others Letter of Authority*

c d e f g

Driving License

c d e f g c d e f g

Passport Identity Card

c d e f g c d e f g c d e f g c d e f g c d e f g c d e f g

c d e f g c d e f g c d e f g

Bank Account Passport Driving License

Letter of Authority

6
Instructions

All subscribers are advised to read Certificate Practice Statement of CA. be downloaded the The certificate shall Smart card etc.)ontologinsame computer / Hardware device (USB token, by as same computer user
account from where the request was initiated. The certificate must not be shared with others or used by them on your behalf permanent and irreversible. If Certificate revocation isto reapply for a fresh certificate.your certificate is revoked, you will have remember the passwords that are used while It is your responsibility tocertificates/keys. generating/exporting the

the RA Administrator If you lose your key pair, you shall informof your certificate. immediately and apply for the revocation

After placing an online request for a certificate, the following activities shall not be carried out until the certificate is successfully downloaded:

- Formatting of the computer Deletion of computer user account used to logon when the request was - initiated - which the certificate request was initiated.
Reinstallation or upgrade of the Internet browser on the computer from

Application form must be submitted in person. Incomplete/Inconsistent application is liable to be rejected.

Instructions For Form Filling

E-mail Address Alternative E-mail Address Organisation/Office Name Organisation/Office House Identifier Organisation/Office Street Address Office city Office PIN Code Office State Office Country Office Telephone Country Code Office Telephone Area Code Office Telephone Office Mobile County Code Office Mobile Office FAX Country Code Office FAX Area Code Office PAN Surname Given Name Father/Husband's Name Initials Residential House Identifier Residential Street Address

Enter your E-mail Address. Maximum limit 0f 64 alphanumeric characters. Must be in the format of [email protected] Enter your Alternative E-mail Address. Maximum limit 0f 64 alphanumeric characters. Must be in the format of [email protected] Enter your Organisation/Office Name. Maximum limit of 64 alphanumeric characters. Enter your Organisation/Office House Identifier. Maximum limit of 60 alphanumeric characters. Enter your Organisation/Office Street Address. Maximum limit of 60 alphanumeric characters. Enter your Office city. Maximum limit of 32 alphanumeric characters. Enter your Office PIN Code. Maximum limit of 10 alphanumeric characters. Enter your Office State. Maximum limit of 32 alphanumeric characters. Enter your Office Country Enter your Office Telephone Country Code. Maximum limit of 2 numbers. Enter your Office Telephone Area Code. Maximum limit of 4 numbers. Enter your Office Telephone. Maximum limit of 15 numbers. Enter your Office Mobile County Code. Maximum limit of 2 numbers. Enter your Office Mobile. Maximum limit of 15 numbers. Enter your Office FAX Country Code. Maximum limit of 2 numbers. Enter your Office FAX Area Code. Maximum limit of 4 numbers. Enter your Office PAN. Eg. AAAAA1111A. Maximum limit of 10 alphanumeric characters. Enter your Surname. Maximum limit of 64 alphanumeric characters. Enter your Given Name. Maximum limit of 64 alphanumeric characters. Enter your Father/Husband's Name if you want Father/Husband's Name to appear in your Certificate. Maximum limit of 64 alphanumeric characters. Enter your Initials if you want Initials to appear in your Certificate. Maximum limit of 64 alphanumeric characters. Enter your Residential House Identifier. Maximum limit of 60 alphanumeric characters. Enter your Residential Street Address. Maximum limit of 60 alphanumeric characters.

Authorized Applicant city Authorized Applicant PIN Code Authorized Applicant State Authorized Applicant Country Authorized Applicant Telephone Country Code Authorized Applicant Telephone Area Code Authorized Applicant Telephone Authorized Applicant Mobile County Code Authorized Applicant Mobile Authorized Applicant Nationality Certificate of incorporation

Enter your Authorized Applicant city. Maximum limit of 32 alphanumeric characters. Enter your Authorized Applicant PIN Code. Maximum limit of 10 alphanumeric characters. Enter your Authorized Applicant State. Maximum limit of 32 alphanumeric characters. Enter your Authorized Applicant Country Enter your Authorized Applicant Telephone Country Code. Maximum limit of 2 numbers. Enter your Authorized Applicant Telephone Area Code. Maximum limit of 4 numbers. Enter your Authorized Applicant Telephone. Maximum limit of 15 numbers. Enter your Authorized Applicant Mobile County Code. Maximum limit of 2 numbers. Enter your Authorized Applicant Mobile. Maximum limit of 15 numbers. Enter your Authorized Applicant Nationality. Maximum limit of 32 alphanumeric characters. Enter your Certificate of incorporation identification number as in the enclosed attested copy. Maximum limit of 32 characters. Must be a Certificate true copy from either the company secretary / Director of the company Enter your Business commencement identification number as in the enclosed attested copy. Maximum limit of 32 characters. Must be a Certificate true copy from either the company secretary / Director of the company Enter your Memorandum and articles of association identification number as in the enclosed attested copy. Maximum limit of 32 characters. Must be a Certificate true copy from either the company secretary / Director of the company Enter your Latest annual report identification number as in the enclosed attested copy. Maximum limit of 32 characters. Enter your Partnership deed identification number as in the enclosed attested copy. Maximum limit of 32 characters. Must be a Certificate true copy from either the company secretary / Director of the company Enter your Latest annual report identification number as in the enclosed attested copy. Maximum limit of 32 characters. Enter your Latest balance sheet identification number as in the enclosed attested copy. Maximum limit of 32 characters. Enter your Latest income tax return identification number as in the enclosed attested copy. Maximum limit of 32 characters. Enter your Latest Bank statement identification number as in the enclosed attested copy. Maximum limit of 32 characters. Must be a latest bank statement certified by the bank manager of the bank where the account is held. Enter your Latest income tax return identification number as in the enclosed attested copy. Maximum limit of 32 characters. Enter your Latest balance sheet identification number as in the enclosed attested copy. Maximum limit of 32 characters. Enter your Passport number as in the enclosed attested copy of your passport. Eg. A3608997. Maximum limit of 32 characters. Enter your Driving License number as in the enclosed attested copy of your Driving License. Eg. DL9246/DEC/95. Maximum limit of 32 characters. Enter any Other Identity and residence proof. Maximum limit of 32 characters. Enter your PAN card number as in the enclosed attested copy of your PAN Card. Eg. AAAAA1111A. Maximum limit of 32 characters. Enter your Passport number as in the enclosed attested copy of your passport. Eg. A3608997. Maximum limit of 32 characters. Enter your Driving License number as in the enclosed attested copy of your Driving License. Eg. DL9246/DEC/95. Maximum limit of 32 characters. Enter your Identity Card number as in the enclosed attested copy of your Identity Card. Eg. 556789. Maximum limit of 32 characters. Must be Attested by authorized signatory of the company Enter any Other Identity proof. Maximum limit of 32 characters. Enter your Latest Electricity Bill. Maximum limit of 32 alphanumeric characters. Enter your Bank Account number as in the enclosed attested copy of your bank statement. Eg. 000401532978. Maximum limit of 32 characters. Enter your LIC Receipt number. Maximum limit of 32 alphanumeric characters. Enter your Passport number as in the enclosed attested copy of your passport. Eg. A3608997. Maximum limit of 32 characters. Enter your Ration Card number as in the enclosed attested copy of your Ration Card. Eg. IN12345667876434554. Maximum limit of 32 characters. Enter your Driving License number as in the enclosed attested copy of your Driving License. Eg. DL9246/DEC/95. Maximum limit of 32 characters. Enter any Other residence proof. Maximum limit of 32 characters. Enter Submitted or enclosed if you have enclosed attested copy of Letter of Authority.

Documents checklist: Public & Private limited

Business commencement

Memorandum and articles

Latest annual report. Partnership deed Latest annual report Latest balance sheet Latest income tax return

Documents checklist: Partnership Firms

Documents checklist: Proprietorship firms

Latest bank statement

Latest income tax return Latest balance sheet Passport Driving License Others
Documents checklist: Identity

Documents checklist: Identity and Residence

PAN Card Passport Driving License Identity Card

Others
Documents checklist: Residence

Latest Electricity Bill Bank Account LIC Receipt Passport Ration Card Driving License Others Letter of Authority

Documents checklist: Letter of authority

Applicant Declaration

RA Declaration

I hereby confirm that I have read and understood the above instructions and will I hereby confirm that I have received and verified the documents submitted by follow the above instructions for obtaining and using the Digital Signature the subscriber. Certificate. Date: Place: Date: Signature of the Applicant Place:

Signature of the RA Officer

Annexure A - Letter of Authority

I, ______________________________ in the capacity of the __________________ of ______________________________, authorize ______________________________, whose signature is attested below to carry out all the necessary formalities on behalf of ______________________________ for the application of a Class-3/Class-2 Digital Signature Certificate with the validity period of _________ year(s).(required validity period needs to be mentioned) ______________________________ Signature and Designation of Authorizing Person __________________________ Signature and Designation of the Applicant

__________________________ Signature and Designation of Authorizing Person

Note: Guidelines on how to fill the Letter Of Authority based on type of organization. 1. Public & Private Limited Companies: The applicant of the certificate has to get himself authorized by the superior to whom he/she reports in the said company. If the applicant himself is the head of the organization, he can authorize himself. 2. Partnership Firms: The partner who is the applicant of the certificate has to get himself authorized by the other partner of the said partnership firm. 3. Proprietorship Firms: The proprietor who is the applicant of the certificate has to self authorize as he is the whole & sole responsible of the proprietary concern.

The certificate Request Form, Demand Draft and the supporting documents as per the document checklist have to be forwarded to the following address: Duly mark the envelope as 'APPLICATION FOR DIGITAL CERTIFICATE' RA Office ________________________________ ________________________________ ________________________________ ________________________________