API Form
API Form
Date:
To
The Director,
Computer Centre,
Kerala University,
University of Kerala Senate House Campus,
Palayam, Thiruvananthapuram,
Kerala 695034.
Dear Sir,
We are pleased to submit herewith our application for registration as a API Participant
as part of the open API system being set-up by Kerala University . We are providing
hereby the required details & agree to the Terms & Conditions mentioned in this form
for registering and using API and such other Terms & Conditions as may be revised
and notified from time to time. It is requested that our application may be considered
and we may be provided access for using the University’s API.
Category and constitution details of the Applicant (Please tick relevant option
for category and constitution of applicant in table below)
Sr no. Category of Constitution of Applicant
Applicant
1 India - Academic 1) Central Govt.
Institution 2) State Govt.
3) Private Ownership
4) School Board/council
5) Technical Board/council
6) Autonomous
7) Trust /Registered Society
8) Others
2 India 1) Corporate (Company)
Background 2) Partnership firm /LLP/AOP/BOI
Verification 3) Proprietorship firm
Agency Foreign entity not 4) Others
allowed for API
Telephone Number
Fax number
Email ID:
Website:
Details of Proof of Identity (POI)
document attached (Refer
Annexure 1 for requirements as per
applicant category and
constitution)
Details of Proof of Address (POA)
document attached (Refer
Annexure 1 for requirements as per
applicant category and
constitution)
Details of single point of Contact (SPOC) i.e. person to deal with Kerala and other related
stakeholders for API Connectivity
Details of SPOC
Name of the SPOC
Designation
Employee ID (if applicable)
AADHAAR (12 digits)
Date of Birth (YYYY-MM-DD)
Mobile Number (10 digits)
Email ID
Desk Phone Number with STD code
Details of functional user. (The functional user will be the user on Kerala University API system
Signature: __________________
Name:______________________
Designation:________________
3 India - Bank 1) Public Sector / List of Authorised signatories with List of Authorised signatories with
Nationalised designation and their specimen designation and their specimen
Bank signatures on letterhead duly signatures on letterhead duly
2) Private Bank certified by certified by
3) Co-operative / MD/CEO/Director/GM/authorised MD/CEO/Director/GM/authorised
Rural Bank official of the bank (with name & official of the bank (with name &
4 Central Government List of Authorised signatories with List of Authorised signatories with
Government designation and their specimen designation and their specimen
signatures on letterhead duly signatures on letterhead duly
certified by official authorised by certified by official authorised by the
the government. government.
6 Local Government List of Authorised signatories with List of Authorised signatories with
government designation and their specimen designation and their specimen
signatures on letterhead duly signatures on letterhead duly
certified by official authorised by certified by official authorised by the
the government. government.
7 State Government List of Authorised signatories with List of Authorised signatories with
government designation and their specimen designation and their specimen
signatures on letterhead duly signatures on letterhead duly
certified by official authorised by certified by official authorised by the
the government. government.