You are on page 1of 3

DND Category

Registration Form

Anuj Infosolutions Private Limited
A/6 Shanti Nagar
Kanpur - 208004
Uttar Pradesh, India

Copyright 2014 Anuj Infosolutions Pvt. Ltd.
All Rights Reserved

Though every care has been taken to ensure the accuracy of this document, Anuj
Infosolutions cannot accept responsibility for any errors or omissions or for any loss
occasioned to any person, whether legal or natural, from acting, or refraining from
action, as a result of the information contained herein. Information in this document is
subject to change at any time without obligation to notify any person of such changes.
Anuj Infosolutions may have patents or patent pending applications, trademarks
copyrights or other intellectual property rights covering subject matter in this
document. The furnishing of this document does not give the recipient or reader
any license to these patents, trademarks, copyrights or other intellectual property
rights. No part of this document may be communicated, distributed, reproduced or
transmitted in any form or by any means, electronic, mechanical, or otherwise, for any
purpose, without the prior written permission of Anuj Infosolutions.
DND Category registration Form

1. Company Name : _____________________________________

2. Company registration Number (CIN) : _____________________________________

3. Contact Person

4. Official Email ID

5. Contact Number

6. Registered Office Address

7. Address for Communication

: _____________________________________

: _____________________________________

: Landline: ______________________
Mobile: __________________

: _____________________________________

: _____________________________________

8. DND Category Option : Transactional route Category Promotional route

9. Sender ID (if chosen Transactional : ___________________
Route in point 8. Six Digit alphabetic)

10. If Category promotional route is : 1. Banking/Insurance/Financial products/Credit Cards
chosen in point 8, please select the 2. Real Estate
category; else ignore this field 3. Education
4. Health
5. Consumer Goods & Automobiles
6. Communication/ Broadcasting/ Entertainment/ IT
7. Tourism & Leisure

11. Existing ID : ______________________________

12. New ID : ______________________________

13. Justification: ______________________________________________________________

For M/s___________________

Authorized Signatory

For office use only

S. No. :- ________________ Date of receipt of Application: - ________________

Name of the customer: - ______________________________

Existing account: - ____________________________

Non-DND Account Approval: - YES / NO

Signature Final Approval
Business Head

User account Details: - ______________________________

Created By: - ___________________________ Account Manager