PaymentForm https://nationalskillsregistry.com/nasscom/pageflows/itp/itpRegistration/...

(ITP Web Registration Acknowledgment Form - Print in Portrait format on A4 size paper)
  Date:   22/10/2019
 
TIN NO: ACK NO.   127185070M
 
Name of  
  :Mr ROSHAN KUMAR
Applicant

State for GST

  :WEST BENGAL
calculation
Please affix your
Date of Birth   :27-Apr-1997 latest Photograph

  :Payment by Online (र 472.0) (Successful online

Mode of payment received against bank transaction reference
Payment number (Trace number): pay_DXAjMMReVMMtL9 for
your NSR web-registration)  

Employer
  :--  
Name

Employee
  :-- Signature
Number (Please sign in the centre of the box)

Valid Up To  
  :11/12/2019
Date

Note :
* To complete your registration please visit any Point of Service (POS) office. If you do not
complete your registration within 50 days of issuance of Acknowledgement Number, your data will
be purged from the system.
* You need to take print-out of this form to the POS along-with ORIGINAL proof of Photo Identity
[Voter's Id card/Passport/Driving License/Bank Pass Book (with Photo)/College ID card (not more
than 4 years old)/PAN card/Employment Identity Card].
* NSR registration fee is subject to change as per GST requirement.
* I have read, understood and I agree to the terms and conditions available on NSR website
https:\\nationalskillsregistry.com relating to my joining and using NSR and I agree to the same.

ACKNOWLEDGEMENT SLIP(For the use of POS only)

TIN NO :   Ack No :  127185070M
Name of Applicant  : Mr ROSHAN KUMAR POS ID :  

          1.   Received the Application form for Registration as ITP in the National Skills Registry and
payment made by ITP for Registration is Payment through Online.

Date:___________
(POS Seal and Signature)

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