10/1/2019 CSC e-Gov

CSC VLE REGISTRATION

APPLICATION REFERENCE NUMBER : 1241960085105127

PERSONAL DETAILS

Name : Prity Kumari

Gender : Female
D.O.B : 1988-12-04
Email : prity041231@gmail.com
Mobile : 7903369892

KIOSK DETAILS

KIOSK Name : KANHA DIGITAL SEVA

BANKING DETAILS

IFSC CODE : ALLA0213426

ACCOUNT TYPE : Saving
ACCOUNT NUMBER : 50362464414
BANK : Allahabad Bank, Mirchaiwari Allahabad Bank Ambedkar Chowk Mirchaiwari Opp India Petrol Pump
Katihar
ACCOUNT HOLDER : Prity Kumari
PAN TYPE : Individual
PERSONAL PAN NUMBER : BOFPK3054J

NOTE: It is mandatory for the user to print/download a copy of the form and submit the same to the District Manager
available in the nearest CSC office along with a copy of self attested documents (cancelled cheque/passbook, PAN card,
applicant image).

Copyright © 2019 CSC e-Governance Services India Limited.

https://register.csc.gov.in/register/confirmation 1/1