Self-Declaration of compliance

Branch Code:

I/We hereby confirm as below:

S No Particulars Response
1 Whether PAN Application Forms are made available to Yes No
applicants
2 Whether updated PAN AO code details are used and displayed Yes No
at the TIN-PAN Centre
3 Whether NSDL prescribed procedure has been followed while Yes No
accepting PAN applications
4 Whether Non Acceptance Memo is issued for PAN Yes No
applications not accepted at Branch
5 Licensed Operating System installed on PCs used for TIN-PAN Yes No
operations
6 Licensed Anti-Virus installed on PCs used for TIN-PAN Yes No
operations
7 Whether logical access to the PCs is restricted by passwords Yes No
for power-on, machine login, application login
8 Whether PC is covered under valid AMC / inhouse support Yes No
9 Continuous & sufficient power backup (min. 30 minutes) is Yes No
available for all PCs/preipherals used for TIN-PAN operations
10 Whether all TIN-PAN related services (as prescribed in TOM) Yes No
have been offered at all times
11 Whether TIN-PAN Banner in the prescribed format has been Yes No
prominently displayed
12 Whether NSDL PAN posters have been prominently displayed Yes No
13 Whether escalation matrix details has been displayed Yes No
prominently at the TIN-FC Branch/Centre
14 Whether same User IDs/Passwords are used by more than Yes No
one employee for accessing Online PAAM
15 Whether contact details changes in following TIN-PAN Centre Yes No
details have been informed to HO/NSDL
16 Whether record/register for grievances received at the Branch Yes No
is being maintained

I/We confirm that the above statements / declarations are true and nothing has been concealed.

Name:

Signature:

Date:

Place: