csRr` 1 - Educationgujarat.com
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csRr` 1 - Educationgujarat.com
csRr' 1 . FORM INSTRUCTIONS FOR FILLINGTHE SUBSCRIBERREGISTRATION GenoralGuldelinea (a)ieaserlhetomnreqiblehandwrfting60*toarcid€rc6inyourappeio.prcc*sinsPleasdonotowNite.conectonsshouldberud€byenc6lhqandeuiitinq ard suchoordion$shoutd beounr€ctsned by$eappri€nl. Eaohbox.whe€verp6vid.d,shoud @nralnonlyonechadd&(alphab€t/nlmb€r/punclu.tonmalk)leavn0 (b) Appredons iicomp .ls d 3ny Espe.t and/or not a@mpanied by relui€d documonrs are | ab e ro be rejeoied. The appll€lion is liab e io be Eie.Gd if ma.dalory fi.lds a€ eft b aik or th€ appreijon lorm is ff nted back 1oback (c) lhe subscibershouldnorsisnac6sslh6pholoq€ph.The photograph shoud nor be slapledorcipp€dlo inerom.lfih.E is any mad<oi ihe pholog€phsuchthal thindcB ihe clear vis bil ty or rhe face or d1. (d) cdpiasof ar $e documenresubmified by lhc 6pp €nishouLdb. s.[€t srEdand.ccompaniedbyodsinalsforGff*ion by lh€ nod.lofic (e) Nam€andAddressof nre applenrreniionad on lhefom, shouldmalchv in $e docufr.nbry pbof submtted. (n rh€ sub*rrbers $umb impE.sion should b€ vefiliad by itu DDo/PAo/oToldeslgnaled off er of PoP-sP/Agg€gdlrcf (s) Oovemmentemdoyes(frandaiodLy 6v€€d unddNPS) m.y submitiherappl€toi rorTErllio any POP-SPol [email protected]€dng$frices und.r NPSisava ableonCRAwobsiLhttp/rw.npscEnsdl€m Prease€FuE lhai rhe dab or b .d, maLhasas indicaiedin the dooum igii.. you may illann*u€ llisr fi€ *ne. Falh€rs nam€ i3 mandalDry.Horcrc( it appicant do* not w.nl lo pDvide fahefs n6me. hdsh€ ha6 an option to provide mo$er! nam.onAnndure llandlhe mothefsnanewl b€ prinGnon PRANard rrt16 aoo i*ntsanrg morheasnameio b. onntd iigt€adof Falholsnameon PRANca'n, hersh.mu flnAnnoxu€ll Pbor or Addr... (copy or.ny on.) Frcotot ldondvGopyor,ny on. Pasgoorri$u.d bv Govehmenr of lndia Raijon ed wilh phorosaph aid bsid€nlia dd€ss Bank Pass book or €nin*G wth phobqEph 8nd Bank Pass book or cedir eb with Phololr.ph. cenilicar.of rhePoP banklor an€ c€dfi*c or lhe POP bank for an ex VdeB ld€ntily *rd wirh phokg€ph and rsdenria vot€F rd€ntiv €d wiih photoseph and Gsid.niial vaid Driviig ic.rcE wath photogEph and rcsdedal Vaid Drvins icen* yiin phobo€ph LelEl frcm any ecogdiz€dpubic aulhorlly3l lhe r.v€l ot Gaened oJficarrrk6 Dishcr M.sisrr.F, oivsloial aDo. T€h.idai M.nd.rRevonue olfer. @mmissioier. cenif @te of denr'ly wilh phddgaph signed by a Member of Pai ament or Member ot Leoislari@As*mbly Job €rds issu€dby NREOAdulysigdedby an on€r or cedti€le of addra* wiih phorog€ph signed by a fii.mber ofParliade or M€mbaror L€sisl.tivotusembly Aadhd Cald / l€tter issu.d bv Unioue ldenlifi€lion Aulhorityofndiacl.any showino$eadd€ss Job eds issuedby NREGAduLyelgnedby .n offr@rof dedily 6rd issuad by c.nfa/star6 govemnent and rts R€surabry Aulhodl.s, Public S€ctorlndedak nqs.Scheduled6 FinancialInsiibrions CAI CWAI CST'Bar Thedenlilyca|d/d@um6nl any or rh€ fo owins: cenrEl/srat Gowmmeni rnd its oepai.denls sraluary/Ragul&ry seer undenaknsssch€du€dcommeEal Banks. PubrcFinancr.r ndnulonslof then.mDlov..s. Phoio ld€ntityCad issuedby oeten@ PaEdiliraryand LaraerE 4lricltviraler bill in lhe nahe ol lhe subsribBr showins lh€addEss(lesslhan3 mnlhs old) F*-SaM€ Man Cald issu€d by Mlnlsr.y ot Def.ne ro dret L.iasiT€r€Dhonebiinlhenamcotlh.Sub*dbqshMins IheaddEs (lessbai s nddhs od) Lalest PEp.ny/houseT* r*ipt (not mo6 ilian on€ PANCad issuedbv Indhek deoatuenl aadhd card / r€ri3r issued by unique ldenrir€iioi Ex rlns va d Gs sFGd lea* aseeni.nl or th€ ho0s. on st mo Frr ( ln ase of rcnEd4ea*d adnnodar on) (D lr rhe addBss on the docum€ni subnied lor idsnrty prcor by rhe pFsp.clirc @stom€r is sane a6 dMt d rh6 accdunt op€nhg iom, iriE documenr m.y b€ a@pEd as a va1d proor of bolh ld€nli9 3nd add€$. r Ihs add€ss indicalEd on lhe d@ument submin d ror idenr v o,et difi€B Ircm $€ curent add6ss meniionen n $e a@unr oFning rom, a sapaEle pDof of addE$ should b€ obhin€d Al ruru€ communL*tions wi I be senl lo @n€spondene add6ss. rf €r€spond6n€ a P€manenraddress aE difieGnt.hei 0 $€ KYC d@uments may be submlt ed wirhin a pedod of 30 days after AiNR subsdiberMddn€edrorumishanrndi.naddrc$for@mmuni€lionandbankdebllswirhinlndiaFundtEnsf€rsbyNRls wourd b€ subl€ct ro Egur.ircry BquiEmenls .5 pG*db.d by RBi frcn rifre ro lin€ and FEr{a EquiEm€nts in a toreign Polili€lyExpo3€d P€tsons(PEP5) 6G indvduals D arco. haw beeneitrlst€dwllhpEmlnentpubliclunctons 6unky,ror6€npr€h€adsofsr.iaorofinegovemmenl*niorpoliticais.*niorgd€mm€ntjudic.lormilitaryoficials,senior po party oflEias. erecutive5or {a&rxned dDoEriom, impodanr itic.l Pleasafracnac.n€ledcheque(@nlainns F ForTierlbankd.rarrsa€oplionar .bankd.Eilsaanandabry Nama,B.nka@unlNumbdand lFs code lFscode)orBankcenf@le@nraining sub$db4Name. BaokaccounrNumbdand a 6py 6r ili6 bankpassb.okor tor direoioredilor e €ctoi c t€isier In €* ir iha c[€qu€B notpEpintedw lh name.additonany, lFs.ode benkdenifi€b&ib ningNameBankAccountNumberand percenEse share wlue for al d]e nofrii*s mu.t b€ inlEg6r. oedms g/FEctiona va u€s shall noi be a@eprediirhenominaton(s) sum of pecntage sha€ acrcsall$e nonineesmGl b. equalto100.lfsum of p€rcenEge isnotequal!r100.enftenonnatonw lb€r6i6.i6d. Thumblmp€*on siqnaru€/Thumb mpressonshouldonlyberi$in*Eboxprcvidedinlheform byrhe.odal ofiicerslr the orficiasearaddslanp. L.ft ThumblmpEssionin @scot maleaid RighrThunb lmprcsson in caseot Gen€rallnformationf or Subscribers a) b) c) The Sub*iber @n obia n the slalus ot h gher app ioal on trom C SubscibeB are advlsed lo rciain lhe acknowl€dqcmcnl sl p siqned/ slamped by 01edesignated iodal omcff where ihey subm | $e applialion For moe nfomalion / cladfi@dons. @ni?ol CFA V\bbsre htr$/!w.nDsc6.Bdl.co.in e-ra I info,[email protected],in AddEss:C€nta R€@dk*p nqAsenoxNsoLFcov€rnanoeInrash LowerParclaW' Mumba-400 013 €i (amala Milsoompound SenapadBaparMarc CSRF 1 NATIONAL PENSION SYSTEM (NPS) REGISTRATION FORM SUBSCRIBER yourcateqory Please serecr [ Pleaetick(i]| " Govemment sector corporatesector I' -' l ' All citizon Model I I NPs Lit€/swavalambar NallonalPenson SFlem T.usl ihereby€ques1lhal in mynameaspertheprrtcularsgivenbelow an NPSaccounl beopened ' n d € l e s m a n d a t o r y f ePdesa e f l h e f o r m i n E n g i s h a n d B L o c K e t t e 6 w i t h b l a c k n k p e n 6 e r e r s e n e E r s u d e r i n e s a r i d r r u c r o i s p a g . ) a . .ERSONALD!TAII3: NameotApplicanl iniul s (DateorB nhshourd prooll besuppon€d byreevantdocumeflary G e n d e aI P r € a sl e ] c k( 1 ) l 2. IDEN1TYO (Any one dr ihe docunenis ne€6 io be pDvided) PAN Aadhaar AD 3. CORRESPONDENCE FlarRoofr/D00r7Bl0ck no Pren sesrBlidingM age PERMANENTADDRESS DEIAILS 'fick (\rJ in the boxin €se the addr* is sameas.bove. F al/Room/OootBock no Pfemises/Buld.gA/ llage o \ Lode PrcofolAddress(Corespondence/Permanent) ' Aadharcard ! Passporl! Voler D card I DrivingLcense LatestGas Bii: _l E eclrictyB rr" Te ephonelLandnel Bi . sereterSr No 2 orihe nsruclons RalionCard RegisteredLease ! Saeagreemenlorrcsdence O l - e A o e c s es p e .& La.d ine Phone(w th sTD code) Mobe + 9 1 Emai lD Doyou want to subscribe to SIMSAlerts : Yes . yourNPsaccounr nqEftsareds rcgading No 6, OTHaR DITAILS ( Pleas €ter to S! no 3 or die nslrucions) , i, O c c l p a l oO n e r a i sl p i e a s e r l c kI( ! ) P vateSeclof I Govemmenl Seclor . Fomemaker I Srudenr Peasenck lApplicabie '.com-Falqe p" d1lr.r E a ' . o ' o r aO b r , . ai o l , Pubc Sector NR Poilicaly exposedpeEon Lp o aB"ro{c( 5<C rSC 7. SUBSCRIBERBANK DETAIIS ( Frease cte.10srno.4 orrheinstucro.s) 'r'"r'\' A ( . o r , . l l p e l p e a s e l c ( Lt l 9".itgAL Business Professional Olher(pre€se specily) Ag Lculllre Realed to Poiti€ ly exposedPeBon l aE a /' ta( 25 a( ard aoove 5 dc o o ra( oore,$orsr(d -r -rvl.e-r N.rsleB 6.oJde CSRT' T Nameoflhe Nomineeffouen nomnaGupioa mdimomor3 nohn*s andil youdet€$p€asfr Nomne Na-e nanndu€ lll (Addibon.L Nomin.bon Fom)ptuided6.pa€tEly) "_ t_ Dareo, B,nh(1.caseorMinor, Relationship wilh the Nominee t t (incaseoia mlnoD Nomine'sGuardian Oetails ., ,;:1.:.ui]Nominees Guardian e. lllittn|l tqa4?|sa.atxill' I :, :-.:l . ,.r-i.]..,-l|_L 1. l!9q,4'!!.{1)!. 9eF!{!!!alxtxrit l,lxn lwould likelo sul'scribeforTier llAccountalso YES[] NO:l I wouldlikemyPRANrobe prlnted ln Hindi NO: r1..: ii. ,lrrrrrrlt rln tn t t rr*irxrrrrrrrrrrrrrrrrrrlrS (IierL a@untB nor.wirausrorNPsLir€/ fiyes poaseeubmdet rrshAnn€xuGr Svavaambansub*r be6) YES [: fycs p]easesubmirderaisonAnnetuErl pageandareavallablB FUNDSELECTION to lha all s.ctor {i) PENSION {Tlerl) : tho namssof lh€ all PFsaB h.ntloned Inlh6Instructlons sub6criber3 wlth followingcondirbns: (D Gov.mm.ntS..trForGoEmmentSubedib€G.rheroMinsFFsadasd.rautPFsaspst'esuiderine.issu.dbytr.Gorcnm€nr: (a) L c PemionFund Limited (b) sBr P€rcionFundsPvr limt€d (cl LrrrR€ii€m.nt60utons Lrd (ii) NPSLh./Swv.l.mb.n: NPS LiteSwawlambanb. gDup chol6 mod€lwh€E 3ub*r bd has a cho6 ol PF.nd lnwstn€nt opiionas.v.irabrswithAggrcgaror (iio All citizen Modol: Sub&dber6 u.ds A I Citizen mod.l has r.1r.oDrionro choo* tE awilab e PFs as Nr rheir choi4 in lh. Eb e b.|ry. ( v) colpoEra Modol: s ubsiboE Errrrrhav€rh6 oplionro choos. rh. .€ira br. PF336 p€r u16bdw iabi€ n @nsut.iron wl1nih.rr r€sp€clrw Emproy€r N!m.ofth.P.nllonFund AEll.bllhy ol lh. P€n.lon Fund. sB P€nsionFundsPrivarELimir.d uTr Rerirem€nt so urionELimit d lclclPtudeita PeisioiFuidsManao.m.nrcompany Limitedi - ReLianeCapitl Peftion FundLimiFd I_IOFCPlnsion Manas.mcnl Company LimlGd F.p|dsenole$atil19deemedlhaly . cumn y, SBI P€Blon FundsPdvde (Avallrbl€lor All ciiian Mod6landCorportGttodelSubc.ibeB) OPTION flD INVESTMENT ( PleaseTick(J) in lhe boxgivenbelowshowingyow inveslmentoptlon). AcliveChoice E Auto Choice E Fdrdei2lsonAuloChoie.Dlca$r.t f 1olhcOferooamenrPleasenot6: yourfu^dswirrbe I rn€3€youdonotindhar€any n*srr 6ntopljo^. nrcsEdnAulochoi* 2lneseyouhareopredloraurochoi€,DoNoTrrrups.crionb.e€rarinqroastArroerion.nes.youdo,rh€assatAMrioninstrudioiswirb.io aid rnwstnenrritbemadeasperAul!Chote (iiD ASSET ALLOCATION {to be flled up only ln cass you hev. s€leci6d th€ 'Actlve Cholc€' hv6Elrn€ht optlon) E c G NorB:TheroiararlGtjon acrc$ E c andG .ss.r crass.sd ust b€€qur to .ppridron sh.n b6€j6d€n. D.cl.r.lion A Authorlz.|lon by .ll 8!b€cnb.a I have @d a.d undercl@d the Gms €nd condiijons or lh. Nalional PgnsionSyslefr a nd h.reby as €e ro rhe samc and dcclac that lh. ntomar on 6nd docum€ slumish€d by me aG lrue .nd @rec( lo lh€ b6st or ny kn6{l€d0e and belief. I undeleke 10 intom immcd ably lh. CenlEl R@rd Keeping Aqency/N.ion.l F€nsion Sysl.m Tru3t ol..y chang€in lh€.b.w inl6mati0nrumi6hedby fre. l do nolhod any p|ensfts a@unrunder NPs lund€Er€ndlh.r r3ha b6lullyri.br€lorsubmissioiof.ny13r.6 fudheragElob6boundbyth.igm3andcondroneorpovisioiors.ruiFbycRA frcmrimeiolimeandany€mendme $eEof $.ppored by PFRDA wh€in€r @mplec or panid wilhoutany ne decla€ilonbeiig rumishedby me. Isha bc boundbythet m3 €.d @ndtiois forrh€usg€ ol r-pin(!0.@$ cRAJNPScat,r.ndvi€w d6r.irg) & T-pin on $. cRAw.bsile Addhlon.ld.cl.r.||on by Swv.l.mb.n sob.cdber hav6€ad/€xplalnad lo f,e and undeGlrodthe swavalambai9udelinesandI mcetihe pEsib€d e igit ity qie a lor 633bEnG underr,\ [email protected]@nbibulonlimrofminimuhRs1000/-.ndmdinumofRs12000/-,failingwhichrh6c.ntaGovomm.nrconrfblfonc.edited!cmya@unt be rodeiredalonqwithsuchint E3tEGs ae m6y b€ O.clrEUonund.rth. Pr.wndonof Mon.yL.und.dngAct2002 herebydedaE lhatlhe @ntribulionpaidby me/onmyb8h.lrhasb4n d€fivanrom .!any dada€d andas*ed sou@s ot [email protected] u.de6i*nd har NPSTrusrh€slhe dshtlo perusemylinancalprcile or shaE rhe iniom.ijd, wi$ orh€rgdEmm€ntaorhoriiies tudherag€e lh3t NPs Ttusthast e ichr lo doF my PliAN in cas. I am rdundvioal ns lh. rovisions of anylawrcl€iinglo p€wnl on ol mon6ylaund€dng Slgnatul€lThumb lmpr€€!lon'of Sub3cribe. in blackhk LTIin caseot maleand RTIin ese of ACKNOWLEDGEIIIENT NameoflheSubscriber: r Contnbulion AmouniRemitedl t l l t Daleoi Receipl ofApplication andconfiburionArnount1., :,, rl=:,. r I : : :. StampandSlgnalure oftheEmploye/PoP/AggEgatoi 2.13 CSRF T {slb.cdbeB Employm.nto.till. to b€till.d .nd .tte.Ld by lhe o.plt (A[ o.t ll. .D M.ndttory) 1. i]l/ .,!i1:TLLLLLI I.t:.1 l.lr 1;, :lr.1 l : l l i l . coup orEnploy6.trEk3g.ppli*bre) - L - : o.upc fil c.upB [:: cDupA [f : G6upDn .. , i i . i . - , , . . i , . . -. . 1: , I 1 , L . . , , - 1 , - i L L L : i l 1 L i t 1 1 , ...1,,l r .i,l-L-i.:.. L , . . . - a1 . . : : I : . - r I _. oro/PAo/cDoo/DrtFrAoR.sgt€tdNumF i I -. I t-...ti-l.1.,: Lt l -,.---:1,....l , .,.-- I I ] B a s i c IP a y I I : t B @nf€d rhat the d.lais povid€d n thc sub*ibsr €9i Enion r@d inolud ng rhe add€ss .nd 6mproym€ntdeialb pov ded abov. arc os p.r tle *M6 G.d .nti6s/6nirios h€re be.n Ead orcr b him/her by ur .nd got 6nfm.d by him/her l .l: : l t l l l of $€ .mploye. mainbin.d by us Al$, it is rurtr s gnatu€ orth6authoris.dp.r$n Desiglabon ol he Authonsed Petson oesignatioi ot th. aulhor *d P€6on NadeorDrO/PAor'coDo/0TA/PrAo1,. d . l / n r / : ! 1 . o€tai3 io beti .d andan sd by c6rp6€!a(a D€Eibare Mandaiory)) {subssib€c Emproym.nt r r ,l -,,1 Emp,oy* ll i . . . . . 1 . .l ,-.....t . . : L : coo.are ResdNoanobdbycR^ : j- :,. : l ceoNo arrotrud bycRA I , cedmed fEr rhe det3iLcpbvid€d in rh g sub3dib6r rcsbfaion fom by $e employnent d.iaiLs povld€d .bd€ a€ $ pd tle €M@ |srd ofte emp dy* maiibin.d by u3.Al3o. it !t funher @diried lhat h. / .ha h bv hin /h.r hav. b€.n €.d owrlo him/h6fby him/h6fbv urand sol ool @nfimedby oaG I / , "l/ Rubb€rsiampof {r6 coaoEl. Sisnature of lh. Auhonz.d Pemn (ln m6 box abov6) I l j -_:- l_...1. 1... ..1..-:.. R€6iprNo.(rTdsirs) j ..,.., I oo,urenl a*pred l lor daL of B|n'1 F€or' copyof PAN€rd 3ubmir€d YEs KYccompian@YEsn No E NOE B a n k . m u nnl o . . . . . . . . . . . . . . . . . . . . . . . . . . . . E nola BascSavnss3.nk DepcnA@unl. Adh.ar a.r.d XYCCo.titicale: 3 m6nlonedonlhe oiqina Aadhaaf@rdae rolching wilhtEl monlion.don NPSappli*l onfom sigiaiuG oraufiod2€dsignaiory oae l.|Jt.:l:[t-r lr tr.: ] adhon!.don by Agg6grtor'3 ofii4 {NL . AO} cedif€d that rhe subsqiber is €oisb€d w h in. agg€g.i.f and h€/sh€ has opcd io join NPs. I h.Eby deda@ thal ife .ubsib€r ls €ligiblo io join NPs and $6 .bove dedadfoi has beei .igned /t|udb mp€s€d b€roF mo by ... ... ... ... .. ... ... ... ... ... ... .. ..afs (s)he has ead tF eitiev 6ntles h* bsn Ed oEr lo hBfihlmby me ol tho AutFtu€d DeEn lln lhe box NPSL reAccoudrOtre (NL-AO)R.li3rr.rionNumb€r Membe6hipNo.allotEdbyAggEgalor(it any) RubberSiamool$€AqqE.br(ln the box NpsL r. - co .clioncenrr.{NL cc) R6s'staro^ Numbor : o a c : i : by Received CRA-FCR.gisFaionNunber AcknwredoenenrNumb6r(by cRA-FC) PRANAlloted I I : , : 3 of 3
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