(ITP Web Registration Acknowledgement Form)

TIN NO:

ACK NO. 118437811L

Name of Applicant :Mr KASTHURIRENGAN SURESH

Date of Birth

:16-Apr-1994

Mode of Payment

:Payment to POS ( 342)

Please pay exact amount in cash to the POS office

Employer Name

:--

Employee Number :-Valid Up To Date

Date:______________

:02/10/2015

Please affix your latest

Photograph

Signature
(Please sign in the centre of the box)

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].
* 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.

TIN NO :

ACKNOWLEDGEMENT SLIP(For the use of POS only)

Ack No : 118437811L
POS ID :

Name of Applicant : Mr KASTHURIRENGAN SURESH

1. Received the Application form for Registration as ITP in the National Skills Registry.
2. Received Cash/DD ______________________ dated____________________ drawn on
___________________________________ for 342 only for Registration as ITP in the National Skills
Registry (NSR).
Date:___________

(POS Seal and Signature)

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