mtnlTrustLine Checklist for Application for issue of Class 3 Individual Digital Signature Certificate

Application Form, Supporting Documents, Payment, and Validation Check List

mtnlTrustLine Class 3 Individual Digital Signature Certificate form filled legibly (block letters or printed) (Yes / No)

Application form is signed by applicant (Yes / No)

Subscriber agreement is signed by applicant (Yes / No)

Two supporting documents attached (Yes / No)

1. Document 1. Copy of Passport / PAN Card / Voter’s ID card / Driving License

2. Document 2. Copy of Photo Credit Card / Photo Id Card from employer / Latest Utility Bill (water / electricity / power / telephone) in the applicant’s name / Latest credit card bill in the applicant’s name.

Document 1 is valid. Expiry Date __/__/____ (dd/mm/yyyy)

Document 2 is valid. Expiry Date __/__/____ (dd/mm/yyyy)

(Not applicable for PAN and Voter’s ID Card)

Document 3 is less than three months old. Dated __/__/____

Name on application and:

• Document 1 match exactly (Yes / No)

• Document 2 exactly match / are similar

• Document 3 exactly match / are similar

The address given in the application form matches the address in the document 3 (Yes / No)

Document 1 original matches submitted copy (Yes / No)

Document 2 original matches submitted copy (Yes / No)

Document 3 original matches submitted copy (Yes / No)

Photograph on Document 1 matches the applicant (Yes / No)

Photograph on Document 2 matches the applicant (Yes / No)

All three supporting documents self attested by applicant in my presence (Yes / No)

Signatures on application form, subscriber agreement, document 1, document 2, and document 3 all match (Yes / No)

The following columns are filled in the application form:

(Yes / No)

1

Full Name

8

Nationality

3

Address

11

E-mail address

4

Address for Communication

13/ 14

One of Passport Details / Income Tax PAN No

5

Father’s Name

6

Sex

18

Bank Details

7

Date of Birth

20

Mode of Payment

Payment Collected (Yes / No)

Crosschecked details entered into the billing system (Yes / No)

Customer ID ____________________

Reference ID ____________________

Smart Card Issuance Checklist

Smart Card Serial No Issued ____________________

PIN Letter handed over (Yes / No)

Smart Card Software handed over (Yes / No)

Smart card receipt signed and returned by applicant (Yes / No)

Smart card PIN changed by applicant (Yes / No)

Certificate Issuance Checklist

Certificate enrollment details

Common Name ____________________

E-mail address ____________________

Certificate Issuance details

Certificate Serial Number ____________________

Receipt generated and given to applicant (Yes / No)