03/05/2018 PaymentForm
(ITP Web Registration Acknowledgment Form)
Date: 03/05/2018
TIN NO: ACK NO. 123825296K
Name of Applicant :Mr Manoj Manivannan
State for GST
:TAMILNADU
calculation Please affix your latest
Photograph
Date of Birth :23-May-1990
Mode of Payment :Payment to POS (र 472.0) Please pay exact amount in cash to
the POS office
Employer Name :Kaar Technologies India Private Limited
Employee Number :521 Signature
(Please sign in the centre of the box)
Valid Up To Date :22/06/2018
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].
* NSR registration fee is subject to change as per GST requirement.
* 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.
ACKNOWLEDGEMENT SLIP(For the use of POS only)
TIN NO : Ack No : 123825296K
Name of Applicant : Mr Manoj Manivannan POS ID :
Received the Application form for Registration as Knowledge Professional (KP) in the National Skills Registry.
Payment Mode only for NSR registration of KP:
(Please affix stamp, signature and date on correct option)
Received Cash from KP Received DD Payment not collected
Dated : _______
Rs.472.0 Drawn on : __________ Payment to be collected from company
Rs. : _____
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