https://nationalskillsregistry.com/nasscom/pageflow...

(ITP Web Registration Acknowledgement Form)

Date:______________

ACK NO.
TIN NO:
108879550A

Name of
Applicant :Mr Prashant Garg
Date of Birth :23-Dec-1989 Please affix your
latest Photograph
:--
:--
:GHAZIABAD 201001
:UTTAR PRADESH

:Payment to POS (Rs. 331)

Mode of
Payment Please pay exact amount in cash to the
POS office.
Employer Name :--
Employee Signature
Number :-- (Please sign in the centre of the box)

Valid Up To
Date :04/07/2011

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.

ACKNOWLEDGEMENT SLIP(For the use of POS only)

TIN NO : Ack No : 108879550A
POS ID :
Name of Applicant : Mr Prashant Garg

1 of 2 05/15/2011 11:37 AM
 https://nationalskillsregistry.com/nasscom/pageflow...

1. Received the Application form for Registration as ITP in the National Skills Registry.
2. Received Cash/DD ______________________ dated____________________ drawn on
___________________________________ for Rs. 331 only for Registration as ITP in the National Skills Registry
(NSR).

Date:___________
(POS Seal and Signature)

2 of 2 05/15/2011 11:37 AM