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(ITP Web Registration Acknowledgment Form - Print in Portrait format on A4 size paper)

Date: 31/03/2019

TIN NO: ACK NO. 125873247T

Name of
:Mr Uday Sai Kumar Ponnamanda
Applicant
State for GST
:ANDHRA PRADESH
calculation
Date of Birth :04-Mar-1998
:Payment to POS (र 472.0) Please pay exact amount in Please affix your
Mode of Payment latest Photograph
cash to the POS office
Employer Name :--
Employee
:--
Number

Valid Up To Date :20/05/2019


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].
* 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 : 125873247T
Name of Applicant : Mr Uday Sai Kumar Ponnamanda 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 : _______
Payment to be collected from
Rs.472.0 Drawn on : __________
company
Rs. : _____

Print

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