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(ITP Web Registration Acknowledgement Form)
Date:______________

TIN NO: ACK NO. 115221875P



Pl ease affi x your
l atest Photograph


Signature
(Pl ease si gn i n the centre of the box)

Name of Applicant :Ms VADDE SRIBHAVANA
Date of Birth :16-Jun-1991
Mode of Payment
:Payment to POS ( 337)
Please pay exact amount in cash to the POS office.
Employer Name :--
Employee Number :--
Valid Up To Date :01/07/2014
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 : 115221875P
POS ID :
Name of Applicant : Ms VADDE SRIBHAVANA
1. Received the Application form for Registration as ITP in the National Skills Registry.
2. Received Cash/DD ______________________ dated____________________ drawn on
___________________________________ for 337 only for Registration as ITP in the National Skills Registry
(NSR).
Date:___________
(POS Seal and Signature)
Print