Gay in Gey Chee Indertoking for Renewal of Digital Certificate, Date: Tey Se: hereby confirm and acknowledge that the documents submitted by me for (Name of Certficate Holder *) procurement of Digital Certificate with (CIN’) ref No, are valid and there in no change as on date. (CIN-Customer Identiication Number: This no. appears inthe "subject mume” of the Certificate e.g: CN=lay Murthy 502345) Renewal Details 1. Name of the Organization 2 Class of Certificate tobe renewed": Class- (J lla [lla (DSCs for Individuals ) (Please tick the one applicabie) Clb Gillb (DSCs tor Corporates } i imat tor mcazt 1 imexim for GFT Oi (npRait for act Ci Any otter. (Please specify) 3. Period of Renewal (Validity)* ——: O2veas (1 Year (Please tick ¢ applicable) 4. a) Email address | in case itis changed | bb) Telephone no. | in case itis changed | (Signature & Seal of Certificate Holder ) Note : Fields marked with * are compulsory. Renewal request is subject to approval by (n)Code Solutions. Cerificate request will be processed on receipt of the Payment Cheque /D.D. to be drawn in favour of “(n)Code Solution, Division of GNFC Ltd” {Payable at PAR) ‘obo'ilod by LAK: PaymentiNew ClD/Token Ref.Detalls, LRAIDealer Details Checked & Vented by D.DIChequeNo.: Amount New Customer Identification Number: ‘Token Reference detail; LRAJ Dealer Name / Signature / Stamp (n)Code Solutions Faw Fornearost LRA visit Ahmedabad ~ 380.054 Toll Free mail Page 1 of 1 ;nsed Certifying Authority Version 2.0