dsc – processing centre details district wise processing...
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DSC – Processing Centre Details District wise processing centers for Departments / Organizations /
Company under Government of Kerala
District Name Email Id Contact
Office Number
Address
1 Thiruvananthapuram Rl Vinod Kumar [email protected] 9447242423 0471-
2472181
V & A Associates, T.C.38/ 404, Sreevas building, chenthitta,
chalai p.o, trivandrum- 695036
2 Thiruvananthapuram Vineesh Krishnan Vineeshkrishnan1986
@gmail.com 9895991444 9747672444
Cftm, Padmam Plaza, No.7, Opp.Ksrtc Bus Stand,
Pappanamcode, Trivandrum, - 695018
3 Kollam Santhosh Maheswar
[email protected] 9895031572 8891031572
Finact - Financial & acoounting solution, near cpm dc office, vikas nagar,
polythodu, kollam
4 Pathanamthitta Jayan P [email protected] 9447402650 0468-
2322650
Jayan & Co, Opp. Dhanya & Remya Theatre, T K road, Pathanamthitta – 689645
5 Pathanamthitta VINOD CHANDY [email protected] 9447361335 0468-
2270144
Techno Planet, Akshaya Centre, Old Privite Bus Stand, Pathanamthitta,
Kerala Pin - 689645
6 Alappuzha Sasidharan Nair
9895496180 0477-2254433
Sreekamalasais Accounting Center,
kampikkakam, Kottamkulangara ward,
Avalookunnu p.o, alappuzha – 688006
7 Kottayam Raj Pramod [email protected] 8943787979 0481325797
9
Room no:16, 1st floor, revenue tower, changnacherry, kottayam-686101
8 Kottayam Lorance Sebastian
[email protected] 9847032693 0481-
2580184
Akshaya e-centre, c/ o karunya institute of computer
technology, azad lane, thirunakkara, near bharath hospital, kottayam-686001
9 Idukki ANIL KUMAR T P [email protected] 9446401745 0494-
2646404
Infosat College, Near Kads, Thodupuzha ,Idukki, Kerala
Pin - 685584
10 Idukki P S JOSEPH [email protected] 9447522865
04862-236384, 04868-274723
1.Jose & Associates, Idukki Colony P O, Cheruthony,
Idukki, Kerala Pin – 685602
2.Jose & Associates , K P Basheer Building,
Chennattumattom Jn, Kattappana
11 Ernakulam Manoj Kumar [email protected] 9567867518 9567861235
Analytix corporative solutons pvt ltd,
41/ 2219, first floor, the stars building, veekshanam road,
ernakulam, cochin-18
12 Thrissur Sijo P L [email protected] 9072320424 0487-2420162
SPL and associates, X/ 37/ 93, adam bazar building, rice bazar,thrissur – 680001
13 Palakkad Meena Rajendran [email protected] 9447175438 0491-2528346
Rajendran Associates, 18/ 385,
Near hotel indraprastha, English
church road, palakkad, pin-678001
14 Malappuram Ravi Kumar
[email protected] 9847271776 0483-
2766561
Tax Advising centre, 33/ 1669-I I nd
floor,near juma masjid, court road, Manjeri -
676121
15 Malapuram MUKUNDAN P [email protected] 9995581042 0494-
2646404
Mukundan And Associates, Central Bazar, Valanchery, Malappuram, Kerala Pin -
676552
16 Kozhikode Abdull bari k [email protected] 9387222297 9567718538 Akshaya e-centre, Opp poly technic west hill, kozhikode-
673005
17 Kozhikode VISWAJITH P [email protected] 9447161977 0495-
3292761
Your Business Solutions, Iind Floor, Mashriq Shopping
Complex, Near Silk Park,Puthiyara Road,Calicut,
Kerala Pin - 673004
18 Wayanad ANIL KUMAR P MATHEW [email protected] 9744461504 04936-
202462
Anil Associates, 2Nd Floor, Vypana Building, Kalpetta,
Wayanad, Kerala Pin – 673121
19 Wayanad MUHAMMED RAFI
[email protected] 9605455333 04935-
235105
Akshaya E Centre, Korome Thondernadu Po,
Wayanad, Kerala, Pin - 670731
20 kannur Sukesh [email protected] 9995381125
0497-2701190,
9895061190
Precise Accounting solution, room no:z 21,
delta tower, n.h road, thana, kannur-
670012
21 Kasargod A Latheesh [email protected] 9495345572 04994-
227121
Accounting Center, Door no:KMC
3/ 871P, Ceeyel complex, old bus stand,
kasargod, pin:671121
Male Female Nationality
L A S T N A M E
Date of Birth Gender
City
State
Pin code
MobilePAN of Applicant
APPLICANT INFORMATION F I R S T N A M E M I D D L E N A M E Affix recent passport
size photograph of the applicant duly
signed across
APPLICATION FORM - SIGNATURE / ENCRYPTION CERTIFICATE
FOR GOVERNMENT ORGANIZATION
PLEASE FILL IN BLOCK LETTERS ONLY. ALL FIELDS ARE MANDATORY
Page 1 of 1 Version 2.8
Org Address
Email ID
More Instructions available at: http://www.e-mudhra.com/instruction.html
1 Year
Class 1 Class 2 Class 3
Signature Encryption Combo
CLASS:
TYPE:
VALIDITY:
2 Years
D D M M Y Y Y Y
OrganisationName
Department
DOCUMENT PROOF (attested by Authorized Signatory of the Organization)
eMudhra Limited, 3rd Floor, Sai Arcade, 56, Outer Ring Road, Deverabeesanahalli, Opp Intel, Bangalore 560 103. Karnataka. Phone : +91 80 4336 0000 Fax : +91 80 4227 5306. Email : [email protected] Website: www.e-Mudhra.com.
DECLARATION BY APPLICANTI hereby agree that I have read and understood the provisions of e-Mudhra Certification Practice Statement (CPS)and the subscriber agreement and will abide by the same. The information provided in this form is true & correct to the best of my knowledge. I accept publishing my certificate information in e-Mudhra repository. I am aware of risksassociated in case of Class 1 Certificate,when storing the private key on a device other than a FIPS 140-1/2 validated cryptographic module.
(As in ID proof | Blue Ink Only)
AUTHORIZATION
Date
Place Authorized Signatory (Sign and Seal) Signature of the applicant
RA Name, Code & Seal Signature of RADate
TO BE FILLED BY RA OFFICE ONLYI declare that the applicant has provided correct information in this application form . I have checked and verified the application form and supporting documents. I herebytake full responsibility for any wrong verification made, or wrong documents submitted for the application.
I hereby authorize this application on behalf of the organization.I hereby confirm the mobile number of Applicant given above. In case of class 3, I confirm the Physical Verification of Applicant.
Document required:
Copy of Applicant’s Goverment ID Card / Letter from Organization / Pay Slip
Authorized Signatory Organisational ID Card / Self-Attested Letter of Organizational Identity
Copy of PAN Card of Applicant, if PAN provided
Application ID: (S) (E) (For Office Use Only)
APPLICATION GUIDELINES For all types and classes of certificates, the applicant has to submit application form, in the prescribed format. Please fill the form in BLOCK LETTERS only. The signature of the applicant, on the application form should be in blue ink only. Inconsistent/incomplete applications are liable to be rejected. Email ID and Mobile number in the application should be a valid and active belonging to Applicant. It should be unique for each applicant The application shall include necessary supporting documents as mentioned in Application form. In the case of Government application authorised signatory can attest the all supporting documents If organisation ID card not available, Use below format of letter of Identity Proof of the Organization Authorized signatory should be sign & seal in the part of Authorization in the application form. Authorized signatory means higher officer of applicant Such filled in application form can be submitted to any of eMudhra Processing centres listed above. Payment Details DD in favor of ”ANALYTIX CORPORATE SOLUTIONS PVT LTD" Payable at cochin Contact Number : Registration Authority : ANALYTIX CORPORTE SOLUTIONS PVT LTD THE STAR BUILDING, VEEKSHNAM ROAD ERNAKULAM,KOCHI – 18 PH : 0484 – 4017178, 4017168 Mob : 9567867518 / 9567861235 Customer Care : 9020100400
Letter of Identity Proof by Organization
(To be printed on organization letter head / Office seal. To be signed by HRD of Organization / Authorized
Signatory / Government Department in-charge. To be used if the Organizational ID card is not available for the
applicant.)
To:
eMudhra Limited
Bangalore
Subject: Organizational ID Proof of the applicant
Organization Name: _________________________________________________________________
Name of the Individual
Org ID Number (if available)
Designation
Department
I hereby confirm the Identity of the above Individual. I’m the Authorized Personnel to certify the
Identity on behalf of the Organization.
For the Organization,
(Seal & Signature)
Name: __________________________________
Designation: _____________________________