PaymentForm Page 1 of 2
(ITP Web Registration Acknowledgment Form - Print in Portrait format on A4 size paper)
Date: 14/06/2019
ACK NO.
TIN NO:
126433038E
Name of
:Mr Rama Krishna Ketha
Applicant
State for
GST :TELANGANA
Please affix your
calculation latest Photograph
Date of Birth :--
:Payment by Online (र 472.0) (Successful
online payment received against bank
Mode of
transaction reference number (Trace number):
Payment
pay_ChYk4lrUwyityP for your NSR web-
registration)
Employer
:BA Continuum India Private Limited
Name
Employee Signature
:28812941 (Please sign in the centre of the box)
Number
Valid Up To
:03/08/2019
Date
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 : 126433038E
Name of Applicant : Mr Rama Krishna Ketha POS ID :
1. Received the Application form for Registration as ITP in the National Skills
Registry and payment made by ITP for Registration is Payment through Online.
https://nationalskillsregistry.com/nasscom/pageflows/itpRegistration/surePayPayment 6/14/2019
PaymentForm Page 2 of 2
Date:___________
(POS Seal and Signature)
https://nationalskillsregistry.com/nasscom/pageflows/itpRegistration/surePayPayment 6/14/2019