DECLARATION / AFFIDAVIT
I, ____________________________, S/o / D/o / W/o ____________________________, aged about _____ years, resident of ____________________________________________, do hereby solemnly affirm and declare as under:
- That I am the applicant/subscriber for obtaining a Digital Signature Certificate (DSC).
- That the information and documents furnished by me for issuance of the Digital Signature Certificate are true, correct and complete to the best of my knowledge and belief.
- That the Digital Signature Certificate shall be used by me for lawful and official purposes only, and I shall be solely responsible for the use and security of the Digital Signature Certificate, including the private key/password associated with it.
- That I shall immediately inform the concerned Certifying Authority in case of loss, compromise, unauthorized use, or any other issue relating to my Digital Signature Certificate.
- That I undertake to comply with all applicable rules, regulations, terms and conditions governing the issuance and use of the Digital Signature Certificate.
- That the contents of this declaration are true and correct, and nothing material has been concealed therefrom.
DEPONENT
Signature: ____________________
Name: ________________________
Mobile No.: ___________________
Date: _________________________
Place: ________________________
VERIFICATION
I, ____________________________, the above-named Deponent, do hereby verify that the contents of this Declaration/Affidavit are true and correct to the best of my knowledge and belief and nothing material has been concealed therefrom.
Verified at ________________ on this _____ day of ______, 20.
DEPONENT
(Signature)
Solemnly affirmed and signed before me
OATH COMMISSIONER
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