Annexure - S2
Ver 1.1
INSTRUCTIONS FOR FILLING THE FORM
General Guidelines
(a) This form is to be used for the purpose of change/correction in Subscriber master details, reissue of I-Pin /T-Pin, reissue of PRAN card.
(b) The form is to be submitted at the Nodal Ofce POP/POP-SP for carrying out the necessary changes.
(c) Please tick the box on the left margin of appropriate row where change/correction is required and provide the details in the corresponding row. Please strike off the remaining
blank rows for which no change is requested.
(d) Form to be lled legibly in BLOCK LETTERS and in BLACK INK only.
(e) Details Marked with (*) are the mandatory elds. Mention 12 digits PRAN correctly.
(f) All Dates should be in “DD/MM/YYYYˮ Format.
(g) Reissue of T-PIN, I-PIN
(Not Applicable for NPS-Lite Subscriber)
and reissue of PRAN card will be chargeable to Subscriber/employer by CRA
.
S.
No
Item
No.
Item Details Instructions
1 1 Spouse Name If married, spouse name is mandatory.
2 2, 3 & 4
Identity,
Correspondence &
Permanent address
details
S.No Proof of Identity (Copy of any one) S.No Proof of Address (Copy of any one)
1 Passport issued by Government of India. 1 Passport issued by Government of India
2 Ration card with photograph. 2 Ration card with photograph and residential address
3 Bank Pass book or certicate with Photograph. 3 Bank Pass book or certicate with photograph and residential
address
4 Certicate of the POP for an existing customer. 4 Certicate of the POP for an existing customer.
5 Voters Identity card with photograph and residential address. 5 Voters Identity card with photograph and residential address
6 Valid Driving license with photograph 6 Valid Driving license with photograph and residential address
7 Certicate of identity with photograph signed by a Member of
Parliament or Member of Legislative Assembly
7 Letter from any recognized public authority at the level of
Gazetted ofcer like District Magistrate, Divisional commissioner,
BDO, Tehsildar, Mandal Revenue Ofcer, Judicial Magistrate etc.
8 PAN Card issued by Income tax department 8 Certicate of address with photograph signed by a Member of
Parliament or Member of Legislative Assembly
9 Aadhar Card / letter issued by Unique Identication Authority
of India
9 Aadhar Card / letter issued by Unique Identication Authority of
India clearly showing the address
10 Job cards issued by NREGA duly signed by an ofcer of the
State Government
10 Job cards issued by NREGA duly signed by an ofcer of the
State Government
11 Identity card issued by Central/State government and its
Departments, Statutory/ Regulatory Authorities, Public Sector
Undertakings, Scheduled commercial Banks, Public Financial
Institutions, Colleges afliated to universities and Professional
Bodies such as ICAI, ICWAI, ICSI, Bar Council etc.
11 The identity card/document with address or letter of allotment
of accomodation issued by any of the following: Central/
State Government and its Departments, Statutory/Regulatory
Authorities, Public Sector Undertakings, Scheduled Commercial
Banks, Financial Institutions and listed companises for their
employees.Pension or Family Pension Payment Orders issued
by Govt. Departments or PSU containing address.
12 Photo. Identity Card issued by Defence, Paramilitary and
Police department’s
12
Latest Electricity/water/piped gas bill in the name of the Subscriber
/ Claimant and showing the address (less than 2 months old)
13 Ex-Service Man Card issued by Ministry of Defence to their
employees.
13 Latest Telephone bill (landline & postpaid mobile) in the name of
the Subscriber / Claimant and showing the address (less than 2
months old)
14 Photo Credit card. 14 Latest Property/house Tax receipt (not more than one year old)
15 Existing valid registered lease agreement of the house on stamp
paper ( in case of rented/leased accommodation)
Note:
(i) If the address on the document submitted for identity proof by the prospective customer is same as that declared by him/her in
the account opening form, the document may be accepted as a valid proof of both identity and address.
(ii) If the address indicated on the document submitted for identity proof differs from the current address mentioned in the account
opening form, a separate proof of address should be obtained. All future communications will be sent to correspondence address.
If correspondence & Permanent address are different, then proof for both have to be submitted.
3 6
Politically Exposed
Person
Politically Exposed Persons’ (PEPs) are individuals who are or have been entrusted with prominent public functions in a foreign
country, for example heads of state or of the government, senior politicians, senior government, judicial or military ofcials, senior
executives of state-owned corporations, important political party ofcials.
4 7
Subscriber’s Bank
Details
In case, subscriber provides bank details, it should be supported by a documentary proof. Please attach a cancelled cheque
containing Subscriber Name, Bank Name, Bank Account Number and IFS Code. If cheque is not available or cheque is not
preprinted with Subscriber name, a copy of bank passbook or bank statement or bank certicate or letter from Bank mentioning
Subscriber Name, Bank Name, Bank Account No. and IFS Code should be submitted.
5 8
Subscriber’s
Nomination Details
In case of more than one nominee, percentage share value for all the nominees must be integer. Decimals/Fractional values shall
not be accepted in the nomination(s). Sum of percentage share across all the nominees must be equal to 100. If sum of percentage
is not equal to 100, entire nomination will be rejected.
General Information for Subscribers
a) The Subscriber can obtain the status of his/her application from their designated Nodal Ofcer/employer.
b) Subscribers are advised to retain the acknowledgement slip signed/ stamped by the Nodal Ofcer / POP / POP-SP where they submit the application.
c) For more information, contact CRA:
Website: https://www.npscra.nsdl.co.in
Call: 022-4090 4242
Address: Central Recordkeeping Agency (CRA)
Protean eGov Technologies Limited (formerly NSDL e-Governance Infrastructure Limited)
1st Floor, Times Tower, Kamala Mills Compound, Senapati Bapat Marg,
Lower Parel (W), Mumbai - 400013