(For Government Users)
Class-III Digital Signature Certificate (DSC) Application Form
(To be printed on Organization/Department letter head.)
Please affix a
recent passport
To, size color
photograph of the
Executive Director (ITeG), applicant and
sign across
Punjab Information & Communication Technology Corporation Limited
5th - 6th Floor, Udyog Bhawan,
18- Himalaya Marg, Sector 17, Chandigarh
Subject: Regarding issuance of Class III DSC with USB Token
With the reference to the above mentioned subject, please issue a class 3 DSC. The details of
applicant (s) are as follows :-
Department /
Organisation Name
Department /
Organisation Address
Name & Designation of
the Applicant
Aadhaar No.
PAN No.
Mobile No. *
Email Id*
Employee Id
One Year Two Years
DSC Validity in Year Three Years
Certificate Type Combo (Signing & Encryption )
2) Department / Organization GST No. for Tax Invoice.
(Signature & Organisation Seal)
Authorizing Official Name:
Enclosures:
a) Copy of Aadhaar Card of Applicant
b) Copy of PAN Card of Applicant
c) 01 Color Passport Size Photo of Applicant
d) Copy of Employee Id of Applicant
e) Copy of Employee Id of Authorizing Person
Important Instructions for Class-III DSC
1. Please use only Blue Ink to fill in the application forms.
2. DSC application form cum Authorization letter on Organization‘s letter head (as per format
provided). Letter head must have address of the organization.
3. Authorization letter must be signed & stamped by Authorized Signatory.
4. One colored passport size photograph of applicant.
5. Copy of Aadhar Card, Pan Card and Employee Id of the applicant.
6. Copy of Pan Card or Employee Id of the Authorized Signatory.
7. Documents at point 2 to 6 above may be sent by hard copy as well as scanned by email
mentioned at point 11 below.
8. Applicant must mention their active Mobile No. & Email Id preferably linked to Aadhar Card for
e-verification.
9. Applicant real time video recording is mandatory during the DSC verification process. Please
keep the documents handy during which applicant will have to show their original Aadhar Card,
PAN Card and Employee Id.
10. Payment (in advance) :-
a. Through DD in favour of “Punjab Information & Communication Technology Corporation Ltd”
payable at Chandigarh
b. For Online Transfer, the bank details are as under: :-
i. Name of Account : Punjab Information & Communication Technology Corporation Ltd
ii. Name of the Bank : IDBI Bank Ltd
iii. Address of the Bank : IDBI Bank Ltd, SCO No 72-73, Sector 17, Chandigarh
iv. Account Number : 0143104000066653
v. IFSC Code : IBKL0000143
vi. If payment submitted through online transfer then also deposit payment submission
details like Name of Bank, Date of payment deposit, Amount deposited, RTGS /
Transaction Number, etc.
c. The rates for DSC are as follows :-
Signing & Encryption
Description
1 Year 2 Years 3 Years
DSC with USB Token 1200 1700 2060
d. All prices are inclusive of 18% GST, These prices are subject to change as per change in
GST.
e. For delivery of DSC through Courier, the Courier charges will be extra i.e. Rs 150/- per DSC.
11. For any information required, please contact at 0172-5256445, 5256448.
e-Mail-Ids : ashish.vijan@punjabinfotech.in , gagan.sharma@punjabinfotech.in
Following Instructions are to be followed by the Applicant as per the Guidelines of Controller
of Certifying Authorities, Govt. of India
• Authorized person from Punjab Infotech will contact the applicant through any of the above
number to get OTP received by the applicant on his / her registered mobile number and email
id. Further, applicant has to provide the OTP to PICTC authorized representative mentioned
at point 11 above to check the DSC status whenever required.
• Applicant will receive a video verification link on his / her email id / mobile. Video verification
link has to be opened in Google Chrome on Android phone.
• Further applicant has to speak the lines as shown in video and show original PAN Card,
Aadhar Card and Employee Id during the e-verification. Please keep these documents in
original handy during e-verification.
• After completing the video, applicant has to click on submit button.
• In case, the video is rejected by the Certifying Authority, then video verification has to be
submitted again using the same link.
• DSC will be prepared by Punjab Infotech after approval by Certifying Authority under the
CCA, GoI.
