AUDIT TRAIL

Document Name eSign_Application_Form

Document ID 01JP4T400H9A5P595FB2MPRNBT

Document Hash c4053387834b24f33c989fafa296fb79d6e13ae008a97306d9758d6f86b07f76

Status Completed

This is the Audit Trail of the signed document. It provides a detailed record of all the actions taken during the signing process, like document preview,
About the Audit Trail identity verification, signing, etc.
The eSigning is processed through Leegality.com

Sr. No. Name & Contact Date Details

Name: Esign Card IP: 103.48.126.10

1. Email: esign.sbicard@sbicard.com 12-03-2025 14:44:10 IST Activity: Invitation sent
Role: Invitation Sender OS: Other, Browser: Apache-HttpClient, Device: Other

Name: SAMADHAN
Email: SAMADHANPAGAR55@GMAIL. IP: 103.178.126.113
2. COM 12-03-2025 15:11:10 IST Activity: Opened
Phone: 9421212339 OS: Android, Browser: Chrome Mobile, Device: Generic Smartphone
Role: Signer

IP: 103.178.126.113
Activity: eSigned using Aadhaar
Signature Transaction ID: ab7020d4-4e84-44c8-8a8b-3111987bff20
Authentication Type: One Time Password
OS: Android, Browser: Chrome Mobile, Device: Generic Smartphone
Name: SAMADHAN Certificate Details:
Email: SAMADHANPAGAR55@GMAIL.
3. COM 12-03-2025 15:13:21 IST Name: Samadhan Shantaram Pagar
Phone: 9421212339 Pincode: 422008, State: Maharashtra
Role: Signer YOB: 1981, Gender: M, Title: 6904
Serial No: 3904344836
Issuer Name: Protean eGov CA 2022
Issuer Organization: Protean eGov Technologies Limited
Validity Start: Wed Mar 12 15:12:44 IST 2025
Validity End: Wed Mar 12 15:42:43 IST 2025

Consent Provided: By clicking this checkbox and the Sign Document button, I voluntarily agree to Aadhaar eSign the previewed document. I also agree to be redirected to an eSign Service Provider for
carrying out an e-authentication using Aadhaar e-KYC services for issuance of a Digital Signature Certificate. I agree to accept such Certificate for its affixation to the previewed document.

Activity: Completed
Notification: SAMADHAN
Name: Esign Card • SAMADHANPAGAR55@GMAIL.COM
4. Email: esign.sbicard@sbicard.com 12-03-2025 15:13:21 IST Notification: SAMADHAN
Role: Invitation Sender • 9421212339
Notification: Esign Card
• esign.sbicard@sbicard.com

Digitally signed by Grey Swift Private Limited

(Leegality)
Date: Wed Mar 12 15:13:21 IST 2025