GOVERNMENT AUTHORIZED SIGNATORY LETTER TO CA FOR e-Sign/DSC

(To be submitted to CA by Authorized Signatory)

To,
VSign CA
2nd Floor, Bhavna Building, V.S. Marg,
Prabhadevi, Mumbai – 400025

I, Controlling / Administrative Authority / Head of Office / Head of Department (HoD) of the ----------- Organization Name -----------, have understood the requirements of eSign/DSC enrolments under provisions of Information Technology Act, and will authorize the employees in line with those requirements. I have enclosed my ID card /identity letter issued by the organization/ Proof of association with the organization.
(Note - Below information should be same as used in KYC Account)

Applicant Name	Applicant Email Id	Applicant Mobile number

Authorized Person Name: _____________________
Organization Name:___________________
Position/Designation: __________________
Organization Identity Card Number: _____________
Office Address: ____________________
Mobile No: ____________________
Email ID: ____________________


Signature: ____________________
(Seal & Stamp)
Date: ____________________

Enclosed: ID card of Authorized signatory /identity letter issued by the organization/ Proof of individuals association with organization.