Renewal Form Number: ______________ Renewal form for Digital Signature Certificate - eProcurement To, The Registration Authority, eProcurement - Sub-CA Andhra Pradesh Technology services Limited Tank Bund Hyderabad Sub: Renewal of Digital Certificate for eProcurement Old Request Number : _______________________ UserID : _______________________ New Request Number : _______________________ Email Address : __________________________________________ Date of Renewal :______/______/__________ Declaration I hereby declare that I have applied for renewal of my digital certificate and the above information is correct. Signature of Subscriber Payment - Details: Amount Paid : Rs. ..... (In words): Rupees ............................... only Demand Draft (In Favor of Managing Director, APTS Limited, Payable at Hyderabad) DD Number : ________________ DD Date : ________________ Bank : ____________________________________ DD deposited at APTS /e Seva centre: ____________________________________ Date: ____________ Place: ___________ Signature of Subscriber
