Shyam Service Plus
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SHYAM SEERVICE PLUS+
Mobile No.: +91 9692755059 E-mail: shyampani123@gmail.com
Application Form
Customer Name:
Application No:
Application Status:
Mobile No:
Apply Date:
Payment Mode:
Date Of Birth:
Service Name:
Service Status:
E-mail id:
Amount:
Payment Status:
Details :
SHYAM SERVICE PLUS (Year - 2025)
Customer Name
Date Of Birth
Application No
Service Name
Application Status
Service Status
Apply Date
Amount
Payment Mode
Payment Status
Details
Terms and Conditions For Customers:
By Completing this Form, I hereby Acknowledge and Agree to the Following Terms and Conditions:
1. I am Providing Accurate Information and Genuine Documents For the Requested Service.
2. I understand that any False Information may Result in Rejection of my Application/Service Request.
3. Original Documents must be Presented For Verification.
4. I Acknowledge that Processing Times may vary Depending on the Service Requested.
5. I Authorize the Common Service Centre to Collect, Process, and Store my Personal Information as Required For Service Delivery.
6. I Understand that Service Charges are Non-Refundable once the Application is Processed.
7. I Understand that Additional Fees may Apply For Some Services as Per Government Norms.
8. Common Service Centre is not Responsible or Approval/Rejection Decisions made by Government Authorities.
9. As per Displayed Service Charges Board, Receipt will be Provided For All Payments.
10. I will Check All my Documents before Submission and won't Hold CSC Responsible For any Errors in my Documents.
I hereby Declare that All the Information Provided Above is True and Correct to the Best OF my Knowledge. I have Read and Understood the Terms and Conditions.
Customer's Signature: _______________
Date: _______________
Signature of Authorised CSC:
Date: 12.12.2005
Important Notice:
👉 Hii @, Your Application No "".
👉 Goto "https://itzmrshyamserviceplus.blogspot.com/" Website Verify Your Application No.
👉 This is a Computer Generated Receipt and does not Require Physical Signature.
👉 If there are Any Problems or Doubts, Please Contact @Shyam Sundar Pani.
👉 Mobile No.: +91 9692755059 ॥ E-mail id.: shyampani123@gmail.com
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