Annexure-UOS-S5:Subscriber request to change POP-SP

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Annexure-UOS-S5
New Pension System (NPS)
Subscriber request to change POP-SP
(To be filled by POP-SP) (Please fill all the details in CAPITAL LETTERS & in BLACK INK only. All fields mark with are mandatory.) ___________________________________________________________________________________________ Sir/Madam, I __________________________________________ (Name of the subscriber as in PRAN card) would like to change my Point of Presence - Service Provider (POP-SP) ______________________________ (Name/Reg. No. of source POP-SP) to ___________________________________ (Name/Reg. No. of target POP-SP). A photocopy of my PRAN card is attached. My NPS related details are provided below:
Permanent Retirement Account Number:
(As allotted by CRA)
Date _______________ Signature/Left Thumb impression of Subscriber__________________________ ________________________________________________________________________________________________________ (To be filled by POP/POP-SP) Received by: ___________________________ POP-SP Registration Number: _______________________ Received at: _____________________________ Date:______________ Time Stamp:_________________ Details verified by: ___________________________ Date:______________ Time Stamp:_________________ -------------------------------------------------------------------------------------------------------------------------------------------------------- Acknowledgement for Subscriber
(To be filled by POP/POP-SP)
Received from: POP-SP Registration Number: ____________________ (PRAN) Received at: ____________________________________ Date: ______________ Time Stamp:__________________
Receipt Number (To be provided by POP-SP)
The change request can be submitted to the source POP-SP or the target POP-SP. The source POP-SP is the POP-SP to which the subscriber is presently associated. The target POP-SP is the POP-SP to which the Subscriber wants to shift. The change request submitted by the Central/State Government employees (who are mandatorily covered under NPS) will be applicable to Tier II account only. For POP-SP name and Reg. No please visit CRA website (www.npscra.nsdl.co.in).
Receipt No.
Signature/Stamp of POP/POP-SP