Affidavit - CSC VLE Haryana

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AFFIDAVIT

I, _________________________________________ son/daughter of ____________________________,


residing at _______________________________________________________do hereby solemnly
affirm and declare that, I am working as Common Services Centers Village Level Entrepreneur CSC VLE
having CSC ID _____________________________________ and running CSC centre allocated at address
_____________________________________________________________________________________
____________________________________________________________________________________.

I will follow all the mandatory Guidelines of CSC Scheme issued by CSCSPV and District Administration.

I will update my Police Clearance Certificate (PCC) on CSC Digital Seva Portal on every 6 month or date of
expiry, which is earlier from both.

My CSC center has a proper set-up, CSC common branding board at center, display of authorized service
rate-list, have CCTV camera and visitor register with record of customers (Service Name, Service Charge
from customer, Name of customer, Date of visit, Mobile number of customer etc).
I will deliver all the mandatory CSC services through my Digital Seva Portal such as PAN Card, IRCTC
booking, Banking, Insurance, Digipay, National Pension Scheme, Grameen e store, etc and will try to do
minimum 200 transactions every month.
In case of non-operational Bank BC point than CSC has rights to take appropriate action against my CSC
ID, either deactivation or disable of CSCID. As per bank directions I will do minimum 10 APY, 30 PMJJBY ,
30 PMSBY per month.
I will operate my CSC center from my allocated location only.
If I will get Aadhar Kit, I will not move that to anywhere, else than allocated location.
I am liable to pay all recoveries/Payments to CSC SPV against service delivery.

Mandate services to be delivered by every CSC :-


Digipay ( Pesnion Point ): Minimum 50 Transaction Per Month
Electricity Bill collection : Minimum 30 Bills in every two Months
Saral Transaction( If active) G2C: Minimum 50 Transaction Per Month
PMJAY ( G2C): Minimum 30 Transaction Per Month depends upon your area Pendency
Maandhan Schemes/Eshram ( G2C ) /PM Kisan : Minimum 10 Enrollment Per Month

CSC-SPV reserves the right to deactivate my CSC ID in case of non-transacting for a period of three
months.
CSC-SPV reserves the right to deactivate my CSC ID and initiate legal action in case of over-
charging/malpractice with the citizens.
I shall extend full cooperation and settle all penalties (if any) incurred for any service against my CSC ID.
I shall submit copy of my Aadhaar card and Family ID along with this affidavit and also disclose the
information on number of CSC IDs taken in the name of my family members.

CSCID List of Family Members :


Sr No CSC ID Relation
1.
2.
3.
4.
5.
6.

Name :_______________________________________________________________________________
CSCID :_______________________________________________________________________________
Family ID :____________________________________________________________________________
Phone Number :________________________________________________________________________
Email ID :_____________________________________________________________________________
CSC Centre Address : ___________________________________________________________________

Date :_________________

DM Remarks : _________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________

DM Signature :________________________

**************************

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