CENTRAL RECORDKEEPING AGENCY Annexure UOS-S7
Request for change in signature and/or change in photograph for 'NPS-All Citizens of India'
(To avoid mistake(s), please follow the accompanying instructions carefully before filling up the form)

Acknowledgement No.
(To be filled by CRA-FC)
Subcribers Name
Permanent Retirement Account Number
I hereby request you to carry out the following change.The necessary details are provided as below:
Change in photograph
Change in signature
Section A:
Change in photograph
Reason for change in photograph:
Section B:
Change in signature
Reason for change in signature:
Subscriber's Signature
(old signature)
Subscriber's Signature
Date :
(New signature)
For POP-SP Use
For CRA-FC Use
POP_SP receipt no.
Stamp of POP-SP
POP-SP Reg. No.
Date of Receipt
Entered by
Date
POP-SP Name:
________________________________
Time of Receipt
Verified by
Date
Name & Signature
of Authorised person of POP-SP
Instructions
1. The form is to be submitted at the POP-SP for carrying out the necessary changes.
2. Please indicate whether request is for change in signature and/or Photograph by ticking the relevant box.
3. The change request will result into re-issue of new PRAN card which will be chargeable by CRA
Subscriber'ssign/Thumbimpressioninblackinkonly.(ApplicableincaseofchangeofPhotograph)
To affix colour photograph
(3.5 cm x 2.5 cm)
(only in case of change of photograph)
NSDL-CRA