-ÓÝr-Pé ÖæãàÈxí-Wé PݱæäàìÃæàÐÜ-®é B´é Cíw-¿Þ ÈËá-pæ-vé

Registered Office : Unit No. 301, 3rd Floor, Peninsula Center Point, Opp. Bharatmata Cinema, Dr. Babasaheb Ambedkar
Road, Parel, Mumbai - 400 012. Visit us at : [Link]
C&ÓÝrí²í-Wé A-iì / e-Stamping Application Form
Please fill the application form in Block Letters * - Indicates Mandatory fields
ACC ÊÜáá¨ÝÅí-PÜ Pæàí¨ÜÅ Stamp Duty amount/-ÊÜáá-¨ÝÅí-PÜ ÍÜáÆR Service Charges/ÓæàÊÝ ÍÜáÆR
1 to 100 10
ACC Id ÊÜáá-¨ÝÅí-PÜ Pæàí¨ÜÅ ÓÜíTæÂ
101 to 5000 15
*Application Date / Aiì¿á ©®Ýí-PÜ / / 20 Above 5000 Nil
*Document Description (Article) -±Ü-¢ÜÅ-¨Ü ®ÜÊÜáã-®æ *Stamp duty Amount/-ÊÜáá-¨ÝÅí-PÜ ÍÜáÆR -ÃÜã./
BÔ¤-¿á ËÊÜ-ÃÜ / Property Description (Not exceeding 100 characters)

±ÜÅ£ ´ÜÆ-¨Ü Êæã-¢Ü¤ /Consideration of property ÃÜã. /

1-®æà ±ÜPÜÒ-WÝ-ÃÜ-ÃÜ ËÊÜ-ÃÜ/ Details of First Party (Name Not exceeding 50 characters)
*-Öæ-ÓÜ-ÃÜá / Name
ËÙÝ-ÓÜ / Address

¨Üã-ÃÜ-ÊÝ-~ ÓÜíTæ / Phone

±Ý®é -²-®é/
PAN PIN
2®æà ±ÜPÜÒ-WÝ-ÃÜ-ÃÜ ËÊÜ-ÃÜ / Details of Second Party (Name Not exceeding 50 characters)
*ÖæÓÜ-ÃÜá / Name
ËÙÝ-ÓÜ / Address
±Ý®é -²-®é/
¨Üã-ÃÜ-ÊÝ-~ ÓÜíTæ / Phone PAN PIN
-ÊÜáá-¨ÝÅí-PÜ ÍÜáÆR ±ÝÊÜ-£ ËÊÜ-ÃÜ / Stamp Duty Payment Details
*Stamp Duty Purchased by/ -ÊÜáá-¨ÝÅí-PÜ ÍÜáÆR ±ÝÊÜ-£-¨Ý-ÃÜ-ÃÜá -®Ü-WÜ-¨Üá w.w. ±æà BvÜìÃé ÓÜíTæÂ
-±Ý-ÊÜ-£-¿á Ë--«Ý-®Ü Cash D.D. Pay-order
1®æà ±ÜPÜÒ-WÝ-ÃÜ 2®æà ±ÜPÜÒ-WÝ-ÃÜ *Type of payment
Stamp Duty Paid by( Tick) RTGS NEFT Account to Account Transfer
1st Party 2nd Party
DD / Pay-Order /NEFT / RTGS Details Cash Deposit -ÃÜã./
®Ü-WÜ-¨Üá gÊÜÞ
-¸ÝÂí-Pé / Bank ÍÝ-Tæ /Branch DD/PO/UTR/REF No. Denomination
1000 X
500 X
100 X
50 X
20 X
10 X
5 X
(Rupees in words) ÃÜã±Ý-Àá (±Ü¨Ü-WÜ--ÙÜ-ÈÉ) 2 X
1 X
Total /-Êæã-¢Ü¤
The Information given in this form is to the best of my knowledge and is correct, complete and truly stated, I have read and understood the instructions
overleaf. I also acknowledge the receipt of stamp certificate. ÊæáàÇæ ËÊÜ-Ä-Ô-¨Ü GÇÝÉ ËÊÜ-ÃÜ-WÜ-ÙÜá ®Ü®Ü-Wæ £Ú-¨Ü ÊÜáqr-Wæ ÓÜÄ-¿Þ-X-ÃÜá-¢Ü¤-¨æ.
*Name of the Party/Representative / ±ÜÅ£-¯-¬-¿á ÖæÓÜ-ÃÜá *Signature/ ÓÜ×
(For Office use only)
I verify that the Application Form is in order
To be filled by USER/ ®èPÜÃÜ-ÃÜ ÖæÓÜ-ÃÜá To be filled by SUPERVISOR/ ÊæáàÈÌ-aÝ-ÃÜ-PÜ-ÃÜá
SUBIN -Ë-Î-ÐÜr WÜáÃÜá-£-®Ü ÓÜíTæ Certificate Number IN
Signature/ ÓÜ× Signature/ -ÓÜ-×

SHCIL e-Stamping -ÃÜ-Îà-© / RECEIPT (To be filled in by the client)

-ÊÜáá--¨ÝÅí-PÜ ÍÜáÆR ±ÝÊÜ--£-¨Ý-ÃÜ-ÃÜ Öæ-ÓÜ-ÃÜá / 1®æà ±ÜPÜÒ-WÝ-ÃÜ 2-®æà ±ÜPÜÒ-WÝ-ÃÜ
Stamp duty payer Name
Stamp Duty Paid by( Tick)
1st Party 2nd Party
ÊÜáá-¨ÝÅí-PÜ ÍÜáÆR-¨Ü Êæã¢Ü¤ Type of payment Cash D.D. Pay-order
Stamp duty Amount RTGS NEFT Account to Account Transfer
w.w./±æà BvÜìÃé ÓÜíTæ / D.D. / Pay-order No. -©-®Ýí-PÜ /Date /20
¸ÝÂíPé TÝ¢æ-¿á ÖæÓÜ-ÃÜá / Bank Branch Name -ÍÝ--Tæ-¿á ÖæÓÜ-ÃÜá / Branch Name
ÊæáàÆá ÃÜágá / Counter Signature with Seal
Note : 1. Once the Stamp Certificate has been generated, certificate cannot be cancelled or refunded by SHCIL, For cancellation you need to get in touch with the Competent Authority.
2. The correctness of article type and stamp duty amount cannot be confirmed at the e-stamping counter.
3. Cancellation charges are applicable as levied by the State Government. 4. Stamp duty amount should be rounded off to the nearest rupee. 5. Version March 2012
ÓÜãaÜ-®æ : ÖÜ| ±ÝÊÜ-£-Ô-Pæãí-vÜá C&ÓÝrí²í-Wé ÊÜáãÆ-PÜ JÊæá¾ ¯àvÜ-ÇÝ-¨Ü ÓÜqìµPæà--o-®Üá° ÃܨÜ᪠±Üw-ÓÜ-ÇÝ-WÜá-ÊÜâ-©-ÆÉ. ÖÜ| ±ÝÊÜ-Ä-Wæ ÓÜí·í-«Ü-±Ü-or iÇÝÉ ®æãàí¨Ý--}Ý-¬-PÝ-Ä-WÜ-ÙÜ-®Üá° ÓÜí±Ü-QìÓܸæà--PÜá.
SHCIL & Non-SHCIL ACC ESI/Error Report/ Template/2.1

Error Reporting For E-stamping System

Certificate Number : IN - _________________________________________________________________

(if any)

Unique Doc Reference : SUBIN- ______________________________________________________________

(if any)

Supervisor Name : _____________________________________________________________________

(complete)

Supervisor ID : _____________________________________________________________________

ACC Name : _____________________________________________________________________

Branch Name : _____________________________________________________________________

City : ___________________________________ State : ___________________________

Nature of error :
Connectivity failure ❒ Power failure ❒ Certificate on multiple pages ❒
Paper Jam in printer ❒ Certificate torn ❒ Others ❒ (please specify
below)

Remarks : _______________________________________________________________________

(Complete description) _______________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________

First Party Name : _____________________________________________________________

Second Party Name : _____________________________________________________________

Amount of Stamp Duty : _____________________________________________________________

Certificate Generation Date : ___________________________ Time: _____________________

Signature of Supervisor : ___________________________________________

_____________________________________________________________________________________________________
______ For Confirmation by ACC Branch Head / Authorized Signatory
Affix Seal/Stamp
Request Approved By : ____________________________________ Signature __________________________

Designation : ___________________ _____________ Location : ____________________________

_____________________________________________________________________________________________________
For Confirmation by SHCIL Authorized Officer
Affix Seal/Stamp_
Request Approved By : ____________________________________ Signature __________________________

Designation : ___________________ _____________ Location : ____________________________

_____________________________________________________________________________________________________
For CRA Use Only

Action : ___________________________________________ Date : _________________ Time : _________________

User Name : ____________________________________ User Id : ___________________________________________

Remarks : _________________________________________________________________________________________

Please attach PDF report from system if available Ver 2.1 Oct 2008
Fax : 022 22829045 Scan and mail : estamping@[Link]