CSP - BUSINESSCONTINUITY PLAN

BUSINESS CORRESPONDENT DETAILS

Name of Business Correspondent NICT Technologies Private Limited
Category of BC National
BC Code 1A760000, 32800000
Name of the Circle(s) Allotted PAN India
NICT House, Plot No. EB 109, Scheme No.94 Opposite
Address Bombay
Hospital, Indore (MP) – 452010
Tel No with STD code 0731-2448800
E Mail id of BC nict@nict.co.in

CUSTOMER SERVICE POINT KIOSK OPERATOR DETAILS

Name of Kiosk Operator POORNIMA O B
Fathers name of Kiosk Operator
Residential Address of Kiosk Operator
KO Code 1A76D682
CSP Location address NITTUVALLI VILLAGE
linked with branch Address 40654, NITTUVALLI
RBO Address
Latitude and Longitude of CSP Location Latitude : - 48.76N ; Longitude : - 14.23E
E-Mail id odanavarpoornima@gmail.com
Contact /Mobile No. of Kiosk Operator 1. 9844109981
CSP Center working since 1/22/2020
Cash Insurance taken or not (Yes/No) Debt Recovery Agent Certified (Yes/No)
Micro ATM Device Available (Yes/No) IIBF Exam passed (Yes/No)
Agreement with National BC signed (Yes/No) YES Copy of Agreement with Me (Yes/No) YES

Operational Particulars ( details of Last 6

month year month year month year month year month year month year
months to be entered in the column including
DEC 2020 JAN 2021 FEB 2021 MARCH 2021 APRIL 2021 MAY 2021
month & year)

Monthly Commission received (in Rs) 598 866 0 1052 1899 2932
Accounts opened (in No.) 0 0 0 2 2 1
Rupay Card Activation done (in No.) 0 0 0 0 0 0
Enrollment done under PMSBY (in No.) 0 1 0 0 0 0
Enrollment done under APY (in No.) 0 0 0 0 0 0
Enrollment under PMJJBY (in No.) 0 0 0 0 0 0
Immediately intimate to National BC and concerned linked Branch about inability to discharge duty/
AGREE
render services for the benefit of customers and to keep status up to date about the same.(Agree or NOT)
Arrangement for authorization of a Sub- KO for operation, in case of any emergency, showing inability to
YES
render services (Yes/No)
Remote Monitoring of CSP’s Functioning and Technical support by National BC. (Yes/No) YES

Alternative arrangement for necessary H/w, S/w, Power Backup, connectivity. (Yes/No) YES

Doing any other business activity from Kiosk Center

(Yes/No)
In case of yes specify the nature of business

DECLARATION

All the above Information is true and correct to the best of my knowledge and belief nothing has been concealed or
misrepresented by me and if found wrong/misleading then I will be personally liable for the same.

Affix recent
Passport Size
Color Photo of
CSP and Sign
Signature of CSP Across it
CSP seal
Date: