Enter Email ID *

( For Paperless DSC, If email id is not verified, please enter ' NA ' in email field. ) Please enter email ID Please enter valid Email ID

Certificate Serial No.*

Please enter certificate serial number

Date of Birth*

Reason for revocation*

Select Please select reason

Enter Reason*

Please enter reason

Upload Signed Revocation Letter

(.jpeg | .pdf)
Please upload file File size more than 1MB not allowed Please upload valid file