Government of India
Ministry of Electronics and Information Technology
NATIONAL INFORMATICS CENTRE
Application for LDAP Authentication From User Application Server
(Please read the instructions given in all pages of this application;
The completed application form, duly signed by the concerned person Countersigned by HOD or
Competent Approval Authority of the concerned PSU, Autonomous or Govt. Organization, should be
submitted to Support Center at “iNOC, A4B2 Bay, A-Block C.G.O. Complex” and a scan copy (in
pdf) of duly signed form be emailed to [email protected] | [email protected] with Email
Subject – GeM - Government e-mail).
Please use CAPITAL LETTER and Sign on each page. All entries are mandatory.
1.Name of The Application : Government e-Market (GeM) Place
2. Application URL: https://gem.gov.in
3. Domain/Group Of People who will access this application (Tick as applicable): PSU,
Autonomous or Government Organization
4. Name of The Applicant: ____________________________________________________
(From User Department) (Dr./Mr./Ms. First name Middle Name Surname)
5. Designation: __________________________________________________________________
6. Min./Dept./Org: _______________________________________________________________
7. Email (Official): _______________________________________________________________
7. Address for correspondence:_____________________________________________________
_______________________________City_________________Pincode:______________
Mobile:_________________ Telephone Number: (O) _____________(R) ____________
8. Preferred ID of the Applicant on GeM (example [email protected] or [email protected]): __________
__________________________________________________________________________
9. Self-attested copy of Proof of Identity and Proof of Address for Applicant should be
attached.
ALL Entries are mandatory.
Signature of the Applicant with date and seal
OBLIGATIONS AND RESPONSIBILITIES of APPLICATION USERS from CONCERNED
DEPARTMENT/ MINISTRY / PSU / AUTONOMOUS / GOVT. ORGANIZATION
1. Concerned Department/ Ministry/PSU/AUTONOUS/GOVT. ORGANIZATION shall be solely
responsible for all the information, contents, data send and received using NIC LDAP
Authentication under this Agreement. Concerned Organization further acknowledges that it shall
be solely responsible and undertake to maintain complete authenticity of the information/data sent
and/or received and takes all possible steps and measures to ensure that consistent authentic
information is transmitted.
2. Concerned Govt. Organization shall keep the account information such as userid, password
provided obtained for LDAP Authentication in safe custody to avoid any misuse by unauthorised
users.
3. I will take one id per application. ID assigned for authentication with one application will not
be used by another application. I understand the risks involved. I hereby authorize NIC and/or
DGS&D support cell to deactivate the id in case of misuse/abuse.
4. I fully understand that the id that is created based on the filled form will be only for
authentication at GeM. This implies that any email sent to that id will BOUNCE.
This is to declare that I have read the terms and conditions given above and agree to abide
by them. I shall be single point of contact in case required. I will be responsible for any
misuse of the service/ violation of the clauses mentioned below.
Signature of the Applicant with date and seal
FOR NIC OFFICE USE ONLY
Account Category: Free/ Paid
If free, on What Basis:_______________________________________
If paid, Project No. :________________________________________
Signature of NIC Coordinator/HOD
Name & Designation:_______________________________
E-mail _____________________________Tel.________________Mobile_________________
User ID Activation: Application login
ID:_____________ has been activated for the LDAP
Signature of the In charge Authentication Service.
Name& Designation:________________________