Form For Add On Facility (Opening / Closing)

Company Name(s): 

BHARAT SANCHAR NIGAM LIMITED
(http://www.bsnl.co.in)

FORM FOR ADD ON FACILITY
[OPENING / CLOSING]
Affix self
signed passport
size photograph
(required for
ISD facility
only)
1. Telephone Number :
2. Name of the Customer (in Capital Letters) SURNAME FIRST
3. Address where the telephone is working
House No Street/ Road/ Village
Bldg./Appt.
Area/ Locality/ Tehsil
City/ District Pin
4.A Facilities to be opened:
STD ISD CLI Hotline Conferencing Abbreviated Dialing Any Other
4.B Facilities to be closed:
STD ISD CLI Hotline Conferencing Abbreviated Dialing Any Other
I agree to pay the prescribed charges, as amended from time to time.
Signature of Customer/ Authorised Signatory
Signed on: Date
Instructions
1. For CLI facility equipment has to be arranged by the customer which should be TEC
approved. Rs.50/- per month is payable for this facility in addition to processing fee of
Rs.50/- for every request for provision/ closure of the facility.
2. Additional Charges are payable for Abbreviated Dialing, Call Transfer, Hotline Facility and
Conferencing Facility. The Applicable Charges are Rs.20/- per month per facility or a total
sum of Rs.60 per month will be charged for availing the four facilities simultaneously.