BHARAT SANCHAR NIGAM LIMITED

A Govt. of India Enterprise

CUSTOMER APPLICATION FORM
Paste recent passport
size photograph of applicant
Kindly Fill up the form in BLOCK letters CAF No. WW13723838 (Do not staple)
Filling of all the details is mandatory. Please tick ( ) the appropriate box. In case any field is not applicable, the same should be written as NA Please sign across, sign should
Type of Connection : Postpaid Prepaid Data MNP category : Rural Urban overlap on photo and form

Individual Corporate Foreigner Outstation Bulk _______

Type of Subscriber : __________nature_
ss__________
S ig
Mobile .no Alloted IMSI Number __Cro
____
SIM Number
Customer's Name
(As given in POI attached with CAF)
Father's/Husband's Name
Date of Birth Gender PAN/GIR No.
UID No. (Adhaar No.) Alternate No. Profession
Nationality Passport No. Visa Expiry date
(if Foreign National)
Visa Options Tourist Visa Work Permit Visa
Bill to be sent at Present/Local Address Office Address Email
Present/Local Address(As given in POA document)
House No. Street/Village
Locality/Tehsil
City/District State/UT Pin-Code
Permanent Address(To be filled in mandatorily by outstation customers, supporting POA document mandatory) if different from above
House No. Street/Village
Locality/Tehsil
City/District State/UT Pin-Code
Proof of identity details Proof of Address details
Type of POI Type of POA
Document No. Document No.
Date of Issue Place of Issue Date of Issue Place of Issue
Issuing Authority Issuing Authority
Multiple connections(No of connections held in the name of the subscriber, operator ________________________________________________Existing BSNL _________________
wise) No.
Tariff Plan Applied ______________________________________________________ Value Added Services(if any) ________________________________________________________
Services/facilities required STD ISD National Roaming Itemized Billing Other_____________________________________
Payment Details(for postpaid) Cash Cheque Credit Card Debit Card Auto Debit
Bank a/c No.___________________ Bank Name___________________ Branch______________________ IFSC Code_______________________
MNP Port-in details UPC Code Existing Operator's Name
Existing Product Postpaid PrepaidExisting Mobile No UPC generated date
Local Reference(For National Outstation and Foreign National Customers)
Name____________________________________________ Contact No____________________________ Time & Date of Call______________________
Address___________________________________________________________________________________ Calling Party's No.______________________
Customer Declaration
I/We here by declare that information given above is true to the best of my knowledge. I/We will abide by the prevailing Telegraph act/rule framed there
under and tariffs as amended from time to time. I/We an/are not a defaulter on account of non-payment of bills for any telecom services provided by
any service provider. I/We have read and understood the terms and conditions for cellular services and accept them as binding on me/us. I/We have
understood all rates, charges and related terms and conditions at which telecom services are provided by BSNL as applicable on this date and as Signature of customer
Customer
amended from time to time. I/We confirm that the information/particulars supplied by me/us is correct in all respects. I/We declare that in case of with date
roaming abroad my usage amount will not exceed the limit prescrived by FEMA regulation. I/We understand that the connection/SIM is non-
transferable. Any misuse of connection/SIM by me/us or any other person is illegal and liable for crimnal action.
To be Filled By POS
I certify that (a) I have seen the subscriber who has signed the CAF in my presence and matched the
photograph affixed on the CAF with the subscriber and verified his self attested copies of documents POS POS _______________________________________
of POA and POI submitted with the CAF with the originals.(b) In case of outstation subscriber :- Name
Certified that the local reference Mr/Ms_________________________________________ has been contacted Sign & Stamp POS ________________________________________
telephonically before issuing SIM to the customer , as per particulars submitted by the applicant. Code
Declaration By Franchisee/BSNL Staff Declaration By BSNL Employee activating the SIM Date_____________________________________________
It is certified that I have (a) Certified that all the documentary requirement has been completed and Employee Name____________________
checked the CAF as per Franchisee/BSNL Staff subscriber details have been entered in the database before activation of the SIM. __________________________________
the DOT guidelines and Name__________________________ (b) Certified that the local reference (in case of outstation subscriber ) Designation________________________
entered the subscriber code___________________________ Mr/Ms_________________ has been contacted telephonically. (c) Details of Add- ______________________________
details correctly in the on/Value Added facilities as requested by customer and Tariff plan(s) etc. activated
BSNL Database. Stamp on the SIM Card ___________________________. (d) Initialactivation done on date BSNL
____________ . (e) Final activation done after tele-verification on date ____________ Sign with Date
sign with Date:

Terms And Conditions

An agreement is formed between the customer named overleaf(thereinafter referred to as the Customer and Bhart Sanchar Nigam 4.5 The Customer agrees to pay to BSNL the subscription charges, opted,value added service charges,supplementary service charges, BSNL
Limited(hereinafter referred to as "BSNL a company refistered under the Companies Act 1956, having its registered office and corporate charges for calls made from mobile to fixed network,monthly rental,NSD/ISD charges,Service Tax, License Fee other taxes & duties etc. and
office at Bharat Sanchar Bhawan, Harish Chander Mathur Lane janapath, New Delhi-110001, and Local Office at Plot no. 2,sector-34A, other charges payable for the servies as published and notified by BSNL as per tariff applicable from time to time.
Chandigarh when the form overleaf of some other form or order(e.g mail order,Fax etc.) has been signed/sent by or on behalf of the 4.6 All charges and other sums to be paid by the customer are due for payment by prescribed due date. All charges must be paid in full
customer and BSNL has accepted the same when used in these conditions. without any deduction,set-off withholding.All payments must be made in favour of AO(cash),BSNL, of the concerned area.
\"Customer Equipments\" Means GSM mobile telephone equpment described in the Agreement 4.7 The present rate of deposits,connection charges,monthly rental charges,call charges and other payable charges are set out in the "Tariff
Schedule" as notified by BSNL.BSNL shall have the option to vary the tariff,charges for value added services,supplementary services and any
"Network" Means the BSNL Network. other conditions of services,retrospectively or from future date and the same shall be binding on the Cusomter.
4.8 The customer must pay call charges in respect of all calls made/received during the Agreement Period from/to his/her mobile number
"Services" Means the services which enable the Customer when using the equipment to have two-way communication over the network and and/or SIM whether or not authorised by the Customer and whether or not they exceed any credit limit, if any, agreed between BSNL and the
includes other value added/supplementary Services offered by BSNL and specifically, opted by the customer. Customer. This eqyally applies to all other tariff payments.
4.9 The loss of or inability to use the Customer Equipment or a SIM does not bring the Agreement or the Customer's Liability to pay charges to
"Tariff" Means and includes the agreed Tariff schedule and all rate and related conditions such as deposits,installation fees,rental, usage an end.
charges and any other related fees and service charges under the Tariff schedule as notified and published by BSNL from time to time for 4.10 Where a security deposit has been paid, BSNL is entitled to retain it and apply it as it decides in full or partial satisfaction of any sums due
providing the services and value added/supplementary services. from the Customer to BSNL any time.At the end of the Agreement period, provided all sums payable to BSNL have been duly paid, the
"SIM" Means Customer Identification Module being a card or microchip programmed with data, which is used to gain access to the network. balance(ifany) of the deposit or fee will be repaid to the customer on fulfillment of such conditions as may be intimated by BSNL.No interest
will be paid on the deposit.BSNL reserves the right to adjust the security deposit of the BSNL connection of one "member of a family against
"Customer" Means a person/company/firm/or anyother association of persons who has subscribed for services under this agreement. This the bill of the other BSNL connection(s) issued by other family member(s).
agreement binds the customer and whenever & wherever applicable, his heirs,executers,administrators,successors and permitted assigns and4.11 The call pulse rate shall be governed by the rules and regulations as specified by the Regulatory Authorities from time to time and/or
benefits BSNL its successors and assigns. specifically specified by BSNL.
4.12 Itemized monthly bills are available on request and are chrgeable in nature at such rate as may be decided by BSNL from time to time
5. PENAL CHARGES FOR DELAYED PAYMENT:
"Bulk Mobile Connection" Means 10 or mote than 10 mobile connections issued in a single name to individual or a company or an
organization or at any given address by all the License service providers in the service area.
5.1 The payment against monthly bills beyond the stipulated date shall entail an interest charges @2%p.m. or such other rate/fixed amount
as may be decided by BSNL from time to time over the payment from the date it became due. This however is without prejudice to the rights
1.PERIOD OF AGREEMENT of BSNL to suspend the services partially or fully due to non-payment.
6. SUSPENSION AND DISCONNECTION
1.1 The Agreement period shall run in concurrence with Licence Agreement between the Department of Telecommunications Ministry of
Communications, Government of India and BSNL for the operation of Cellular Mobile Telephones Service in the concerned licensed 6.1 BsNL may at any time suspend, without notice and without any liability the services wholly or partially and/or disconnect any Customer
geographical areas & shall be subject to all applicable laws, byelaws, rules, regulation, notifications,orders,directions of the Equipment from the Network for any reason which is found to be reasonable by BSNL including any of the following circumstances.
Government/Court/Tribunal and shall be subject to other terms of the Agreement. (a)Due to any discrepancy noted in the material particulars provided in the form overleaf including address confirmation.
2.COMMENCEMENT (b)The non-payment of bills beyond the due date. The BSNL reserves the right to totally or partially disconnect the Customer in case of non
payment of the due bill by the due date or in case the cheque is dishonored. Although no notice is mandatory call warning or an SMS message
2.1 The customer shall ensure thar he/she it will duly fill and sign the form overleaf and all other required forms,besides furnishing other notified to the customer on his mobile number or any other verbal or written communication shall be construed as due notice in theis regard.
particulars/documents for identification as required by BSNL/Govt. of India from time to time become eligible for subscribing to the said (c)During technical failures,modification or repair or testing of the network.
services rendered by BSNL. In the event of any default on the part of customer as stated above BSNL shall be well within its right to refuse the (d)BSNL reserves the right to totally orpartially disconnect the Customer connection or to put him on local calling facility or only incoming call
connection without any liability of the said customer to its network and even to disconnect the same in case the said customer is already facility with or without notifying him in the case of his exceeding the prescrived credit limit BSNL does not however guarantee to effect such
connected to the network and to forfeit the balance,if any,available on the card of the said customer and the same shall neither be credited notsuspension/disconnection immediately upon the customer reaching the credit limit. The BSNL has the right to predetermine and prefix the
refunded under any circumstance(s). credit limit to usage of Air Time Services,PSTN services and other Value Added Services. In the event of the Customer haing exceeded his
2.2 For proof of address customer has to submit along with form overleaf,self attested copy of any one of Electricity Bill/Water Bill/Ration predetermined limit he will be responsible to pay for all the calls made and services obtained even beyond the stated limit.
"Card/Passport/Telephone Bill/Voter ID Card/Driving License/Adhaar or any other document as prescribed by the Deposit of Telecom/BSNL (e) When this Agreement is determined owing to any reason in consonance with the terms of this Agreement.
"from time to time. (f) Any other reason which is found to be reasonable by BSNL warranting suspension/disconnection.
2.3 For proof of Identity the customer shall submit alng with form overleaf self attested copy of the (a)Photo Identity Card issued by Governent 7. LIABILITY
or Statutory Authority/Photo Credit Card/ Driving License/ Income Tax PAN/ Passport/ Arms License/ Voter ID Card/ Ahaar or any other
document as prescribed by the Deptt of telecom/BSNL from time to time (b) Public Limited Companymay enclose certificate of incorporation 7.1 BSNL will not be liable to the Customer for any loss of business,profit,revenue or goodwill,anticipated savings use or contracts or for any
along with any proof of identity as indicated at (a) above of the authorised officer of the company(c) In case of Government of india indirect or consequential loss how so ever it arises.
Undertakings,Government of India Officers/State Government Offices the aforesaid requirements are dispensed with and self-certification on 7.2 BsnL shall not be liable for any delayed activations.
the letterhead will suffice along with the name and desifnation of the coordinating officer to be consulted in case of need(d)In case of foreign 7.3 BSNL will not be liable for any dealings of the customer with any party which is not authorized by BSNL to deal on its behalf.
Missions in India and other Foreign Agencies, the name and designation of the authorized officer along with details of officials etc. are required7.4 BSNL makes no express or implied warrantees,fuarantees,representations or undertaking whatsoever,regarding the service, equipment
for whom the Cellular Mobile Phone is intended. etc. which are not expressy mentioned in this Agreement and shall not be liable to the customer and/or any person, firm or body corporate
; claiming through under or in trust for the customer and the customer hereby waives and agrees to continue waiving all claims/actions for any
2.4 In case of outstation cusomter, details of local reference are required to be given. delays,loss damages,fee,costs orders judgment etc. direct/incidental or consequential arising out of any mistake,omission,interruption delays
2.5 (a)For sole proprietary concern, proprietor may sign himself and affix rubber stamp on the form overleaf(b)In case of partnership concern errors,defectrs or other failure with respect to the service/equipment or billing arrangements,payments or collection and or matters covered
all partners of any one of the partners duly athorized or person with Power of Attorney may sign.(c)In case of Company signature should be of in clause 3.5 hereof etc. and or matters related to this agreement. Further the customer remains solely responsible to his own negligence acts
a person on behalf of a company, in accordance with the provisions of its Articles of Association. In case of partnership concerns copy of(i)Power or omission.
of attorney for authorization & (ii)Partnership Deed and in case of company a copy of the Articles of Association is to be attached. 7.5 BSNL will not be under any liability for the cellular mobile services under this Agreement or for any failure to carry out its duties and
2.6 If at any stage information furnished in the form overleaf is found false-Telecom Service/Telephoneprovided is liable to be "disconnected obligations outside the BSNL's control such as atmospheric conditions,physical features(e.g bridges and buildings) and the proximity of the
immediately without any notice. base stations Acts of God etc. and any other force majeure conditions due to which the services are aggected.
2.7 Agreement commences upon BSNL activating the SIM card and continues subject to other terms as per plan(s)/Scheme(s)/ Service(s) 7.6 BSNL is not responsible for the acts of Franchisees/Business Associates/Distributors/Channel Partners/Dealers/Retailers with "regard to
chosen by customer and operate concurrently with BSNL license to provide services.Any moneys paid by the Customer shall not create any schemes which are not authorized by BSNL or which are purposed to have been offered on behalf of BSNL without the latter's sanction.
right in favour of customer until activation. In addition BSNL reserves the right to seek/verify financial and the other information from 7.7 A SIM is provided for the customer's use in order to gain access to GSM network.it is the customer's responsibility to keep these secure as
customer's Bankers/Credit providers and such other sources and reserves the right to reject subscription even after activation for any reason BSNL is not liable for any losss or liablity incurred by the Customer resulting from the authorized use. In case of loss of SIM card by the
without liability. customer the same should be reported to BSNL at the earliest. The issuance of new SIM card shall entail charges as set out in the Tariff
2.8 Customer represents that he has been fully informed about the Cellular Mobile Telephone Services provided by BSNL, its shedule from time to time.
specifications,requirements,limitations,tariffs etc. and has only thereupon signed this agreement. 7.8 The SIM card remains the constructive property of BSNL in the hand of the customer. The same shall be returnable of BSNL on
2.9 BSNL shall be at liberty to provide the services under any brand name. Severance/suspension of customer relationship for any reason whatsoever as per items & conditions BSNL is not repsonsible for any
2.10 The iinformation provided by customer/gathered by BSNL shall become BSNL's property even if application is rejected/refunded "or manufacturing defect in SIM card after an expiry of 6 months from the date of purchase. Beyond this period customer will have to obtain a
connection is diconnected as the case may be and can be used by BSNL in any manner, if deemed filt. new SIM card after paying the requisite charges in case of any defect in SIM card.
2.11 Bulk mobile connections shall not be provided to individual. 7.9 The customer hereby agrees to indemnify and hold BSNL harmless against any claim against any BSNL for livel or slander arising out of
2.12The number of mobile connections used by the bulk user from other licenses in that Service Area shall be declared by the bulk user at the communications sent or received by customer on BSNL's Network. The Customer shall also indemnify BSNL for any claim against BSNL
time of filling the CAF. In addition to declaration of all his connections by the customers the licenses can also verify from its recirds the details arising out of any infringement or violation of copyright by the customer or by anyone else using the mobile connection of the customer.
of existing connections working in the name of the same subscriber before activation of new SIM 7.10 BSNL shall not be responsible for any civil or criminal liability incurred by the customer due to its misuse of the service provided by
2.13 The licenses shall maintain the list of actual users of such mobile connections. In case there is change in the actual user, the same shall be BSNL i.e.any acts of commission by the customer.
informed by the bulk user Authorized Signatory to the licensee within a week of such change. The Licensee shall update its database 7.11 BsnL shall not liable for any act of commission or omission of any third party/suppliers/manufactureres/including any agency/ company
immediately but but not later than one week of receiving such information. Record of such changes in actual userrs shall be kept by the offering any privilege or benefits to customer without specific permission or authority of BSNL.
licensee. The list of users with name and designation duly signed with stamp of authorized signatory (on each page of list) shall be maintained 7.12 BSNL reserves the right to terminate the subscription of any customer who is not competent to enter into any contract under the "indian
by the Licensee. The authorized signatory shall at the end of three months summarise the change of name taken place during the month. In contract Act,1872.
case there is no change, a certificate mentioning no change shall be given to Licensee. The change of name of subscriber is not permitted as 7.13 Any increase/addition/introduction of taxes and/or levy of any taxes duties or any other statutory charges etc.(present/future) shall be to
the SIM card in user terminal is not transferable. The change in name between the blood relatives/legal heirs is permitted provided new CAF the customer's account without any notice to him and shall at all times be deemed to be part of tariff
and all the procedure as for registering a new subscriber is followed and the SIM card is issued. However, after the change in name the 7.14 Customer will provide to BSNL all information and co-operation that BSNL may reasonably require from time to time
connection shall be treated as new connection. In such case, change in address is not permitted. Further, No objection Certificate from the 8. SALE OR TRANSFER
original user shall also be taken. In case of death of the original user, death certificate will suffice instead of No objection Certificate.
2.14 All the mobile subscribers either individual r bulk should intimate to their service provider, any change of address within one week of
such change along with new proof of address. If during re-verification process by the Licensee or Licensor or Security Agencies, it is found that 8.1 BSNL connections/SIM card shall be non-trnasferable in nature and any private transfers effected by the customer shall not absolve the
subscriber address is not correct in the database, then the connection may be disconnected forth with and the subscriber shall be solely customer of his primary duty towards BSNL for usage charges levied pertaining to such particular connections/SIM card.
responsible of any consequent hardship. 8.2 BSNL's acceptance of payment from a person other than the customer shall not amount BSNL having transferred or modified any of
2.15 In cases where forged documents are submitted by the subscriber and originals are also forged Police complaint/FIR shall be lodged by rights & obligations to the customer to such third parties.
the POS/Franchisee/BSNL/DOT/Security agencies against the subscriber as and when the forgery is deceted. 9. DISPUTE RESOLUTION
3. SERVICES
9.1 In case of any dispute, the matter will be referred to the sole arbitration of Cheif General Manager Telecom, BSNL of the concerned area
3.1 The customer shall be provided a SIM card along with PIN(Customer's security code), and a personalized Telephone Number which can be or his nominee and will be governed as under provisions of the arbitration and conciliation ACt, 1996 or any statutory modification or
changed by BSNL at any time) to enable the customer to use BSNL services upon acceptance, within BSNL system operating range in the reenactment there of or any rules made thereof, customer will have No objection in any such appointment that arbitrator so appointed is
licensed geographical areas. employee of the BSNL.
3.2 The SIM card and personalized Telephone Number is and shall always to be the sole property of BSNL and shall be returned by 10. ENDING THR AGREEMENT
"customer(s) upon termination/determination, hereof and/or temporary suspension of services.
3.3 For change/addition/delection of any features/supplementary servives/scheme/plan, customer shall fillup the requisite form and by 10.1 Except as provided elsewhere either party may end the agreement by written notice giving not less than 30 days to other party but such
bound by the additional terms thereof. Any change or withdrawal from any supplementary services etc. shall not entitle the customer to any a notice shall not absolve the customer of its liability to make payments of the amounts that may be due and outstanding on the date of such
refunds or adjustments of the moneys already paid,billed or to be billed under the additional terms. notice or as may become due subsequently.
3.4 Customer cannot use the service for any unlawful or illegal purposes or immoral,improper or abusive purpose or for sending 11. OTHER MATTERS
obscene,indecent,threatening,harassing,unsolicited messages or messages affecting/infringing national interest nor create and damage or
risk to BSNL or its network and/or other customers which relates to the network the service equipment or connected matters BSNL reserves 11.1 Where two or more persons constitute the customer, their liability is joint and serveral.
the right to disconnect service without liability if any, at its sole discretion on any such event. 11.2 This agreement is amenable to the jusrisdiction of Courts at the only location of office of Chief General Manager Telecom, BSNL of the
3.5 Service quality functionality,availability and/or reliability may be affected and/or BSNLis entitled to,withou any liability,refuse, limit area concerned & laws of India.
suspend,vary,disconnect and/or interrupt the service in whole or in part at any time, at its sole discretion, with respect to one/all customer(s) 11.3 The scope of the cellular services is governed by the statutory Guidelines issued by the Telecom Regulatory Authorities & Govt. of India
without any notice,for any reason and/r due to various factors including but not limited to (a) Goverment's, TRAI's within the parameters of License Agreement executed with Ministry of Communicationss, Govt. of India. The cellular phone services are
rules,regulations,orders,directions,notifications etc. including changes thereto (b) Transmission limitations caused by governed by the Telegraph Act, 1885 and the Indian Telegraph Rules, 1951 framed under the same act, as amended from time to time and
topographical,geographical,atmospheric,hydrological and/or mechanical coditions. (c) During technical failure,mofification,up gradation or the customer shall abide by them.
variation,relocation,repair and/or maintainance of the systems/equipments (d) To combat potential fraud,subotage, willful destruction, etc. 11.4 All discounts or other special benefits announced by BSNL from time to time shall have the time limitation, BSNL shall have the right to
(e)If services is used in any manner, which violates any law etc. or adversely affects or interfers in any manner the rendering of services of withdraw/ vary/ extend any/ all such discounts etc. at any time without notice.
BSNL (f) Any discrepancy/wrong particulars provided by the customer in the form overleaf. (g)Breach of any term or contions of this 12. IMPORTANT
agreement on the part of the customer(h)If rendering of service providers(i)Any other reasons which is found to be reasonable by BSNL
warranting suspension/disconnection(j)Force-majeure circumstances (i.e. Acts of GOd)(k)Delay/nonpayment of bills(l)Incompatibility with 12.1 Peak, standard, and off-peak hours may differ from one operator to another
equipments including customer Equipment. 12.2 The information provided overleaf shall be trated as part & parcel of this Agreement.
3.6 Privacy of communication is not guaranteed and is subject to Government's Regulation and such other faactors. BSNL is entitled to 12.3 Monthly statement of charges would reflect only consolidated call charges for roaming calls and no bifurcation of airtime and landline
"change,vary,add and withdraw any services/supplementary services/schemes/plans etc. and/or to vary the terms and charges at "any time charges would be available.
at its sole discretion. The rates/charges may also change as per the directives of TRAI or any statutory authority from "time to time. 12.4 While roaming, all incoming call will be charged at STD/ISD rates as applicable plus the incoming airtime at the location being visited.
3.7 In case of expiry/deactivations, the cellular number may be allotted to another customer as per the sole discretion of BSNL. In that "event, 12.5 A service tax as applicable shall be levied on all charges payable by the customer.
the customer shall not have any right or lien on the said cellular number. In case of suspension/disconnection etc. " reconnection may be 12.6 The cusotmer has understood that depending upon different services/ plans chosen by various customers, the prices/ charges, fee etc.
made by BSNL in its sole discretion, on such addition terms as BSNL may determine. applicable hereto amy also be different.
4. BILLING AND PAYMENT 13. EQUIPMENTS

4.1 The Billing cycle shall normally run on monthly basis or such other frequency as amy be decided by BSNL from time to time and the 13.1 BSNL will test the equipment prior to activation & customer shall ensure its functionalities. BSNL shall not be responsible for any of the
periodic bulls be issued accordingly. The Customer is reponsible to pay his bills by the prescribed date. It is incumbent on the Customer to defect/ fault etc. which is not expressly covered by the manufacture warrantly of the equipment. Any repairs/ exchange carried out by BSNL
enquire for his/her balance and settle the same even in case of non-receipt of the monthly bill for any reason whatsoever. at the reqyest of customer for defects etc. shall be charged from the customer as per BSNL policy on the subject from time to time.
4.2 BSNL reserves the right to raise interim bills and the Customer agrees to make such interim payments as & when required by BSNL, ;
based on internal credit rating of BSNL. 14. AMENDMENT AGREEMENT
4.3 Bills will be sent to the billing address of the customer as furnished by him/her. For any change of address the Billing department should
receive notification in writing well in advance to change the address along with such proof to accept the change. 14.1 BSNL only may amend any part of this Agreement at any time by giving Customer prior notice. Customer's continued use of service or
4.4 In case any charges are disputed, customer shall intimate BSNL within 2 days of the receipt of bills. In case of non receipt of such payment of any dues/ bills after BSNL's has issued such amendment will constitute customer's agreement to all amendments.
information the charges will be presumed to have been accepted. Customer shall have to pay full amount of even disputed charges pending I confirm and I have read the terms & conditions and I agree to abide by them.
settlement of disputes.

(Signature of Customer)

Counterfoil to be given to Applicant www.bsnl.co.in|Helpline 1800 180 1503

CAF NO. Name of Subscriber _______________________________________ Mobile no. allotted
Proof of identity details Proof of Address details
Type of POI Document No. Type of POA Document No.
Date of Issue Place of Issue Date of Issue Place of Issue
Issuing Authority Issuing Authority
Received with thanks an amount of Rs.________/- By Draft/Cash/Cheque No.
___________ Dated_______________issued POS POS _______________________________________
from_______________Bank_____________City__________________. Note:For activation Name
Sign & Stamp POS ________________________________________
,please dial 1507 using your new SIM in 1-2 days forteleverification Code
Date_____________________________________________