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Bharat Sanchar Nigam Limited: (A Govt - of India Enterprise) Application From For Closure /surrender of Telephone

This document is an application form for closure or surrender of a telephone provided by Bharat Sanchar Nigam Limited (BSNL), a government of India enterprise. The form collects information such as the subscriber name, telephone number, type of phone, installation address, requested closure date, and reason for closure. It also requests contact information for refunding any security deposit after adjusting outstanding bills. By signing, the customer agrees to pay any remaining amounts owed to BSNNL even after closure of the connection. Upon receipt, BSNL provides a signed acknowledgement.

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0% found this document useful (0 votes)
1K views1 page

Bharat Sanchar Nigam Limited: (A Govt - of India Enterprise) Application From For Closure /surrender of Telephone

This document is an application form for closure or surrender of a telephone provided by Bharat Sanchar Nigam Limited (BSNL), a government of India enterprise. The form collects information such as the subscriber name, telephone number, type of phone, installation address, requested closure date, and reason for closure. It also requests contact information for refunding any security deposit after adjusting outstanding bills. By signing, the customer agrees to pay any remaining amounts owed to BSNNL even after closure of the connection. Upon receipt, BSNL provides a signed acknowledgement.

Uploaded by

ram4a5
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

Bharat Sanchar Nigam Limited

(A [Link] india Enterprise)

Application From For Closure /Surrender of Telephone

[Link] of the subscriber : ……………………………………………………………………………….


[Link] Number :……………………………………………………………………………….
[Link] of Telephone : Basic/FWT/WLL
[Link] Where telephone is installed :……………………………………………………………………………….
………………………………………………………………………………..
[Link] from which telephone is :………………………………………………………………………………….
Required to be closed
[Link] for surrender of telephone : (please tick the appropriate reasons as given below)
a. Moving to some other city
[Link] a mobile connection from BSNL in place of
Landline connection
[Link] constraints
[Link] of Business
[Link] satisfied with BSNL Service on account of
i) Billing Problems
ii) Commercial problems
iii) Frequent faults
iv) Improper behavior by BSNL staff
(please give details)
h)Any other reasons (please Specify)

[Link] on which refund of security :……………………………………………………………………………………………..


Deposit after adjustment of outstanding ……………………………………………………………………………………………..
Bill/amount should be sent ………………………………………………………………………………………………
[Link] Telephone No :………………………………………………………………………………………………
I undertake to pay any amount due to BSNL even after closure of telephone connection

Signature of the Customer


Name
…………………………………………………………………………………………………………………………………………………………………

Receipt
Received an application for closure w.e.f ………………………of fixed telephone connection No ……………………..working in

the name of Shri/Smt/Ms …………………………………………….. date of receipt Of application…………………………………

Signature of the officer/ official with seal

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