BHARAT SANCHAR NIGAM LIMITED (A Govt of India Enterprise Enterprise)) APPLICATION APPLICA TION FORM FOR NEW MOBILE CONNECTION
Mobile Number
CAF / Ware house Serial Number
SSA _____ ___________ ________ __
Affix self signed passport size photograph
Pre-paid
Type of Connection (tick appropriate box) *
Post-Paid
1.Name of the Subscriber/Organis Subscriber/Organisation ation * (As given in Proof of identity document attached with application):
2. Name of Father/Husband/Authorise Father/Husband/Authorised d person * (As given in Proof of identity document attached with application):
3. Gender * : -
Male
Female
4. Date of Birth* (DD/MM/YYYY)-
5. Complete Local residential Address*/ Subscription Address* House No/Flat No*
(As given in proof of Address document attached attached with application):
Street Address/Village*
Locality / Tehsil *______________ City/District*
State/UT*
Pin Code* :6. Complete permanent permanent residential Address of subscriber: House No/Flat No
Street Address/Village
Locality / Tehsil ______________
City/District
State/UT
Pin Code :7. Bill to be sent to (please tick)
5
or
6
or any other address
8. Status of Subscriber* : - Individual Tick appropriate box Government 9.
PSU PS U
Bulk
BSN SNL L Emplo loy yee
Corporate
Test SIM
Foreigner
Outstation
Others
Nationality *____________________________ *________________________________ ____ 10. E-mail address (if any)______________________ any)_______________________@_____ _@_________ _______ ______ ___
11. Photo ID Proof document type* (Driving License/voter ID Card/Passport/PAN card/Adhaar/other card/Adhaar/other specify): Document No.*__________________________________________ No.*__________________________________________ Date of Issue* _____________________________ ______________________________________ _________ Place of Issue* _____________________________ _________________________________________Issuing ____________Issuing Authority *______________ ________ ________________ ______________ ______ 12. Add Addres ress s pro proof of doc docume ument nt typ type* e* (Dr (Drivi iving ng Lic Licens ense/V e/Vote oterr ID car card/P d/Pass asspor port/A t/Adha dhaar/ ar/Oth Other er (sp (speci ecify) fy) :__ :_____ ______ ______ ______ ______ ______ ______ ______ ______ ___ Document No.* _____________ ___________________________ ______________________ ________ Date of Issue* _______________________________________ _____________________________________________ ______ Place of Issue* ________________________Issuing ________________________Issuing Authority* _____________________________________ ____________________________________________________ _________________ __ 13. Number of Mobile Mobile connections held in name of Applicant (Operator-wise)* (Operator-wise)* :Name of operator Numbers held Name of operator Numbers held ______________ ____________ ______________ ______________ ______________ ____________ ______________ ______________ ______________ ____________ ______________ ______________ ______________ ____________ ______________ ______________ 14. Services/Facilities required:- 3G Tick appropriate box
International Roaming
Call transfer
Navigation
STD
Itemized Billing
ISD
GPRS/MMS
National Roaming
Others (please specify) _________________________
Please se see tar tariff iff card card) __________________ 16. Valu 15. Ta Tariff Pl Pla an Ap App pli lie ed* (Plea lue e Ad Add ded Service Applied (if any) ____________________ Please ase see tar tariff iff card card) _____________________________ 17. Tariff Plan Opted for GPRS/MMS (Ple
18. Alternate Contact numbers, numbers, if any; Home: _________________________Business_________________ _________________________Business_________________ Mobile________________ 19. Profession of Subscriber: _________________________
20. PAN/GIR/UID Number:
21. Details of Local reference* (if Applicable in case of outstation customer): Name _______________________________ ______________________________________ _______ Address _________________________________________________________ _____________________________________________________________Phone ____Phone number ________________________ ________________________ 22. To be filled in cases of Mobile Number Portability (Separate form for MNP is also to be filled) :(A) UPC_________ (B) Previous Service Provider Details: ____________(C) ____________(C) Mobile No. to be ported in_____________________ in_____________________ www.bsnl.co.in
TERMS AND CONDITIONS An agreement agreement is formed between the the customer customer named overleaf overleaf (hereinafter (hereinafter referred referred to as the Customer) and Bharat Sanchar Nigam Limited Limit ed (hereinafterreferredto nafterreferredto as “BSNL “BSNL”) ”) a compan companyy regis registeredunderthe teredunderthe Compan CompaniesAct iesAct 1956,having itsregistere itsregistered d officeand Corpor Corporate ate Office at Bharart Sanchar Bhawan, Harish Chander Mathur Lane Janpath , New Delhi-110001, and Local Office at Plot no. 2, sector-34A, Chandigarh, Chandigar h, when the form form overleaf or some some other form or order (e.g. mail order, order, Fax Fax etc.) has been been signed/sent signed/sent by or on behalf of the Customer and BSNL has accepted the same, when used in these conditions. “Customer Equipment”Means GSM mobile telephone equipment described in the Agreement.
4.8 4. 8 TheCustome TheCustomerr mus mustt paycallcharg paycallchargesin esin re respe spectof ctof allcallsmade/ allcallsmade/rec receiv eiveddurin edduringg theAgreem theAgreementPeriod entPeriod from from/to /to his/h his/hermobile ermobile numberand/orSIM numb erand/orSIM - whet whetheror heror notauthoris notauthorisedby edby theCustome theCustomerr andwhetheror notthey exce exceedany edany cred credit it limit limit,, ifany,agreedbetween BSNL and the Customer. This equally applies to all other tariff payments. 4.9 The loss of or inability to use the Customer Equipment Equipment or a SIM does not bring the Agreement Agreement or the Customer's Liability to pay charges to an end. 4.10 4. 10 Whe Wherea rea sec securi uritydeposi tydepositt hasbeenpaid,BSN hasbeenpaid,BSNLL isentit isentitledto ledto re reta tainit init andapp andapplyit lyit asit dec decide idess infullor par partia tiall sat satisf isfact actionofany ionofany “Network”Means the BSNL GSM Network. sumsdue fromthe Cust Custome omerto rto BSN BSNLany Lany tim time.At e.At theendoftheAgree theendoftheAgreemen mentperio tperiod,prov d,provide ided d allsum allsumss pay payabl ableto eto BSN BSNLhavebeenduly Lhavebeenduly “Services” Mean Meanss theservice theservices,whichenablethe s,whichenablethe Cust Customerwhenusingthe omerwhenusingthe equipment pment tohavetwo-way communica communication tion over the network paid, the balance (if any) of the deposit or fee will be repaid to the Customer on fulfillment ofsuch conditionsas may be intimatedby and includes other value added/supplementary Services offered by BSNL and specifically, opted by the Customer. BSNL. BSN L. Nointere Nointerest st willbe paidon thedeposit thedeposit.. BSN BSNLL rese reservesthe rvesthe righ rightt toadjustthe secu securitydeposi ritydepositt of theBSNLconnect theBSNLconnectionof ionof one member of a family against the bill of the other BSNL connection(s) issued by other family member(s). “Tariff” Means and includes includes the agreed agreed Tariff Tariff schedule and all rate rate and related related conditions conditions such as deposits, deposits, installation installation fees, fees, rental, rental, usage charges and any other related fees and service charges under the Tariff schedule as notified and published by BSNL from time to 4.11 4. 11 Thecallpulserat Thecallpulserate e sha shallbe llbe gov govern ernedby edby therule theruless andregu andregulat lation ionss asspecif asspecifiedby iedby theRegu theRegulat latoryAutho oryAuthorit ritiesfromtimeto iesfromtimeto tim time e time for providing the services and value added/supplementary services. and/or specifically specified by BSNL. Itemizedmonth izedmonthly ly bill billss areavailab areavailable le onrequestand arecharge arechargeablein ablein natu natureat reat suchrateas maybe deci decidedby dedby BSN BSNLL fro from m timeto “SIM” Meanss a Cust Mean CustomerIdenti omerIdentificationModulebeinga ficationModulebeinga cardormicroc cardormicrochipprog hipprogramm rammedwithdata edwithdata,, whichis chis use usedto dto gainaccesstothenetwork. naccesstothenetwork. 4.12 Item time. “Customer”Means “Custome r”Means a person/company/firm/o person/company/firm/orr any other association association of persons who has has subscribed for services under this agreement. 5. PENAL CHARGES FOR DELAYED PAYMENT: PAYMENT: This agreement binds the customer and whenever & wherever applicable, his heirs, executers, administrators, successors and permitted 5.1 Thepaymen Thepaymentt agai againstmonthl nstmonthlyy bill billss beyo beyond nd thestipula thestipulateddate teddate shallentai shallentaill an inte interes restt char charges@ ges@ 2%p.m. orsuch othe otherr rat rate e / fix fixed ed assigns and benefits BSNL its successors and assigns. amountt asmay bedecidedby BSN amoun BSNLL fromtimeto time,overthe paym paymentfromthe entfromthe dateit becam became e due.Thishoweveris witho withoutprejudi utprejudice ce “Bulk Mob MobileConnec ileConnection tion”Mea ”Means10 ns10 or morethan10 mob mobileconnec ileconnectio tions ns issu issuedin edin a sing singlename lename toindiv toindividu idualor alor a com compan panyy oran to the rights of BSNL to suspend the services partially or fully due to non-payment. organization or at any given address by all the License service providers in the service area. SUSPENSION AND DISCONNECTION 6. 6.1 6. 1 BS BSNL NL mayat anytime susp suspend,withou end,withoutt noti notice ce andwithoutmy liab liabili ility ty,, theServ theService icess who whollyor llyor par partia tiallyand/o llyand/orr dis discon connec nectt any 1.PERIOD OF AGREEMENT 1.1 The Agreement period shall run in concurrence with Licence Agreement between the Department of Telecommunications, Telecommunications, Ministr y Custom Cus tomerEquip erEquipmen mentt fro from m theNetw theNetworkforany orkforany rea reasonwhichis sonwhichis fou foundto ndto bereaso bereasonab nableby leby BSN BSNLL inc includ ludingany ingany ofthe fol follow lowing ing of Communications, Communications, Governme nt of India and BSNL for the operation of Cellular Mobile Telephones Telephones Service in the concerned licensed licensed circumstances. geograph geog raphicalareas icalareas & shallbe subj subject ect to all appl applicabl icable e laws laws,, byel byelaws,rules, aws,rules, regu regulatio lation, n, noti notificat fications ions,, orde orders, rs, dire direction ctionss of the a) Due to any discrepancy noted in the material particulars provided in the Form overleaf including address confirmation. Government / Court / Tribunal and shall be subject to other terms of the Agreement. b) The non-payment of bills beyond the due date. The BSNL reserves the right to totally or partial ly disconnect the Customer in case 2. COMMENCEMENT 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 2.1 Thecustomershallensurethat he/she he/she/it /it will duty fill and sign the form overleaf overleaf and all other requiredforms,besidesfurnishing requiredforms,besidesfurnishing other or an SMSmessage notifiedto the customer on his mobile number or any other verbal or written written communication shall be construed particulars/documents for identification as required by BSNL / Govt. of India from time to time become eligible for subscribing to the said as due notice in this regard. Servicesrendered Servicesrendere d by BSNL.In theeventof anydefault,on thepart of cust customeras omeras stat statedabove, edabove, BSNLshall bewell within its right to refuse c) During Technical failures, modification or repair or testing of the Network. the connection connection without any liability ability of the said customer customer to its network and even even todisconnect the same in case the said customer is d) BSN BSNLL res reserve ervess therightto tota totallyor llyor part partiallydiscon iallydisconnectthe nectthe Cust Customerconne omerconnectio ction n orto puthim on Loca Locall call callingfacilityor ingfacilityor only already connected to the network and to forfeit the balance, if any, available on the card of the said customer and the same shall neither incoming call facility with or without notifying him in the case of his exceeding the prescribed credit Limit BSNL does not however, be credited nor refunded under any circumstance(s). guarantee to effect such suspension/disconnection immediately upon thecustomerreaching thecredit limit.The BSNLhas the right 2.2 Forproo Forprooff ofaddre ofaddresscust sscustome omerr hastosubmi hastosubmitalongwithformove talongwithformoverle rleaf af,, self att attest estedcopyof edcopyof anyoneof Ele Electr ctrici icityBill/ tyBill/ Wat WaterBill/ erBill/ Rat Ration ion topredetermineand topredeter mineand prefixthe xthe cred credit it limit to usage of Air Time Services, PSTN services and o ther Value Added Services. In the event Card/ Passp Passport/ ort/ Telephone ephone Bill/ Vote Voterr ID Card/ Drivin Drivingg Licen License/Ad se/Adhaaror haaror anyother docum documentas entas presc prescribedby ribedby theDepttof Telecom/BSNL ecom/BSNL of the Customerhaving exceeded his predetermined limit he will be responsible responsible to pay for all the calls made and services obtained from time to time even beyond the stated limit. 2.3 ForProof of PhotoIdentit PhotoIdentityy thecustomershallsubmitalong withform overleaf self self attested attested copy copy ofthe (a) Photo Identity Identity Card issued by Government or Statuary Authority / Photo Credit Card / Drivinig Licence / Income Tax PAN / Passport / Arms License / Voter ID Card / e) When this Agreement is determined owing to any any reason in consonance with the terms of this Agreement. Adhaar or any other document as prescribed by the Deptt of Telecom/BSNL f rom time to time (b) Public Limited Company may enclose f) Any other reason which is found to be reasonable by BSNL warranting suspension / disconnection. certificate of incorporation along with any proof of identity, as indicated at (a) above of the authorised officer of the Company (c) In case 7. LIABILITY of Government of India Undertakings, Government of India Officers/ State GovernmentOffices, the aforesaid requirements are dispensed 7.1 BSNLwillnot be liab liable le to theCustom theCustomer er forany lossof busin business,profi ess,profit, t, rev revenueor enueor good goodwill,antici will,anticipated p ated savi savings,use ngs,use orcontrac orcontracts ts or with and self-certification self-certification on the letterhead letterhead will suffice suffice along with the name and designation gnation ofthe coordinatingofficer to be consulted for any indirect or consequential loss how so ever it arises. in case of need (d) In case of Foreign gn Missions ons in India India and other Foreign Foreign Agencies, Agencies, the the name and designation of the authorized officer 7.2 BSNL shall not be liable for any delayed activations. along with details of officials etc. are required for whom the Cellular Mobile Phone is intended. 7.3 BSNL will not be liable for any dealings of the Customer with any any party, which is not authorized by BSNL to deal on its behalf. 2.4 In case of outstation customers, details of local reference are required to be given. express ess or implie implied d warr warrantee antees, s, guar guarantee antees, s, repr represent esentations ations,, or under undertakin takingg whatsoev whatsoever,regardingthe er,regardingthe service, 2.5 (a) For sole proprieta proprietary ry concern, concern, proprietor proprietor may sign sign himself himself and affix rubber rubber stamp stamp onthe form overleaf (b) In case of partnership 7.4 BSNLmakes no expr equipmen equi pmentt etc.whichare notexpre notexpresslymention sslymentioned ed in thisAgree thisAgreementand mentand shallnot be liableto the custo customerand merand / or any perso person, n, concern, all partners partners or any one of of the partners partners duly authorized authorized or Person with the Powerof Powerof Attorneymay sign. (c) In case of Company Company,, firm or body corporat corporate e claiming through,under or in trust for the customerand the custom customer er hereby waives and agree agreess to contin continue ue signat sig natureshoul ureshould d beof a per personon sonon beh behalfof alfof a Com Compan pany,in y,in acco accorda rdancewiththe ncewiththe pro provisi visionsof o nsof itsArticl itsArticlesof esof Ass Associa ociation tion.. In cas case e of waivingall waiv ingall claim claimss / actio actionsfor nsfor anydelays,loss,damages, damages, fee fee,, cost costss orde ordersjudgmen rsjudgmentt etc.direc etc.directt / incid incidenta entall orconseque orconsequentialarisin ntialarisingg partner part nershi ship p con concern cerns, s, cop copyy of (i)Powerof att attorn orney ey forautho forauthoriz rizati ation& on& (ii (ii)) Par Partne tnersh rshipDeedandIn ipDeedandIn cas case e ofCompa ofCompany ny,, a cop copyy ofthe Articles of Association, is to be attached. outof anymistak anymistake, e, omis omission sion,, inte interru rruptiondelayserrors,defectsor ptiondelayserrors,defectsor otherfailu otherfailurewith rewith resp respectto ectto theservice/ equi equipmen pmentt orbilling 2.6 If atany sta stageinform geinformatio ation n furn furnish ishedin edin theformoverle theformoverleaf af isfoundfalse- Te Telec lecomService/ omService/ Te Telep lephon hone e pro provide vided d isliableto be arrangements, payments or collection and or matters covered in clause 3.5 hereof etc. and or matters related to this agreement. disconnected immediately without any notice. Further the customer remains solely responsible to his own negligence acts or omission. 2.7 Agr Agreem eementcomme entcommence ncess upo upon n BSNLactiv BSNLactivatin atingg theSIM cardandcontin cardandcontinuessubje uessubject ct tootherterms tootherterms,, as perplan( perplan(s) s) / Sche Scheme(s me(s)) / 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 Services(s) chosen by customer and operate concurrently with BSNL license to provide services. Any moneys paid by the Customer shall obligations outside the BSNL's control such as atmospheric conditions, physical features (e.g. bridges and buildings) and the proximity not create any right in favour of of the base stations, Acts of God etc. and any other force majeure conditions due to which the services are affected. customeruntilactiva cust omeruntilactivation tion.. In add additio ition, n, BSNLreserv BSNLreserves es therightto see seek/ve k/verifyfinancia rifyfinanciall andtheotherinfor andtheotherinformat mationfromcusto ionfromcustomer mer's 's 7.6 BSN BSNLL is notrespon notresponsibl sible e forthe actsof Fra Franchi nchisees/ sees/ Bus Busines inesss Asso Associat ciates/ es/ Dist Distribu ributor torss / Chan ChannelPartn nelPartners/ ers/ Deal Dealers/ ers/ Ret Retailer ailerss with Bankers/Credit providers and such other sources and reserves the right to reject subscription even after activation for any reason without
liability. 2.8 Cust Customerrepresen omerrepresents ts thathe has beenfully infor informed med abou aboutt theCellular Mobil Mobile e Te Telepho lephone ne Servic Services es provided d ed by BSNL, its specifications, requirements, limitations, tariffs etc. and has only thereupon signed this agreement. 2.9 BSNL shall be at liberty to provide the services under any brand name. 2.10 The information provided by customer / gathered by BSNL shall shall become become BSNL's property property even if applicatio application n is reject rejected ed / refunde refunded d or connection is disconnected as the case may be and can be used by BSNL in any manner, if deemed fit. 2.11 Bulk mobile connections shall not be provided to individual. 2.12 The numbe numberr of mobile conne connectionsused ctionsused by thebulk userfromother lice licensee nseess inthat ServiceArea ceArea shall bedeclaredby thebulk user at the time of filling the CAF. In addition to declaration of all his connections by the customers, the licensee can also verify from its records the details of existing connections working in the name of the same subscriber before activation of new SIM. 2.13 The licenseesshall maintainthe list of actual users of such such mobile connections connections.. In case there there is change change in the the actual actual user, user, the same same shall be informed by the bulk user Authorized Signatory to the Licensee within a week of such change. The Licensee shall update its databaseimmedi data baseimmediatel ately butnot late laterr thanone wee weekk of rece receivingsuchinforma ivingsuchinformation tion.. Reco Recordof rdof suchchang suchchanges es in actu actual al user userss shallbe kept by by the Licensee. Licensee. The list of users users with with name and and designation designation duly signed signed with stampof authorizedsignatory (on each page of list) shall be maintained by the Licensee. The authorized signatory shall at the end of three months summarise the change of name taken tak en place place during during the month. month. In casethereis no chang change, e, a certifi certificatementioni catementioning ng no chang change e shallbe give given n toLicense toLicensee.2.14 e.2.14The The change of name of subscriber is not permitted as the SIM card in user terminal is not transferable. The change in name between the blood relatives/legal heirs is permitted provided new CAF and all the procedure as for registering a new subscri ber is followe d and new SIM Card is issued. However, after the change in name the connection shall be treated as new connection. In such case, change inaddressis inaddre ssis notperm notpermitt itted.Furth ed.Further er,, NoObject NoObjectionCerti ionCertific ficatefromthe atefromthe ori origin ginaluser aluser sha shallalsobe llalsobe tak taken en.. Incaseof de deathof athof th the e original user, death certificate will suffice instead of No objection Certificate. 2.14 Allthe mobile subsc subscriberseither riberseither individualor dualor bulkshould intima intimate te to theirservice provid provider,any er,any chan changeof geof addr addresswithinone esswithinone weekk ofsuch cha wee changealon ngealongwi gwithnew t hnew pro proof of ofaddres ofaddress.If s.If dur duringre-ve ingre-verifi rificationproc c ationprocessby essby theLice theLicense nsee e orLicen orLicensoror soror Sec Securi urity ty Agencies, it is found that subscriber address is not correct in the database, then the connection may be disconnected forth with and the subscriber shall be solely responsible of any consequent hardship. 2.15 2.1 5 Incaseswhereforg Incaseswhereforgeddocum eddocument entss aresubm aresubmitt ittedby edby thesubs thesubscrib criberand erand ori origin ginalsare alsare als also o for forgedpoli gedpolicecompla cecomplaint int// FIRshallbe lodged by the PoS/Franchisee/BSNL/DoT/Security agencies against the subscriber as and when the forgery is deceted. SERVICES 3. 3.1 Thecusto Thecustomershallbe mershallbe pro provid videda eda SIMcardalongwithPIN (Cus (Custom tomer'sSecur er'sSecurityCode) ityCode),, anda per person sonali alizedTel zedTeleph ephoneNumb oneNumber er whichcan c hcan bechang bechangedby edby BSNLat anytime anytime)) toenabl toenable e thecust thecustome omerr touse BSN BSNLL ser servic vicesuponacce esuponaccept ptanc ance,with e,withinBSNLSyst inBSNLSystem em operating range in the licensed geographical areas.. 3.2 TheSIM car card d andperso andpersonali nalizedTeleph z edTelephoneNumb oneNumberis eris andshal andshalll alw alwaysto aysto bethe sol sole e pro proper pertyof tyof BSN BSNLL andsha andshallbe llbe ret return urnedby edby customer(s) upon termination/determination, hereof, and/or temporary suspension of services. 3.3 Forchange/ Forchange/addi addition/dele tion/deletionof tionof anyfeature anyfeatures/sup s/supplem plement entary ary services/schem ces/scheme/pla e/plan, n, cust customershallfill omershallfill up therequisiteform teform and by boundby theadditionalterms there thereof.Any of.Any changeor withd withdrawalfrom rawalfrom any supp suppleme lementar ntaryy servicesetc. cesetc. shall notentitlethe customer to any refunds or adjustments of the moneys already paid, billed or to be billed under the additional terms. 3.4 Cus Custom tomercannotusethe ercannotusethe ser serviceforany viceforany unl unlawfu awfull or ill illega egall pur purpos posesor esor imm immora oral, l, imp improp roperor eror abu abusiv sive e pur purpos pose e orfor sen sendin dingg obscene, indecent, threatening, harassing, unsolicited unsolicited messages, or messages affecting/infringing affecting/infringing national national interest nor create and damage dam age or riskto BSNLor itsnetworkand/orothercustome itsnetworkand/orothercustomers rs whic which h rela relatesto testo thenetwor thenetworkk theserviceequipm theserviceequipmentor entor conn connecte ected d matters. BSNL reserves the right to disconnect service, without liability, if any, at its sole discretion on any such event. 3.5 Service quality quality,, functionality functionality,, availabilityand/or reliabilitymay be affectedand/or BSNL is entitled ed to, withou withoutt any liabilit liability, y, refuse, limit, suspend, vary, disconnect and/or interrupt the the service, in whole whole or in part at at any time, at its its sole discretion, discretion, with with respect respect to one/all customer(s) without any notice, for any reason and/or due to various factors including but not limited to: (a) Government's, TRAI's TRAI 's rule rules, s, reg regula ulation tions, s, ord orders ers,, dir direct ections ions,, notificatio notifications ns etc. includingchanges thereto(b) Tran Transmiss smission ion limita limitationscaused tionscaused by topographical topogr aphical, geographical, atmospheric, hydrological ogical and/or mechanical conditions. (c) During technical failure, modification, modification, up gradation or variation, relocation, repair and / or maintenance of the systems / equipments (d) To combat potential fraud, sabotage, willful destruction, etc. (e) If services is used in any manner, which violate violatess any any law etc. or adverse adversely ly affects affects or interferes, interferes, in any manner, the rendering rendering of services services of BSNL. (f) Any discrepancy/wr discrepancy/wrong ong particular(s) cular(s) provided provided by the customerin the form overleaf. (g)Breachof anytermor con condit dition ionss of this agr agreem eementonthepartof entonthepartof thecus thecustom tomer er.. (h)If ren render deringofservi ingofserviceprov ceprovide iders.(i)Any rs.(i)Any otherreasons,which is foun found d tobe reaso reasonabl nable by BSNLwarrant BSNLwarrantingsuspens ingsuspension/ ion/disco disconnec nnection tion.. (j) Forc Forcee- majeu majeure re circ circumst umstances ances (i.e. Acts of God). (k) Delay / non-payment of bills, ( l) Incompatibility with equipments including customer Equipment. 3.6 Priva Privacy cy of comm communica unicationis tionis notguarant notguaranteedand eedand is sujec sujectt toGovernme toGovernment'sRegula nt'sRegulationand tionand suchotherfactors.BSNL is entitledto tledto change, vary, add and withdrawany services/supplem services/supplementary entary Services/ Services/ Schemes/Plans Schemes/Plans etc. and/or and/or to vary the terms terms and charges charges at anytime,, atits sol anytime sole e dis discre cretio tion. n. Therates Therates// char chargesmayalsochang gesmayalsochange e asper thedir thedirect ective ivess ofTRAIor anysta anystatut tutoryauth oryauthori orityfrom tyfrom time to time. 3.7 In case of expiry/deactiv ry/deactivation ation,, thecellularnumbermay beallottedto anoth another er cust customeras omeras perthe solediscret solediscretionof ionof BSNL.In that event, eve nt, thecustom thecustomer er shal shalll nothave anyright or lienon thesaid cell cellularnumber ularnumber. In caseof susp suspensi ension o n / disc disconne onnectio ction n etc etc.. reconnection may be made by BSNL in its sole discretion, on such additional terms as BSNL may determine. 4. BILLING AND PAYMENT 4.1 The Billing cycle shall normally run on monthly basis or such other frequency as may be decided by BSNL from time to time and the period per iodic ic bil billsbe lsbe iss issuedaccor uedaccordin dingly gly.. TheCust TheCustome omerr isrespon isresponsib sible le topay hisbillsby thepresc theprescribe ribed d dat date. e. It isincumb isincumbenton enton the Customerto Cust omerto enquirefor refor his/h his/her er balan balance ce andsettlethe sameevenin caseof non-r non-receip eceiptt of themonthlybill forany reaso reason n whats whatsoeve oever. r. 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. 4.3 Billswill besent tothe billi billingaddressof ngaddressof theCustome theCustomerr as furnis furnishedby hedby him/h him/her er.. Forany chan changeof geof addr addressthe essthe Billi Billing ng depa departme rtment nt should receive notification in writing well in advance to change the address along with such proof to accept the change. 4.4 In case any charges are disputed, custom customer er shall intimate intimate BSNL BSNL within within 2 days of the receipt of billls. s. In case case of non receipt receipt of such information the charges will be presumed to have been accepted. Customer shall have to pay full amount of even disputed charges pending settlement of disputes. 4.5 TheCustome TheCustomerr agre agrees es topay to BSNLthe subs subscript criptioncharges ioncharges,, opte opted, d, value ue added service service char charges ges,, supp supplem lement entary ary service service char charges ges,, BSNL charges for calls made from mobile to fixed network, monthly rental, NSD/ISD Charges, Service Tax, License Fee other taxes & duties etc. and other charges payable for the services as published and notified by BSNL as per tariff applicable from time to time. 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 without any deduction, set-off withholding. All payments must be made in favour of AO (Cash), BSNL, of the concerned area. 4.7 The presen presentt rateof deposits, ts, connec connectioncharges, tioncharges, monthly rent rental al char charges,call ges,call charg charges es andother paya payablechargesare blechargesare setout in the“TariffSchedule”as notified ed byBSNL. BSNLshall havethe optio option n tovary thetariff,chargesfor valueaddedservices valueaddedservices,, supp supplemen lementary tary services and any other conditions of services, retrospectively or from future date and the same shall be binding on the Customer.
regard to schemes which are not authorized by BSNL or which are purported to have been offeredon behalfof BSNLwithoutthe latter latter's 's sanction. 7.7 A SIMis provi providedfor dedfor theCustomer' theCustomer'ss use in orde orderr to gainaccess to GSMnetwo GSMnetwork.It rk.It is theCustom theCustomer' er'ss resp responsi onsibili bility ty tokeepthese secure as BSNL is not liable for any loss or liability incurred by the Customer resulting from the unauthorized use. In case of loss of SIM card by the customer, the same should be reported to BSNL at the earliest. The issuance of new SIM card shall entail charges as s et out in the Tariff schedule from time to time. 7.8 7. 8 TheSIM car card d rem remainsthe ainsthe con constr structi uctiveprope vepropertyof rtyof BSN BSNLL inthe han hand d ofthe cus custom tomer er.. Thesameshal Thesameshalll beretur bereturnab nableof leof BSN BSNLL on Severance/Suspension of customer relationship for any reason whatsoever as per items & conditions BSNL is not responsible for any manufact manu facturin uringg def defectin ectin SIMcardafteran exp expiryof iryof 6 mon monthsfromthe thsfromthe dateof pur purchas chase. e. Bey Beyondthis ondthis period, period, cus custom tomer er will hav have e to obtain a new SIM card after paying the requisite charges in case of any defect in SIM card 7.9 The The cust customerhere omerhereby by agr agreesto eesto inde indemnif mnifyy andhold BSN BSNLL harm harmlessagains lessagainstt anyclaimagainstBSNLforlibel orslanderarisi orslanderarising ng outof communications sent or received by Customer on BSNL's Network. The Customer shall also indemnify BSNL for any clai m against BSNL arising out of any infringement or violation of copyright by the Customer orby anyoneelse usingthe mobileconnectionof theCustomer theCustomer.. 7.10 BSNLshall not be respo responsiblefor nsiblefor anycivil orcrimina orcriminall liab liabilityincur ilityincurredby redby theCustom theCustomerdue erdue toits misu misuse se ofthe Ser Serviceprovid viceprovided ed by BSNL i.e. any acts of commission or omission by the Customer. 7.11 BSNLshall notbe liablefor anyact of commi commissionor ssionor omiss omission ion of any thir third d part party/s y/suppl uppliers iers/man /manufa ufactur cturers ers/inc /includi luding ng anyagency anyagency// company offering any privilege or benefits to C ustomer without specific permission or authority of BSNL. 7.12 BSNLreserve BSNLreservess the righ rightt to termi terminatethe natethe subsc subscript riptionof ionof anycustom anycustomerwho erwho is notcompet notcompetentto entto ent enterinto erinto anycontr anycontract act und under er the Indian Contract Act, 1872. 7.13 Anyincrease/ Anyincrease/additi addition/in on/introd troductionof uctionof taxe taxess and/o and/orr levyof anytaxes,duties or anyother stat statutorychargesetc. utorychargesetc. (present (present/fu /futur ture) e) shall be to the customer's account without any notice to hime and shall at all times be deemed to be part of tariff. 7.14 Customer will provide to BSNL all information and co-operation that BSNL may reasonably require require from time to time. 8. 8.1
SALE OR TRANSFER BSNL conn BSNL connecti ection/S on/SIMcard IMcard shallbe nonnon-tran transfe sferabl rable e innatureand anyprivat anyprivate e tran transfe sferseffect rseffectedby edby theCustom theCustomershall ershall notabsolv notabsolve e the Customer of his primary duty towards BSNL for usage charges levied pertaining to such particular connections/SIM card. 8.2 BSNL's acceptance of Payment from a person other than the Customer shall not amount BSNL having transferred or modified any of rights & obligations to the customer to such third parties. 9. DISPUTE RESOLUTION 9.1 In caseof anydispute anydispute,, thematterwillbe ref referr erred ed tothe solearbitr solearbitrationof ationof Chie Chieff Gene GeneralManage ralManagerr Telec elecom,BSNLof om,BSNLof the conc concern erned ed areaor hisnomineeand willbe gove governedas rnedas unde underr Prov Provision isionss ofthe Arbitrationand trationand conciliati liation on Act, 1996 or any statutory statutory modification modification orreenactm orreena ctmentther entthere e ofor anyrule anyruless mad made e the thereo reof,cust f,custome omerr wil willl hav have e Noobjec Noobjectio tion n inany suc such h app appoin ointme tmentthatarbitr ntthatarbitrato atorr so appointed is employee of the BSNL. 10. ENDING THE AGREEMENT 10.1 Exc Except ept as provided elsewhere eitherpartymay endthe Agr Agreeme eementby ntby writ writtennoticegivingnot tennoticegivingnot lessthan 30 daysto othe otherr part partyy but such 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 notice or as may become due subsequently. 11. OTHER MATTERS 11.1 Where two or more persons persons constitute the Customer, Customer, their liability is joint and several. 11.2 This agreement is amenable to the jurisdiction of Courts at the only location of office of Chief General Manager Telecom, Telecom, BSNL of the area concerned & laws of India. 11.3 Thescope of thecellular services is governed by the Statutory Statutory Guidelines issued by the Telecom Regulatory Regulatory Authorities & Govt. of India within the parameters of License Agreement executed with Ministry of Communications, Govt. of India. The cellular phone services are governed by the Telegraph Act, 1885 and the Indian Telegraph Rules, 1951 framed under the same act, as amended from time to time and the customer shall abide by them. 11. 4 Alldisco Alldiscount untss orotherspec orotherspecialbene ialbenefit fitss ann announ ouncedby cedby BSN BSNLL fr fromtime omtime totimeshallhavethe tim time e lim limita itatio tion,BSN n,BSNLL sha shallhavethe llhavethe right to withdraw / vary / extend any / all such discounts etc. at any time without notice. 12. IMPORTANT 12.1 Peak, standard, and off-peak hours may differ from one operator to another. another. 12.2 The information provided overleaf shall be treated treated as part & parcel of this Agreement. 12.3 Monthlystatementof chargeswould reflectonly consol consolidate idated d callchargesfor roam roaming ing callsand no bifur bifurcationof cationof airti airtime me and landline charges would be available. 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. 12.5 A service tax as applicable shall be levied on all charges payable by the customer. 12.6 Thecustome Thecustomerr hasunders hasunderstoodthatdependi toodthatdependingupon ngupon diff differe erent nt serv services/ ices/ plan planss chosenby vario various us custo customers mers,, theprices / charg charges, es, fee etc. applicable hereto may also be different. 13. EQUIPMENTS 13.1 BSNL will test the equipment prior to to activation & customer shall ensure its functionalities BSNL BSNL shall not be responsiblefor responsiblefor anyof the defect / fault etc. which is not expressly covered by the manufacture warranty of the equipment. Any repairs repairs / exchange carried out byBSNLat therequ therequestof estof cus custom tomerfor erfor def defect ectss etc etc.. sha shallbe llbe cha charge rged d fro from m thecust thecustome omerr asper BSN BSNLL pol policyon icyon thesubj thesubjectfrom ectfrom time to time. 14. AMENDMENT TO AGREEMENT 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 payment of any dues / bills after BSNL's has issued such amendment will constitute customer's agreement to all amedments. I confirm and I have read the terms & conditions and I agree to abide by them. (Signature of Customer)
BHARAT SANCHAR NIGAM LIMITED (A Govt of India Enterprise Enterprise))
23.To be filled in case of Post-paid connection:23.To (A)) Fo (A Form rm of pa paym ymen entt Ca Cash sh Cheq Ch eque ue
(Tick appropriate box)
Cred Cr edit it ca card rd
Debi De bitt ca card rd
Bank Ba nk Dr Draf aftt
(B) If payment made by cash/cheque/credit card/debit card:- (a) Bank A/c No. ______________________________ (b) Bank Name ______________________(c) ______________________(c) Branch Name & Address _________________________________ (C) Credit limit opted Rs___________ (D) Amount of Payment Made : __________________ I/We he I/We here reby by de decl clar are e th that at in info form rmat atio ion n gi give ven n ab abov ove e is tr true ue to th the e be best st of my kn know owle ledg dge. e. I/ I/We We wi will ll ab abid ide e by th the e pr prev evai aili ling ng Tel eleg egra raph ph Ac Act/ t/Ru Rule les s fr fram amed ed th ther ere e unde un derr an and d ta tari riff ffs s as am amen ende ded d fr from om ti time me to ti time me.. I/ I/W We am am/a /are re no nott a de defa faul ulte terr on ac acco coun untt of no nonn-pa paym ymen entt of bi bill lls s fo forr an any y te tele leco com m se serv rvic ices es pr prov ovid ided ed by an any y se rv rvic e pro vi vid er er. I/We ha ve ve re ad ad a nd nd u nd nd er ersto od od the te rm rms an d con di di titi on on s fo r cell ul ul ar ar se rv rvice s and acce pt pt th em em a s bin di di ng ng o n me /u /u s. s. I/We ha ve ve unde un ders rsto tood od al alll ra rate tes, s, ch char arge ges s an and d re rela late ted d te term rms s an and d co cond ndit itio ions ns at wh whic ich h te tele leco com m se serv rvic ices es ar are e pr prov ovid ided ed by BS BSNL NL as ap appl plic icab able le on th this is da date te an and d as 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 roaming abro ab road ad my us usag age e am amou ount nt wi will ll no nott ex exce ceed ed th the e li limi mitt pr pres escr crib ibed ed by FE FEMA MA re regu gula lati tion on.. I/ I/We We un unde ders rsta tand nd th that at th the e co conn nnec ecti tion on/S /SIM IM is no non n tr tran ansf sfer erab able le.. An Any y misuse of connection/SIM by customer or any other person is illegal and liable for criminal action.
Date*:- _________________
Signature of Customer*/Authorised Signatory*
( For Office Use Only ) Fields to be filled by Service provider/Authorized representative at Point of Sale 24. IMSI No.*/SIM Card No 26. Category:
Urban
25. Mobile number attached* Rural
27. Point of sale code* : -
28. Point of sale agent name* : - _______________________
29. Complete Address of Point of Sale* :House No/Flat No ________________________ Street Street Address/Village ______________________________________________ Locality / Tehsil ______________________ City / District_________________ State/UT________________ Pin Code _____________ 30. (a) Declaration by POS* :Certified that I have seen the subscriber and matched the photograph attached on the CAF with the subscriber and verified his copies of documents of POA and POI attached with the CAF with the original. (b) Declaration by POS in case of outstation subscriber* :Certified that the local reference Shri/Smt* ___________________________ has been contacted telephonically. Name* _________________Stamp*
Signature*______________ Date*_____________
31. Declar Declaration ation by the the franchisee franchisee / BSNL BSNL Staff It is certified that I have checked the form as per the DOT guidelines and entered the subscriber details correctly in the BSNL Database
N am e of franchisee/B SN L st s taff* ______ Stamp* __________ ____ ___
Signature*__ Signat ure*________ ___________ ___________ ______Date*_ Date*_______ ___________ ______ _
Fields to be filled by Employee of Service Service Provider before before SIM Activation 32. (a) (a) Cert Certif ifie ied d th that at al alll th the e do docu cume ment ntar ary y re requ quir iremen ementt has bee been n com comple pleted ted and sub subscr scribe iberr deta details ils are upl upload oaded ed in th the e dat databa abase se bef before ore act activa ivatio tion n of the SI SIM*. M*. (b) Certified that the local reference (in case of outstation subscriber ) Shri/Smt* __________ ________ _______ has been contacted telephonically*. (c) Details of Add-on/V Add-on/Value alue Added faciliti facilities es like 3G Others
Call transfer facility
ISD facility
GPRS
Navigation
(Please specify) ____________________ ________________________________________ ____________________
Tariff plan(s) etc. activated on the SIM Card ______________________________________________________________ 33.
Initial activati activation on done on date*_________ date*_____________________________ ________________________________ ____________
34.
Finall activa Fina activation tion done afte afterr tele tele verif verificat ication ion on on date*___ date*________ __________ __________ __________ ______ _ Name* ____________________________ Designation* _________________ Signature*_ Signature*___________________ __________________ Date* ___________________
*Mandatory Fields - These fields fields are are mandatory mandatory to be filled. filled.
Subscriber Receipt BSNL CAF Serial Number Name of subscri subscriber*____________ ber*______________________________ _________________________Mobile _______Mobile number applied for* _________________ _________________________________ ________________ Type of POI* __________________ Issuing authority*________________ Date of issue* __________Serial Number*_______________ Type of POA* __________________Issuing authority*________________ Date of issue* __________Serial Number* ______________
Received with thanks an amount amount of Rs.__________ Rs.___________________ _________ by Cash/Draft Cash/Draft/Cheque /Cheque No________________ Dated _____________ Issued from _________ ________________ba _______bank nk ___________ __ __________________ __________city. _city. Name of POS* _________________ Stamp*
Note:
Signature*_________________Da Signature*_ ________________Date*___________ te*____________ _
For activation of Sim, Please dial 1507 in 1-2 days for tele verification.
