bsnl surrender form .pdf

File information


Original filename: bsnl-surrender-form.pdf
Title: phone_surrender.doc
Author: bhanot

This PDF 1.2 document has been generated by Microsoft Word / Acrobat PDFWriter 5.0 for Windows, and has been sent on pdf-archive.com on 09/04/2018 at 09:46, from IP address 52.187.x.x. The current document download page has been viewed 261 times.
File size: 8 KB (2 pages).
Privacy: public file


Download original PDF file


bsnl-surrender-form.pdf (PDF, 8 KB)


Share on social networks



Link to this file download page



Document preview


BHARAT SANCHAR NIGAM LIMITED
[Website : www.bsnl.co.in]
APPLICATION FORM FOR CLOSURE /SURRENDER OF TELEPHONE
1. Name of the Subscriber

:

___________________________

2. Telephone Number

:

___________________________

3. Type of telephone

:

(i) Basic/FWT
(ii) WLL (Mobile )
(iii) Cellular Mobile

4. Address where telephone is installed

:

___________________________

5. Date from which telephone is required
to be closed

:

___________________________

: 1.
2.
3.
4.
5.
6.

Moving to some other city
Being an additional phone, not required
Death of the original allottee
Financial Constraints
Closure of business
Taking another type of connection from
BSNL in place of this telephone
Taking Mobile / fixed telephone from other
company
Not satisfied with BSNL's service on
account of
i) Billing problems
ii) Commercial problems
iii) Frequent faults
iv) Improper behavior by BSNL staff
(please give details)
Any other reasons (please specify):_______

6. Reasons for surrender of telephone
[Please tick the appropriate reasons]

7.
8.

9.
7. Address on which refund of security
deposit after adjustment of outstanding
bill/amount should be sent

:

___________________________________
___________________________________
___________________________________

8. Contact telephone No., if any

:

___________________________________

I undertake to pay any amount due to BSNL even after closure of the telephone connection.

Signature of the Customer
Name:________________
______________________________________________________________________________
RECEIPT
Received an application for closure w.e.f. __________________________of telephone
connection No. ___________________working in the name of Shri/Smt./Ms._______________
Dated of receipt of application : ____________________ Time of Receipt:_________________


Document preview bsnl-surrender-form.pdf - page 1/2

Document preview bsnl-surrender-form.pdf - page 2/2

Related documents


bsnl surrender form
bike policy 2016
rulesofentry contestmobilevideotronbusbud june2015
paygomasterisoagreement7 30 2015finaloutsidetx
h e b s text to feed texas campaign 2017 t cs
2 application part 2

Link to this page


Permanent link

Use the permanent link to the download page to share your document on Facebook, Twitter, LinkedIn, or directly with a contact by e-Mail, Messenger, Whatsapp, Line..

Short link

Use the short link to share your document on Twitter or by text message (SMS)

HTML Code

Copy the following HTML code to share your document on a Website or Blog

QR Code

QR Code link to PDF file bsnl-surrender-form.pdf