SlideShare a Scribd company logo
1 of 2
Download to read offline
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 : ___________________________
6. Reasons for surrender of telephone
[Please tick the appropriate reasons] : 1. Moving to some other city
2. Being an additional phone, not required
3. Death of the original allottee
4. Financial Constraints
5. Closure ofbusiness
6. Taking another type of connection from
BSNL in place of this telephone
7. Taking Mobile / fixed telephone from other
company
8. 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)
9. Any other reasons (please specify):_______
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
connectionNo. ___________________working in the name of Shri/Smt./Ms._______________
Dated of receipt of application : ____________________ Time of Receipt:_________________
bsnl surrender form

More Related Content

What's hot

Quantum meruit for BBA students
Quantum meruit for BBA studentsQuantum meruit for BBA students
Quantum meruit for BBA students
Arshad Ayub Khan
 
Section 106 notice
Section 106 noticeSection 106 notice
Section 106 notice
Chenoy Ceil
 

What's hot (20)

bail application
bail application bail application
bail application
 
Mode of acquisitions of easements
Mode of acquisitions of easementsMode of acquisitions of easements
Mode of acquisitions of easements
 
Sample California mechanics lien release demand letter
Sample California mechanics lien release demand letterSample California mechanics lien release demand letter
Sample California mechanics lien release demand letter
 
Indian evidence act, 1872
Indian evidence act, 1872Indian evidence act, 1872
Indian evidence act, 1872
 
Quashing Petition Format
Quashing Petition FormatQuashing Petition Format
Quashing Petition Format
 
Quantum meruit for BBA students
Quantum meruit for BBA studentsQuantum meruit for BBA students
Quantum meruit for BBA students
 
Interpretation of Penal Statutes
Interpretation of Penal StatutesInterpretation of Penal Statutes
Interpretation of Penal Statutes
 
Section 106 notice
Section 106 noticeSection 106 notice
Section 106 notice
 
Chapter 4: CAT Final
Chapter 4: CAT FinalChapter 4: CAT Final
Chapter 4: CAT Final
 
Case 1
Case 1Case 1
Case 1
 
Shia Law of Inheritance
Shia Law of InheritanceShia Law of Inheritance
Shia Law of Inheritance
 
warrant trial Sec 238-250
warrant trial Sec 238-250warrant trial Sec 238-250
warrant trial Sec 238-250
 
Arbitration
ArbitrationArbitration
Arbitration
 
Cybercrime Investigations and IT Act,2000
Cybercrime Investigations and IT Act,2000Cybercrime Investigations and IT Act,2000
Cybercrime Investigations and IT Act,2000
 
Termination of Offer
Termination of OfferTermination of Offer
Termination of Offer
 
Code of civil procedure 1908 pleading plaint written statement
Code of civil procedure 1908 pleading plaint written statementCode of civil procedure 1908 pleading plaint written statement
Code of civil procedure 1908 pleading plaint written statement
 
Injunctions
InjunctionsInjunctions
Injunctions
 
Doctrine of Lis Pendens
Doctrine of Lis PendensDoctrine of Lis Pendens
Doctrine of Lis Pendens
 
Who may impose or acquire easement
Who may impose or acquire easementWho may impose or acquire easement
Who may impose or acquire easement
 
Legal Notice Format
Legal Notice FormatLegal Notice Format
Legal Notice Format
 

Recently uploaded

💊💊 OBAT PENGGUGUR KANDUNGAN JAMBI 08776558899 ATAU CARA GUGURKAN JANIN KLINIK...
💊💊 OBAT PENGGUGUR KANDUNGAN JAMBI 08776558899 ATAU CARA GUGURKAN JANIN KLINIK...💊💊 OBAT PENGGUGUR KANDUNGAN JAMBI 08776558899 ATAU CARA GUGURKAN JANIN KLINIK...
💊💊 OBAT PENGGUGUR KANDUNGAN JAMBI 08776558899 ATAU CARA GUGURKAN JANIN KLINIK...
Cara Menggugurkan Kandungan 087776558899
 

Recently uploaded (8)

💊💊 OBAT PENGGUGUR KANDUNGAN JAMBI 08776558899 ATAU CARA GUGURKAN JANIN KLINIK...
💊💊 OBAT PENGGUGUR KANDUNGAN JAMBI 08776558899 ATAU CARA GUGURKAN JANIN KLINIK...💊💊 OBAT PENGGUGUR KANDUNGAN JAMBI 08776558899 ATAU CARA GUGURKAN JANIN KLINIK...
💊💊 OBAT PENGGUGUR KANDUNGAN JAMBI 08776558899 ATAU CARA GUGURKAN JANIN KLINIK...
 
9565589233 Whatsapp Free Nude Video Call Service Porn Girls Porn Videos
9565589233 Whatsapp Free Nude Video Call Service Porn Girls Porn Videos9565589233 Whatsapp Free Nude Video Call Service Porn Girls Porn Videos
9565589233 Whatsapp Free Nude Video Call Service Porn Girls Porn Videos
 
Prince Armahs(Tinky) Brochure, for Funeral service
Prince Armahs(Tinky) Brochure, for Funeral servicePrince Armahs(Tinky) Brochure, for Funeral service
Prince Armahs(Tinky) Brochure, for Funeral service
 
Namakkal ❤CALL GIRL 84099*07087 ❤CALL GIRLS IN Namakkal ESCORT SERVICE❤CALL GIRL
Namakkal ❤CALL GIRL 84099*07087 ❤CALL GIRLS IN Namakkal ESCORT SERVICE❤CALL GIRLNamakkal ❤CALL GIRL 84099*07087 ❤CALL GIRLS IN Namakkal ESCORT SERVICE❤CALL GIRL
Namakkal ❤CALL GIRL 84099*07087 ❤CALL GIRLS IN Namakkal ESCORT SERVICE❤CALL GIRL
 
Hosur ❤CALL GIRL 84099*07087 ❤CALL GIRLS IN Hosur ESCORT SERVICE❤CALL GIRL
Hosur ❤CALL GIRL 84099*07087 ❤CALL GIRLS IN Hosur ESCORT SERVICE❤CALL GIRLHosur ❤CALL GIRL 84099*07087 ❤CALL GIRLS IN Hosur ESCORT SERVICE❤CALL GIRL
Hosur ❤CALL GIRL 84099*07087 ❤CALL GIRLS IN Hosur ESCORT SERVICE❤CALL GIRL
 
BHUBANESWAR CALL GIRL IN SEIRVEC ODIA ❣️72051SIYA37929❣️ CASH PAYMENT ONLY CA...
BHUBANESWAR CALL GIRL IN SEIRVEC ODIA ❣️72051SIYA37929❣️ CASH PAYMENT ONLY CA...BHUBANESWAR CALL GIRL IN SEIRVEC ODIA ❣️72051SIYA37929❣️ CASH PAYMENT ONLY CA...
BHUBANESWAR CALL GIRL IN SEIRVEC ODIA ❣️72051SIYA37929❣️ CASH PAYMENT ONLY CA...
 
KHORDHA ODIA CALL GIRL SEIRVEC ❣️ 72051//37929❣️ CALL GIRL IN ODIA HAND TO HA...
KHORDHA ODIA CALL GIRL SEIRVEC ❣️ 72051//37929❣️ CALL GIRL IN ODIA HAND TO HA...KHORDHA ODIA CALL GIRL SEIRVEC ❣️ 72051//37929❣️ CALL GIRL IN ODIA HAND TO HA...
KHORDHA ODIA CALL GIRL SEIRVEC ❣️ 72051//37929❣️ CALL GIRL IN ODIA HAND TO HA...
 
BERHAMPUR ODIA CALL GIRL SEIRVEC ❣️ 72051//37929❣️ CALL GIRL IN ODIA HAND TO ...
BERHAMPUR ODIA CALL GIRL SEIRVEC ❣️ 72051//37929❣️ CALL GIRL IN ODIA HAND TO ...BERHAMPUR ODIA CALL GIRL SEIRVEC ❣️ 72051//37929❣️ CALL GIRL IN ODIA HAND TO ...
BERHAMPUR ODIA CALL GIRL SEIRVEC ❣️ 72051//37929❣️ CALL GIRL IN ODIA HAND TO ...
 

bsnl surrender form

  • 1. 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 : ___________________________ 6. Reasons for surrender of telephone [Please tick the appropriate reasons] : 1. Moving to some other city 2. Being an additional phone, not required 3. Death of the original allottee 4. Financial Constraints 5. Closure ofbusiness 6. Taking another type of connection from BSNL in place of this telephone 7. Taking Mobile / fixed telephone from other company 8. 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) 9. Any other reasons (please specify):_______ 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 connectionNo. ___________________working in the name of Shri/Smt./Ms._______________ Dated of receipt of application : ____________________ Time of Receipt:_________________