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    Official BSNL Landline Closure Form

    Uploaded by

    Shashank Kumar
    This document is an application form for closure or surrender of a telephone provided by Bharat Sanchar Nigam Limited (BSNL), India's state-owned telecom company. The form requests information such as the subscriber's name, telephone number, account number, type of telephone, address, date of requested closure, reasons for closure, address for refund of security deposit, and contact details. The subscriber must sign to acknowledge payment of any outstanding amounts even after closure. Upon receipt, the official signs and dates the form.

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    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd

    Official BSNL Landline Closure Form

    Uploaded by

    Shashank Kumar
    35K views1 page
    This document is an application form for closure or surrender of a telephone provided by Bharat Sanchar Nigam Limited (BSNL), India's state-owned telecom company. The form requests information such as the subscriber's name, telephone number, account number, type of telephone, address, date of requested closure, reasons for closure, address for refund of security deposit, and contact details. The subscriber must sign to acknowledge payment of any outstanding amounts even after closure. Upon receipt, the official signs and dates the form.

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    This document is an application form for closure or surrender of a telephone provided by Bharat Sanchar Nigam Limited (BSNL), India's state-owned telecom company. The form requests information such as the subscriber's name, telephone number, account number, type of telephone, address, date of requested closure, reasons for closure, address for refund of security deposit, and contact details. The subscriber must sign to acknowledge payment of any outstanding amounts even after closure. Upon receipt, the official signs and dates the form.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    35K views1 page

    Official BSNL Landline Closure Form

    Uploaded by

    Shashank Kumar
    This document is an application form for closure or surrender of a telephone provided by Bharat Sanchar Nigam Limited (BSNL), India's state-owned telecom company. The form requests information such as the subscriber's name, telephone number, account number, type of telephone, address, date of requested closure, reasons for closure, address for refund of security deposit, and contact details. The subscriber must sign to acknowledge payment of any outstanding amounts even after closure. Upon receipt, the official signs and dates the form.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    BHARAT SANCHAR NIGAM LIMITED

    (Website add: www.bsnl.co.in)


    APPLICATION FORM FOR CLOSURE/SURRENDER OF TELEPHONE
    1. Name of the Subscriber

    _____________________________________________

    2. Telephone Number

    _____________________________________________

    3. Account Number

    _____________________________________________

    4. Type of Telephone

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

    5. Address of the subscriber

    _____________________________________________

    6. Date from which the telephone is


    required to be closed

    -------------------------------------------------------------------____________________

    7. Reasons for surrender of telephone


    (Please tick the appropriate reason)

    : 1.
    2.
    3.
    4.
    5.
    6.
    7.
    8.

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

    9. Contact telephone No., if any

    Moving to some other city/Mobile Licensed Service Area


    Being an additional phone, not required
    Death of the original allottee
    Financial constraints
    Closure of business
    Taking a Fixed/ Mobile connection from BSNL in place of
    Mobile/ Landline
    Taking mobile/fixed telephone from other company
    Not satisfied with BSNLs service on account of:
    a. Billing problems
    b. Commercial problems
    c. Frequent faults
    d. Improper behaviour by BSNL staff
    (Please give details)
    Any other reasons (please specify):_________________
    _____________________________________________
    _____________________________________________
    _____________________________________________
    ___________________________

    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 Fixed/ Mobile (Pre-paid or Post-paid)/ WLL(M)/FWT
    telephone
    connection
    No._____________________
    working
    in
    the
    name
    of
    Shri/Smt./Ms
    _________________________.Date of receipt of application:_____________. Time of receipt ________________.

    Signature of the officer/


    Official with seal

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