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658.00

One Time Charges

+-

BHARAT SANCHAR NIGAM LTD

Amount Payable(Rounded Up)

Name & Address of the Customer

Counter Foil

DinersMastersVisa

Card Holder's NameSignature

lease make crossed Cheque/DD/Pay order for Amount Payable (Rounded Up) in favour of AO (Cash),BSNL, BHOPAL

Expiry Date

Against Card no.Please Charge Rs.

BranchBank

Cheque/DD E-paymentCredit / Debit Card

DatedCheque/DD No.

CashMode of payment

Previous Balance

=+

Last Payment Current Charges

Usage Charges

Tax

Discount

Summary ofCurrent Charges

Amount (Rs.)

Total Charges

Adjustments

Mr. RAMESH CHANDRA ABHAY115CHURCH ROADRISHI EAST CITY--ADACENT-RISHIPURAM FASE--1--BERKHERA BPL INHUJUR-BHOPAL462021#India

657.30

657.00 0.00 657.30

0.00

650.00

0.00

72.30

656.83

Deposit 1125.00

Amex

Telephone Bill

Note: Post Offices / Banks to accept Bills against Account Number on or before Due Date only

E & OE

Bhopal Telecom District

Account Summary

Tax Details

Description Tax Rate Amount (Rs.)

Service Tax 12.00% 70.20

Education Cess 0.24% 1.40

Higher Edu. Cess 0.12% 0.70

For bank use only

EFT

Customer ID 1021965251

Account Number 1021965278

Invoice Number 10219652780013

Invoice Date 04/03/2014

Invoice Period 01/02/2014 to 28/02/2014

Due Date 26/03/2014

Customer Type CENTRAL GOVERNMENT

This is a Computer generated Bill and does notrequire any Signature.

Due Date: 26/03/2014

nvoice No.: 10219652780013

Amount Due : 658.00

Account No.: 1021965278

nvoice Date: 04/03/2014

Accounts Officer (TR)

Recurring Charges

PAN

Number

AABCB5576G

-65.00

Account Balance

=

657.13

To avail SMS/Email alerts, Please RegisterMobile/Email(Email optional), send SMS to

53334 from your BSNL Mobile" REG {STD_CODE-TELEPHONE No.} {BILLING

ACCOUNT No.} {E-Mail ID} "To receive " Bill on Email only " please send

SMS to 53334 from Registered BSNL mobile." EMS { Account No. } { Email id } "

Mentioned Due Date is for current Invoice.If the previous Telephone bill amount has already

been paid, please pay current bill amount only.

Loyalty Point 10

Fixed Monthly Charges of General Landline Plans inUrban area, One India Plan & Limited Usage

Broadband Plans are revised w.e.f. 01-Mar-2014.For details please visit www.bsnl.co.in or contact

Customer Service Center.

Page 1

Payment DetailsDescription Date Amount(Rs.)

Payments 25/02/14 657.00

0755-2621052Phone Number

0755-2621052Phone No.:

BHARAT SANCHAR NIGAM LIMITED

Bhopal Telecom District

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