Application form for bsnl broadband service - Calcutta Telephones
Application form for bsnl broadband service - Calcutta Telephones
Application form for bsnl broadband service - Calcutta Telephones
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BHARAT SANCHAR NIGAM LIMITED<br />
(A Govt. of India Enterprises)<br />
OFFICE OF………………………………………………………………...<br />
APPLICATION FORM FOR BSNL BROADBAND SERVICE<br />
Please fill the application <strong><strong>for</strong>m</strong> in capital letters only ( √ Tick wherever applicable)<br />
1. Existing BSNL Telephone No. on which Broadband connection is required:<br />
(Kindly enclose the copy of the latest bill paid)<br />
2. Want to apply <strong>for</strong> a new connection: Yes □ No □<br />
If Yes, than fill the separate <strong><strong>for</strong>m</strong> <strong>for</strong> new landline connection and attach the photo ID & other documents.<br />
3. Educational Qualification (Optional): Doctorate/Post Graduate/Graduate/Matriculate/Other<br />
4. Title/Name of the Customer / Firm /Organization (SURNAME FIRST)<br />
5. Billing Address:<br />
6. Address of Connection (i.e. Installation Address):<br />
7. Contact Tel. No.: Resi. …………………….. Off.: ……………………. Mob.: …………………………<br />
E-Mail Address: ………………………………..@.........................................................<br />
8. Broadband Service being applied <strong>for</strong> Prepaid □ Postpaid □<br />
9. Modem Options (See annexure For tariff particulars - Table-2)<br />
Do you want BSNL to Provide Modem : Yes □ No □<br />
9. a. If Yes, then please tick any one of the following Options (i.e. A or B or C)<br />
[ Type-I (Ethernet & One USB Port) ; Type-II (Ethernet & One Wi-Fi Port) ]<br />
A) Option-1: Outright Modem Purchase from BSNL Type-I □ or Type-II □ (see conditions overleaf)<br />
B) Option-2: Use BSNL Modem by paying Advance monthly Rental <strong>for</strong> Type-I □ or Type-II □<br />
& refundable Security Deposit of Rs. 500/- (Applicable <strong>for</strong> Postpaid Broadband <strong>service</strong> only)<br />
C) Option-3: Free Modem (Please see condition <strong>for</strong> providing free modem in tariff plan) □<br />
(Applicable <strong>for</strong> Postpaid Broadband <strong>service</strong> only):<br />
10. Type of Broadband connection (See conditions overleaf) : Business □ Residential □<br />
(Applicable <strong>for</strong> Postpaid Broadband <strong>service</strong> only):<br />
11. Choice of Tariff Plan : (See the enclosed annexure): (e.g. home 1800)<br />
(Applicable <strong>for</strong> Postpaid Broadband <strong>service</strong> only)<br />
12. Recharge Options <strong>for</strong> the Prepaid Customers (see annexure)<br />
Payment option (Applicable <strong>for</strong> Postpaid Broadband <strong>service</strong> only): Monthly □ Annually □<br />
13. Choice of e-mail/user Ids: I II<br />
III<br />
IV<br />
(In case preferred Username is not available, BSNL will provide one Username Generated by the system)<br />
14. Nominee (Optional):<br />
15. Customer signature:<br />
16. Franchisee Code, if any
BSNL BROADBAND INTERNET SERVICE<br />
TERMS AND CONDITIONS<br />
GENERAL:<br />
1. <strong>Application</strong> <strong><strong>for</strong>m</strong> is free of cost. The <strong><strong>for</strong>m</strong> may be filled up in capital letters only.<br />
2. BSNL <strong>broadband</strong> <strong>service</strong>s are available only <strong>for</strong> BSNL landline customers.<br />
3. Subject to the acceptance of the application and technical feasibility BSNL will endeavor to provide the Broadband Service as<br />
soon as possible.<br />
4. The contract with BSNL <strong>for</strong> provision of Broadband Service will be <strong>for</strong> a minimum period from the date of commencement<br />
(depending upon the plan chosen) in accordance with the tariff plan opted.<br />
5. The data rates shown as down streams or upstream is applicable only to last mile. However BSNL does not hold<br />
responsibility <strong>for</strong> lesser download or upload data rates caused by the accessed website status or the international gateway or<br />
the media.<br />
6. Customers are free to choose their own Modem of approved models.<br />
7. All IP addresses assigned will be dynamic.<br />
8. The Postpaid Broadband connection is likely to be withdrawn in case the customer surrenders BSNL telephone lines.<br />
9. Shifting of Postpaid Broadband connection subject to the technical feasibility would be done on payment of the applicable<br />
shifting charges.<br />
10. Home users will be able to connect only one computer to the Modem. In case of business users, it would be possible to<br />
connect more than one computer depending on the plan opted <strong>for</strong>.<br />
11. Home user can get one email account upon request. User name as per the preference indicated by customer would be<br />
allocated subject to their availability.<br />
12. The subscriber is required to fully comply with the provisions of the Indian Telegraph Act 1885, Indian Telegraph Rules and<br />
the In<strong><strong>for</strong>m</strong>ation Technology Act 2000 made there under and any amendments or replacements made there to from time to time.<br />
13. For Prepaid Broadband Services:<br />
(a) Creation of Pre-paid BB account will be free of any charges (other than Installation and Modem Charges) and the account<br />
will be created with complementary balance of 50 MB with validity of 15 days from the date of creation.<br />
(b) If Customer wants to return the modem in working condition after few months, he will be charged as Rs.50/- p.m. <strong>for</strong><br />
Type-I and Rs. 80/- p.m. <strong>for</strong> Type-2 and the balance amount shall be returned to him.<br />
14. Conditions <strong>for</strong> providing Home plan or Business plan under Postpaid category:-<br />
(a) Either Plan can be offered to subscribers having telephones in individual names working at homes/residences used <strong>for</strong><br />
personal purpose.<br />
(b) Subscribers having telephones in the name of company, firms, shops, educational institutes or any other commercial entity<br />
can be given only Business Plan. They are not eligible <strong>for</strong> Home Plan.<br />
(c)<strong>Telephones</strong> working in individual names at commercial/business/office premises are also not entitled <strong>for</strong> Home Plans.<br />
(d) Home plan can be given on bfones in the name of Government/company but actually working at residences of their<br />
employees. An undertaking may be taken from the customer be<strong>for</strong>e providing the said connection.<br />
15. (a) Payments <strong>for</strong> Postpaid: At the time of issue of Demand Note, following charges will be collected.<br />
i) Installation charges (As applicable). Ii) Advance Rental as per billing cycle (One month / Two months). iii) Security<br />
deposit of the modem (As Applicable). iv) Advance monthly rental <strong>for</strong> modem. v) Refundable security deposit <strong>for</strong> 2<br />
months rental as per the plan (As applicable). vi) Service Tax, as applicable, will be levied.<br />
(b) Payments <strong>for</strong> Prepaid: The following charges are payable at the time of application:<br />
i) Modem charges (as Applicable) ii) Installation charges<br />
16. Billing <strong>for</strong> the Postpaid Broadband <strong>service</strong> will be included in the normal b-fone bill. The billing cycle shall be same as b-fone<br />
billing cycle etc. Monthly rental will be collected in advance and usage charges in arrears.<br />
17. No migration is allowed to the lower tariff plan till the expiry of the committed period in case of Postpaid Broadband <strong>service</strong>.<br />
RIGHT TO TERMINATE SERVICE:<br />
1. BSNL reserves the right to disconnect the <strong>service</strong> to any customer in case there is sufficient evidence of the customer<br />
intentionally or unintentionally using the <strong>service</strong> in a manner which would adversely impact BSNL or BSNL’s Network.<br />
2. The customer shall be responsible <strong>for</strong> using the <strong>service</strong> only <strong>for</strong> Legal and appropriate purposes<br />
3. BSNL reserves the right to terminate the <strong>service</strong>s in the event of non-payment of bills preferred by BSNL in accordance<br />
with the tariff plans opted by the customer and the extent of usage or any default on the part of customers.<br />
DISCLAIMER:<br />
1. BSNL will exercise all reasonable care in providing its <strong>service</strong>s, but it is not responsible <strong>for</strong> interruption/<strong>service</strong> due to<br />
power failures, equipment malfunctions, or acts of natural calamity.<br />
2. BSNL is not responsible <strong>for</strong> subscriber’s computer hardware and software or areas of the Internet not under its control.<br />
BSNL does not warrant privacy, security, or efficiency of the Internet.<br />
3. BSNL is not responsible <strong>for</strong> actions taken by its customers or others as a result of its <strong>service</strong>s.<br />
4. BSNL is not responsible <strong>for</strong> material any person (including household members of the subscriber) may receive or transmit via<br />
the Internet, or <strong>for</strong> anything bought or sold via the Internet, or <strong>for</strong> any other result of an action taken by anyone using its <strong>service</strong>.<br />
5. Broadband connection will be provided subject to technical feasibility. BSNL will not be held responsible in case <strong>service</strong> is<br />
denied on this ground.<br />
6. BSNL will not be responsible <strong>for</strong> non-use of prepaid Broadband account if ADSL line is down or suspended <strong>for</strong> any reason. No<br />
concession shall be admissible to the prepaid account.<br />
Place:<br />
Date :<br />
Signature of the subscriber