CALCUTTA TELEPHONES
MANDATE FORM FOR NEW MOBILE CONNECTION WITHOUT SECURITY DEPOSIT
To
Divisional Engineer ( New Services )
Bharat Sanchar Nigam Limited
Calcutta Telephones
Sub
: Security Deposit for BSNL CELLULAR MOBILE SERVICES, CTD
1.
I am a bonafide customer of BSNL Landline /PSTN under the jurisdiction of Calcutta Telephones District (CTD)
having a telephone Number ……………….. in my own name, installed at
………………………………………………………………………………………………………………………………………
……….
(The self attested photo copy of last paid bill is enclosed).
2.
I hereby give a mandate to BSNL allowing existing deposit against the above mentioned PSTN telephone for
realization of outstanding, at the full discretion of BSNL, against the cellular mobile telephone subscribed by me.
3.
(a) I hereby give a mandate to BSNL allowing for disconnection of the above PSTN telephone, at the full discretion
of BSNL, in case of any default on my behalf in payment of bills against the cellular mobile telephone subscribed by
me.
(b) In case of any default on my behalf in payment of bills against the above mentioned PSTN telephone, BSNL,
Calcutta Telephones shall have the full right to disconnect my cellular mobile telephone also.
4.
The category of the cellular mobile telephone (i.e. local or STD) will be same as that of the above mentioned PSTN
telephone.
5.
(a) It is obligatory on my part to intimate the BSNL Mobile Services, Calcutta in writing regarding any change in
category, or number of the above mentioned PSTN telephone.
(b) It is obligatory on my part to intimate the BSNL Mobile Services, Calcutta in case of change of address of the
above mentioned PSTN telephone and sign a new mandate form indicating the change.
6.
I understand that in case ISD is required in my mobile connection, then Security Deposit is payable as per existing
tariff for cellular mobile connection of BSNL Mobile Services, Calcutta.
7.
I understand that I may be required to be deposit additional Security Deposit at a rate decided by BSNL in times to
come.
8.
I have
not availed myself of this facility for any other GSM mobile or CDMA mobile ( Tarang) connection from
BSNL. I will be totally responsible for the usage of this mobile connection and payment of bills against this
connection.
9.
In case of surrender of my above mentioned PSTN telephone or change of ownership, it is obligatory on my part to
intimate the same to BSNL Mobile Services, Calcutta in writing and Security Deposit as applicable for my cellular
mobile connection will be required to be paid by me.
Place :
Signature :
Date :
Name of Customer :