Scribd
Upload
72 views1 page

Internet Form

Thank you for understanding. Let's have a respectful discussion that moves us in a positive direction.

Uploaded by

Pra Cas
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
72 views1 page

Internet Form

Thank you for understanding. Let's have a respectful discussion that moves us in a positive direction.

Uploaded by

Pra Cas
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 1

(Nepal Doorshanchar Co. Ltd.

)
Internet Section
Date: New Renew Pkg. Add
Please fill in Name in BLOCK Letters (for Individual Users)
Middle Name:
First Name: ..
Last Name: ..

Please fill in Company Name in BLOCK Letters (for Corporate Users only)
Company Name: .

Authorized Person:

Desig
Designation:
signation: ..
..

Address Details
Address:
District:
Ward No.

POBox No.
No. Phone No. . Mobile No. Fax No. .
.

Please give username of your choice, fill in your existing Ids to renew the package
Admin IDs (use for online password change) Dialup IDs (user name) Email IDs

1 . 1 .. 1 [email protected]

2 . 2 .. 2 ..

3 . 3 .. 3 ..

1. PSTN Dialup -Select Package Type (Package A, B, C & E have national roaming) :: Dialing Number is 15000

Subscription Period 1 Month 6 Months 1 Year


(A) Fixed Hour Package: Hours 10 25 50 50 100 300 100 300

(B) Night Surfing Package: Subscription Period 1 Month 3 Months 6 Months 1 Year 7 PM to 8 AM

Subscription Period 6 Months


(C) Fixed Hour Each Month:
Hours 10 25 60

(D) Unlimited Single User: Subscription Period 1 Month 6 Months 12 Months 24 Months

(E) Yearly Email Package: Subscription Period 1 Year


2. ISDN Dialup- Select Package Type:: Dialing Number is 15099
(A) Unlimited ISDN Dialup: Speed Subscription Period Speed Subscription Period
64Kbps 1Month 1Year 2Years 128Kbps 1Month 1Year 2Years
Speed Validity 6 Months Speed Validity 6 Months
(B) Hourly ISDN Dialup: 64Kbps 200 400 800 128Kb 100 200 400

Amount Paid: Rs.. Receipt No. ..


In words: Rs....
Remarks: . Organization Stamp
Subscribers Signature Date ...

You might also like