Black Monthly Statement

BAJAJ CAPITAL INSURANCE BROKING PVT LTD . Total Amount Payable: Due Date:
Registered Email: ₹2,625.70 Immediately
[email protected]
Registered Telephone Number (RTN):
8003266662

Your Plan: Pay via

Airtel Black Plan
Airtel Thanks App
Airtel Black ID Number of connections
10101017643198 2 www.airtel.in/pay

Statement Date Statement Period Scan and pay via any UPI apps
27 Jul 2024 26 Jun 2024 - 25 Jul 2024 Powered by

Last bill amount Payment made Credits This Month's Charges Total Amount Amount after
due date (Immediately)

₹1,777.98 - ₹0.00 - ₹0.00 + ₹847.72 = ₹2,625.70 ₹2,861.70

This Month's Summary (Amounts in ₹)

Services Connections Plan/Pack Charges Other Charges Total

Airtel Black Plan - 10101017643198 2 718.4 0.00 718.40

Taxes - - - 129.32

This month's charges 847.72

Previous Dues - - - 1,777.98

TOTAL ₹2,625.70

Total: Two Thousand Six Hundred Twenty Five Rupees And Seventy Paise Only

Changes This Month

Services Details Charges Tax 18% Amount

Plan Change

Wi-Fi : 014144970290_dsl Connection removed on 20 Jul 2024 ₹399.20 ₹71.86 ₹471.06

Mobile : 9799904553 Connection removed on 20 Jul 2024 ₹319.20 ₹57.46 ₹376.66

Total ₹718.40 ₹129.32 ₹847.72

Detailed break-up of above charges can be found in bill

Black Monthly Statement

Bills & Payments Summary

Month Previous Dues (A) Payments (B) Credits (C) This Month's Charges (D) Total Amount (A+B+C+D)

Jul'24 1,777.98 0.00 0.00 847.72 2,625.70

Jun'24 818.34 -100.00 0.00 1,059.64 1,777.98

May'24 2,984.01 -3,084.01 0.00 918.34 818.34

Apr'24 2,024.37 -100.00 0.00 1,059.64 2,984.01

All above values are inclusive of tax

FIXEDLINE AND Wi-Fi SERVICES
Original Copy for Recipient provided by Bharti Hexacom Limited- Tax Invoice
Fixedline number : 01414923881 / Wi-Fi ID : 014144970290_dsl

Billing Address

BAJAJ CAPITAL INSURANCE BROKING PVT LTD

5TH FLOOR OFFICE NO 707-708 ANCHOR MALL AJMER ROAD . .
Jaipur HT2508I001169060 7038052026
Rajasthan, Ship To State Code : 08 Place of Supply : Rajasthan
302004
Email id : [email protected]
PhoneNo:8003266662

Account

Account No 7038052026 Bill NO HT2508I001169060

PAN NO. AACCB2191C Bill Date 27 Jul 2024
Due date Immediately
GST No 08AACCB2191C1Z3
Credit limit 1500.00
Bill Period 26 Jun 2024 to 25 Jul 2024
Security deposit 0.00

Amount after due

Last bill amount Payment made Credits This month's charges Total Amount
date(Immediately)

` 1099.12 - ` 0.00 - ` 0.00 + ` 471.06 = ` 1570.18 ` 1688.18

This Month's Charges Charges( ` )

Rental Charges 399.20

Usage charges 0.00

Taxes 71.86

Total Amount ` 471.06

Total:Four Hundred Seventy One Rupees and Six Paise Only

Detailed breakup of these charges can be found on next page

For Bharti Hexacom Limited

Vasim Unissa S, IRN Code: 3e7b1086a41647b878028fc6bacdc11be0b6702387c94da56746408a0deef8bf

Head - Experience Operations (VP)

Page 1 of 2
 Relationship No : 7038052026

YOUR CHARGES IN DETAIL

Rentals
Description From date To date Rental Discount Net charges Total(`)
Plan Details
399.20
Scheme Charges @ ` 499 26/06/2024 20/07/2024 399.20 0.00 399.20

Usage - (26-Jun-2024 to 25-Jul-2024)

Voice-Usage Fixedline No : 01414923881
Total Tariff
Description Charges Net charges Total(`)
pulses (`/Sec)
LOCAL CALLS
to airtel mobile 20 0.6/60 12.00 0.00
to other mobiles 35 0.6/60 21.00 0.00 0.00
STD - INTER
to other mobiles 3 0.75/60 2.25 0.00
for information on pulse rate, tariffs and T&C on unlimited call benefits, visit www.airtel.in

Tax Details
CGST SGST/UTGST
HSN Taxable Value Total Tax Total(`)
Rate Amount Rate Amount
998412 399.20 9% 35.93 9% 35.93 71.86 71.86

This month's charges 471.06

Bill Plan Details : Airtel-UL-Plan 499 Unlimited GB (16Mbps/1024Kbps) COMBO Plan

Rental: ` 499 Quota: Unlimited *Speed: 16 Mbps
Tariff Details
Local STD Intra Circle STD Inter Circle ISD
Voice - Call Rates
(Rs/sec) (Rs/sec) (Rs/sec) (Rs/sec)
to airtel fixedline 0.6/60 0.75/60 0.75/60
to other fixedline 0.6/60 0.75/60 0.75/60 for country
to airtel mobile 0.6/60 0.75/60 0.75/60
specific rates
to other mobile 0.6/60 0.75/60 0.75/60
to fixedline CUG 0.6/60 0.75/60 0.75/60 visit www.airtel.in
to WLL 0.6/60 0.75/60 0.75/60
*Post consumption of Unlimited quota, the speed would be revised to 1 Mbps as per Fair Usage Policy | For information on other plans, visit www.airtel.in/broadband

Payment Modes - Pay online using debit/credit card, netbanking on My Airtel App, www.airtel.in, eWallets, UPI, visit an Airtel Store to pay using cash/cheque/credit/
debit cards or activate Auto pay options from bank account (NACH) or Credit card account (SI)
Contact Information - For Queries: Call 121 (toll free for Airtel), 0141-4444121(for Non-Airtel number, call charges apply) | Complaints: Call 198 (toll free for Airtel),
0141-4444198(for Non-Airtel number, call charges apply) | NDNC Registration: Call 1909 (Activation time: 7 days) | Complaint/SR Status: www.airtel.in/help. |
Appellate Desk: Mr. Khushwinder Singh , 0141-4034338; [email protected]; address: Bharti Hexacom Limited, K-21, Sunny House, Malviya Marg, C-
Scheme, Jaipur-302001, Rajasthan
Call 1930 for cyber-crime fraud reporting.
Corporate Coordinator Contact Information - For queries and complaints: Call 1800102002 | Email: [email protected]
Charges - Itemized bill: Rs. 50/Bill | Duplicate Bill: Rs. 50/Bill (Last 2 months free) | Cheque / SI / ECS Decline: Rs. 200 | Late fee (Bill value >Rs. 300 upto 5000: Rs.
100, >Rs. 5000: 750 or 2% whichever is higher, Max Late fee Rs. 750). As per the Government directive, effective 1-July-17, 18% GST is applicable on Late Fee
Charges. No charge is levied for any service without your explicit consent
Address change - Visit the nearest Airtel Store with new address proof. For store details, visit www.airtel.in/store
Other Information - Tariff Plan: No increase in any line item (except ISD) for first 6months effective enrolment date. T&C apply | No fee is charged for migrating to
any plan | Disconnection: For permanent disconnection, security deposit will be refunded within 60days. Else, interest will be paid @10%p.a. | Call pulses will be
rounded off | Billing disagreements should be reported within 2months of bill receipt. Post this period no claim shall be entertained. | Whether tax is payable on
Reverse Charge Basis - "NO". The Airtel Wi-Fi router is Airtel's property & may be reclaimed if the customer discontinues Airtel's Wi-Fi services.
Registered Office : Bharti crescent, 1, nelson mandela road, vasant kunj, phase ii, new delhi - 110 070, india
Corporate Identity Number : L74899DL1995PLC067527 Bharti Hexacom Limited, K-21, Sunny House, Malviya Marg, C Scheme, Jaipur, Rajasthan- 302001
Ship To State Code : 8 GST registration no : 08AAACH1766P1Z5 under Category TELECOMMUNICATION SERVICE PAN : AAACH1766P
HSN : 998412 Fixed Telephony Service , 998433 On-line video content , 996812 Courier Services , 997317 Leasing or rental services concerning
telecommunications equipment with or without operator , 9983 Support services , 998716 Maintenance and repair services of telecommunication equipment and
apparatus , 999799 Other Services n.e.c

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MOBILE SERVICES
Original Copy for Recipient provided by Bharti Hexacom Limited- Tax Invoice
1-5116774762575

Billing Address

Mr. Amrit Nakwal

210 Katewa Nagar New Sanganer Road Jaipur
Jaipur 302019
Rajasthan BM2508I001681787 1-5116774762575
Email: [email protected]
PhoneNo: 9799904553 Ship To State Code : 08 Place of Supply : Rajasthan

Account

Account No 1-5116774762575 Bill NO BM2508I001681787

Bill Period 26 Jun 2024-25 Jul 2024 Adjustment 0.00
Bill Date 27 Jul 2024
Due date Immediately
Credit limit 2500
Security deposit 0.0

Amount after due

Last bill amount Payment made Credits This Month's Charges Total Amount
date(immediately)

` 678.86 - ` 0.00 - ` 0.00 + ` 376.66 = ` 1055.52 ` 1173.52

This Month's Charges Charges (` )

Rental Charges 319.20

Taxes 57.46

Total Amount ` 376.66

Total:Three Hundred Seventy Six Rupees and Sixty Six Paise Only

Detailed breakup of these charges can be found on next page

Send payment to
1-5116774762575.POST@mairtel

For Bharti Hexacom Limited

Scan & pay via any UPI Apps

Vasim Unissa S, Powered by

Head - Experience Operations (VP)

Page 1 of 2
 Relationship number 1-5116774762575
Airtel mobile number 9799904553
YOUR CHARGES IN DETAIL

Monthly rentals
Description From date To date Rental Discount Amount Total(`)
Plan Name
319.20
infinity plan 399 26/06/2024 20/07/2024 319.20 0.00 319.20

Tax Details
CGST SGST/UTGST
HSN Taxable Value Total Tax Total(`)
Rate Amount Rate Amount
998413 319.20 9% 28.73 9% 28.73 57.46 57.46

This month's charges 376.66

Tariff Details
Call rates Local(`) STD(`) SMS rates Local(`) National(`)
to airtel mobile 00/min 00/min local/national 0.1/msg 0.1/msg

to other mobile 00/min 00/min national roaming 0.25/msg 0.38/msg

international 5/msg 5/msg
to landline 00/min 00/min
to airtel cug 00/min 00/min
video call 00/min 00/min Data conversion : 1MB =1,024KB ; 1GB=1,024MB/1,048,576KB
For Roaming, ISD and other plans/tariff, visit www.airtel.in

Payment Modes - Pay online using debit/credit card, netbanking on My Airtel App, www.airtel.in, eWallets, UPI, visit an Airtel Store to pay using
cash/cheque/credit/debit cards or activate Auto pay options from bank account (NACH) or Credit card account (SI)
Contact Information - For Queries: Call 121(tollfree) | Complaints: Call 198(tollfree) | Email: [email protected] | NDNC Registration:
Call 1909 (Activation time: 7days) | Complaint / SR Status: www.airtel.in/airtelpresence . Appellate Desk: Mr. Khushwinder
Singh;9958444865;[email protected] ;Bharti Hexacom Limited, K-21, Sunny House, Malviya Marg, C-Scheme, Jaipur-302001,
Rajasthan
Call 1930 for cyber-crime fraud reporting.
Charges - Cheque / SI / ECS Decline: Rs. 200 | Late fee (Bill value >Rs. 300 upto 5000: Rs. 100, >Rs. 5000: 750 or 2% whichever is higher, Max
Late fee Rs. 750) | No charge is levied for any service without your explicit consent
Address change - Visit the nearest Airtel Store with new address proof.For store details, visit www.airtel.in/store
Other Information - Tariff Plan: No increase in any line item (except ISD) for first 6months effective enrolment date. T&C apply | No fee is
charged for migrating to any plan | Disconnection: For permanent disconnection, security deposit will be refunded within 60days. Else, interest
will be paid @10%p.a. | Call pulses will be rounded off | Billing disagreements should be reported within 2months of bill receipt. Post this period
no claim shall be entertained. | The credit limit is not applicable on usage done in international roaming. | As per the Government directive,
effective 1-July-17, existing service tax of 15% has been replaced with 18% GST. |Whether tax is payable on Reverse Charge Basis - "NO".
Registered Office: Bharti crescent, 1, nelson mandela road, vasant kunj, phase - II, new delhi - 110070. Tel: +91-11-4666 6100 Fax:
+91-11-4166 6137, e-mail: [email protected], website: www.airtel.in
Corporate Identity Number: L74899DL1995PLC067527 Bharti Hexacom Limited, K-21, Sunny House, Malviya Marg, C Scheme, Jaipur,
Rajasthan- 302001
State Code: 08 GST registration no.: 08AAACH1766P1Z5 under Category TELECOMMUNICATION SERVICE PAN: AAACH1766P
HSN: 998599 Other support services 998433 On-line video content 996812 Courier Services 997317 Leasing or rental services concerning
telecommunications equipment with or without operator 998413 Mobile Telecommunication Service 9983 Support services 998716
Maintenance and repair services of telecommunication equipment and apparatus 999799 Other Services n.e.c

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