Caf Mobile
Caf Mobile
Type of Connection O Post Paid D Pre Pakd Oate Category 0Urben Rural
Type of &ubscriber Individual Corporate Outstatlon Bulk L Cross ignnture
HoUse No
U 0 Stree
AddressVillage
distnc MO I O State/UT MIO PIN U
Permanent Address (To be fhled in mandatonity by outstion customers, supporting POa document mandatory)
City
District
Proof of ldentity Details Proof of Address Details
Type of Pol .Document No. . Type of P o A - Document No-
Oate of Issue Place of Issue- Date of Issue- Place of lssue-
Issuing Authoriy lssuing Authority.
Multiple connections (Number of connection held in the name of the subscrber oporator wise) Existing BSNL Number
Tarif Plan applied - Value Aded Services applied (if any)
Servioes / facilities require OSTD OISD National Roaming Itemizod Blling
Intemational Roaming Other .
Payment Details (To be flied in case of Post-pald Connection)
Cash OCheque OCredit Card ODebit Card OAuto Debit Bank a/c no
transferable. Any misuse of connection/SIM by melus or any other personisllegal and liablefor ciminalaction.
To be filled-in by posS
certity that (a) I have seen the subscriber who has signed the CAF in my presence and matched the photograph axed on the POS POS Name-
CAF with the subscriber and verified his sell attested copies of documents of POA and POl submitted with the CAF with the
POS Code
originals (b) in case of outstation subscriber: Certified that the local roference Mr/Ms. Sign. & Stamp Oate
(with Addhess)
-
has been contactedtelephonically before issulng SIM tothe customer as per partivulars submtted bythe applicant.
Declaration by Franchisee /BSNL Staff Declaration by BSNL employee activationthe SIM
t is certified that I have Franchisee/BSNL Staff(a)Certifiodthat all the documentary requirement has been comploted and Employee Name
checked the CAF as per Name- subscriber details have been entered in the database before actuation of the
the DOT
0uidelines
and Code
SIM. (b) Certufied that the local roferenco (in case of outslation subscriber) Mr/ Ms Designnation
entered the subscnber of Add0-on/Value Added tacilities as requosted by customer and tariff plan (s) otc
details coTecty in thee activated on the SIM Card- - ( d ) initial
BSNL Database
Stamp acivation done on date- (o) Final activation done after tele- BSNL
vernfication on date- Sign with date
Sn w Da
Form 60 Form61
TiCK the box application to you 1 Full ame and address-
OFom 60" Fom of deciaralion to be filed by o porbOn Parucuiars or tran8acion
SMS' Means Custamer lidentcation lbodule being card on macochio programmed with dala, whch s used bgh acpess bo the nehwrk 5. Tme Timo.
PENAL, CHARGES FOR DELAYED PAMENY
wrcn) can b dtanges by BSNL dany Ime) to enabie the customer to use BSNL services upon acoeptance, witn BSNL SYstem
E ne enise geographical areas.. 82 ESNLS acceptancs of payment from a person other than the custoner shal nol amount BSNL having tansfered or modife
.2E caro and persarnalzed eephoe Numbers and shal always to be the sole property ol BSNL ønd shal be retined by 0 any or ngfnt & obuigabons to th cuslomer to such hird partes.
9. DISPUTE RESOLUmON
3.3 For change laddition/óekaion of any featresk dEES hall il up to he requisite lorm 9.1 ln case of any dspute the mater will be relered to the sole atbiraton of Chiet General Manager Tekecom BSNL d he con
wduyboudbyteadtionllemsthereal. nydhangeorwitdrawalfrom enysupilemenlaryservices etc shalnotgentlily cenod area or hs nominee and wll be govened as under Provisions of the Artbirabon on canciliation AcL 1895 or any stat
e customer o any relunds or adjusinent of the moneys already paid, billed or to be biled under te aditicnal teS.
ulory modilcalon or reenctemt Iher of or any nules made therol, custmer Rhave No objection in any such appointment tal
34 aUreTernUere
camo usehrealenng
e sErvosior any unlawiulorilega purposesorimmoralimproper or abusivepupoearfor sending
fharassing unsolicied manages or message afectivintringing naslion enirust nor aqeae any
rbitralor so appointed is employee of the BSNL
10. ENDING THE AGREEMENT
samageorrsk DESHL orGnetwrkandiorothercusiomerswhich relatesiothenetworktheservice equipmurt orconncked 10.1 Except os prowded elsevhere either party may end the Agrement by writne notce giving nat kess than 30 daysb oher p
eservesie ngt o discomecd senvice without labdlity, f any at issole discretonan any such e
aty butsuch a nolce shal not absove the customer of its iabilty to make panents of te anounts that may be due and au
35
ualty,luncbonality, avalablty andio reablitymaybe afecled and or BSL isertided bwithat any ksliy ruhne
T,Upnd vay disconned and or iterul Be sorvice in hole or in par al any une al scle discuion wih apoct o standign on the date of such notive ol as may become ue subsequenty.
o a oUSmer 1S) witoul any molive lor any reason ard or due lo varoUs lactors inckuding bul l lnded lo () Govumnenf's 1 1 . OTHER MATTERS
guiduris oroers, dreciors notdicabons elc. mcudng charges therno(D) IranesSnabons usedby 11.1 Whare two or more personsconstituto the Customer, Their liabilty is joung and several
11.2 mis greoment is ameable to the jurisdicion of Courts at the only bocaton of oficer of Chiel General Manager Telecom
BSNL of the area concamed &laws of india
up wil deshudon ete. (e) Brasch ol ary lem o cardiions ol tis agrement on the part of te astamr 0o rernduing
SerVEE provders. 11.3 The scopo of the celluar services is govemed by the Statutory Guidelines issued by he Telecom Regulatory Authoies &
G o o tdia mihin the paramelers ol license Agreement executed wilth ministy of communicaions Gov af India The
U mtanoesie. hcts ofGad) (0% Delay / non-payment of bls, () Incompatbity wilh equpment wilt equpmert
TOung cusibmer Equjpmenit. Cellar Phone services are govemed by he Telegraph Act 1885 and the Indian Tekegraph Rules 1951 tramed under he
6 y commnicalion is ol guaranteed ad is subject lo govemment's Regulation and such otber facos. BSNL e etded b same act, as anended from lime jo ime and the customer shallabide by them
a WrW any services/supplemenuy ServiCes/ SchemesfPlans elc. and lor to vary the lame and dharpes s 11.4 Al discouns of oher special benefis announced by BSNL trom lime to ime shall have the imeLimitabon BSNL Shai have
y une a 5 sole dtscreton. the rales/ charges may also change as per the drectves or RAI O ny s u y o n y o
he rght to wilhdrawlvary/externed any l all such discount etc. at any ime without nolice.
7 12 MPORTANT
ERpuy deacdvalion he celulas number may be allotted to another customer as per Uhe sole deaen a 5LS GEOD 121 Peak, standand, and off peak hoUrS may difer tram one operalor lo anoher.
event the
ececonditic hae anyngh orSen onthe saidcelarnumber.Incase ofsuspension disoonneddonet
D y BSNL D ts sole discretion an such additonal lerms as BSNL may determene.
12.2 The inlormalion provide oveleaf shall be vealed as parf &parcel of this Agrement
12.3 Monthly salement af changes woud relect only consokdatted call charges for roaning cal's and no bikrcaion or eitine and
TO AGREEMENT
duties etc
wOUt any deducion set oft withoking al payments must be made in favour of AO(Cash) or serce ot py ha read the tems &conditions and I agree to abide by hem
4. tents
ne presenl rale of deposits, connecion changes monthly rental charges call charges and olher paybledhanges are et ot
he Tant Schedule' as
notifed bv BSNL shall have the opion to vary the
tarifl. charoe tor vnue added servlco menntormetanv