7/29/2019 1000918638

1/1

One Time Charges

+-

BHARAT SANCHAR NIGAM LTD

Amount Payable

Name & Address of the Customer

Counter Foil

DinersMastersVisa

Card Holder's NameSignature

Please make crossed Cheque/DD/Pay order for Amount Payable(Round up) in favour of AO (Cash),BSNL, LUCKNOW

Expiry Date

Against Card no.Please Charge Rs.

BranchBank

Cheque/DD E-paymentCredit / Debit Card

DatedCheque/DD No.

CashMode of payment

Previous Balance

=+

Last Payment Current Charges

Usage Charges

Tax

Discount

Summary ofCurrent Charges

Amount (Rs.)

Total Charges

Adjustments

SUBHASH CHANDRA AGRAWAL .21/104MALHAR SAHARA STATES JANKIPURAM LUCKNOW SAHARA ESTATE SAHARA ESTATELUCKNOW IN226020India

202.25

77.00 -1.80 202.25

0.00

180.00

32.00

22.25

76.13

Deposit 1500.00

Amex

Telephone Bill

Note: Post Offices / Banks to accept Bills against Account Number on or before Due Date only

E & OE

Lucknow Telecom District

Account Summary

Tax Details

Description Tax Rate Amount (Rs.)

Service Tax New 12.00% 21.60

Education Cess New 0.24% 0.43

Higher Edu. Cess New 0.12% 0.22

For bank use only

(Rounded Up)

EFT

200.00

Customer ID 1000605941

Account Number 1000918638

Invoice Number 10009186380038

Invoice Date 05/01/2013

Invoice Period 01/12/2012 to 31/12/2012

Due Date 28/01/2013Customer Type INDIVIDUAL

This is a Computer generated Bill and hencedoes not require any Signature.

Due Date: 28/01/2013

Invoice No.: 10009186380038

Amount Due : 200.00

Account No.: 1000918638

Invoice Date: 05/01/2013

Accounts Officer (TR)

Recurring Charges

PAN

Number

AABCB5576G

-32.00

=

Account Balance

199.58

"Please pay current bill amount only, if theprevious telephone bill amount has already

been paid."

Pay your bill on www.bsnl.co.in and enjoy 1%

discount in next bill

Page 1

Payment DetailsDescription Date Amount(Rs.)

Payments 15/12/12 77.00

Recurring ChargesProduct Plan Period Qty Rate ChargesLANDLINE ONE INDIA 01/12/12 to 31/12/12 NA NA 180.00

Total Charges (Rs.) 180.00

Usage ChargesPhone Calls Units Duration/Vol Gross Amt Disc Net AmtLocal LL BSNL 30 00:13:10 30.00 0.00 30.000

Local LL Other Operator 2 00:00:30 2.00 0.00 2.000

Total Charges (Rs.) 32.00 0.00 32.00

DiscountsDiscount Type Period DiscountsLL-WLL-FREE-CALL-50-1-ISD_EXEMPT 01/12/12 to 31/12/12 -32.00

Total Discounts (Rs.) -32.00

Adjustments

Adjustment Description ChargesAdjustment for Portal Payment -1.80

Total Charges (Rs.) -1.80

BHARAT SANCHAR NIGAM LIMITED

Lucknow Telecom District

Plan ONE INDIA

Phone Number 0522-2735351

Phone No. : 0522-2735351