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The Dy. General Manager (CR),
Videsh Sanchar Nigam Ltd.,
Dighi,
Pune - 411015.                                                                                                                         

                                                                                                                                                  Date :

 

Sub: Renewal / Upgradation of account for
customer Code No.                                         

 

Sir,

      I / We wish to renew to / upgrade my / our account of VSNL Gateway Internet Access Services (GIAS). The necessary particulars are as follows :

 

1.  Name of applicant  :                                                                  
.
2.  Billing Address :                                                                  
                                                                 
                        Pin Code                            
.
3.  Contact Name :                                                                  
.
     Phone No. :                                                                  
.
4.  Type of account :   [i] TD  (  )     [ii] TCP / IP   (  )
.
5.  Login name :                                                                  
..
6.  Payment Details :
.
     Cheque / DD No. / Date :                                                                  
.
     Bank name / address :                                                                  
.
     Amount : Rs.                                                           
.
     Date of Comm. :                                                                  
.
     Date of Exp. :                                                                  
.
     Balance Hrs. :                                                                  

  

.....Place :       Pune                                                    Signature :