AGREEMENT FORM FOR GARUDA - 1x POSTPAID CDMA WLL SERVICEGaruda - 1x Postpaid Cdma WLL Service Agreement • May 9th, 2008
Billing Address Residence □ Office □ Business □Pin Code City Telephone No. Fax No.Registration required in National Do Not Call Registry (free of cost): YES/NO TARIFF SERVICE DETAILS Service □ Mobile □Fixed WirelessA) Handset Model: □FWP □FWTB) Payment Option □ EMI □DOWN PAYMENT Tariff Plan□Local Only□VMS □Local & STD Other (Specify) □Detailed Bill□Local & STD &ISD PAYMENT PARTICULARS Amount Rs. Bank Name Payment Mode Cash DD DD No. Dated DECLARATION I declare and undertake that the above information is wholly true. I have read and understood the terms and conditions mentioned overleaf and I hereby agree to abide by them. I have gone through the details of the Tariff Plan mentioned above, which I understand may change from time to time. I agree that my Garuda Postpaid connection is subject to verification, evaluation and acceptance by MTNL. Date Subscriber’s Signature Certified that the documents submitted by subscriber were verified with the originals. Sanchar Haat-I/C / Distr
