Checklist of the documents required

to be submitted along-with the request/ application

for permission to provide IPTV services

i) Board resolution regarding decision of the company for obtaining permission to

provide IPTV services under ISP licence.
ii) Authorisation for signing of communications addressed to DoT regarding IPTV
permission giving details of authorised signatory like name, designation,
specimen signature, full detail for communication including telephone, mobile
number etc.
iii) Certificate from the company secretary (certifying net-worth of the company)
about minimum net-worth of Rs. 100 Crores.
iv) Complete equity structure giving direct & indirect foreign investment of the
licensee company as per the prescribed format given in ISP application, based
upon the latest guidelines applicable as on date. Equity details (as per
prescribed format) of the investing companies should also be enclosed in its
support.
v) Present list of Directors of the licensee company, giving details like name,
address, nationality etc.

Note:

1. All the documents are required to be certified by authorized signatory on each and
every page. In addition, the documents mentioned at Sl. No. (i) to (v) should also be
authenticated and countersigned by Company Secretary giving his name with the
stamp bearing his membership number.
2. Each page of the correspondence should be serially numbered including the covering
letter.
 No._____________
Dated: __________
TO
ADG(LR-1),
Department of Telecommunications,
Room No. 1021, Sanchar Bhawan,
20, Ashoka Road,

New Delhi-110117.
Subject: Request/ Application for permission to provide IPTV services under ISP licence.
Ref: ISP Licence No.___________________, Dated______, Service Area-___________
Sir,
With reference to above referred licence, it is submitted that vide board resolution dated
_______, company has decided to apply for permission to provide IPTV services under the Clause
2.2 (i), Part-I of Licence Agreement.
Following documents are enclosed in this regard:

Sr. Detail of Documents Enclosed Page Nos.

No. as (e.g. 4 to 9)
1. Board resolution regarding decision of the company to Annex-I _ to _
apply for permission to provide IPTV services.
2. Authorisation for signing of communications addressed to Annex-II _ to _
DoT regarding IPTV permission
3. Certificate from the company secretary or auditor Annex-III _ to _
(certifying net-worth of the company) about minimum net-
worth of Rs. 100 Crores.
_ to _
4. Complete equity structure giving gist of direct & indirect Annex-IV
foreign investment of the licensee company, including
equity details of the investing companies, if any.
5. Annex-V _ to _
Present list of Directors of the licensee company, giving
details like name, address, nationality etc.

It is certified that the above mentioned documents have been duly checked for proper
entries and relevant details and all the papers are authenticated by authorised signatory (each and
every page) and company secretary (where ever required) as per the checklist of documents
available on DoT website.
Our request for permission to provide IPTV services may
kindly be processed.

(Name & Signature of Authorized signatory)

Company Stamp