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Bharti

Airtel Limited
Installation/Billing commencement report
(Once report is signed, billing shall commence from the date of this report)

Type of connections New Installation ✓ Reactivation Shifting Technology Upgrade

DSL ID 012446126427_dsl Installed DELS 1 CAF No. 01291704733

Airtel Number 01244108553 Account Number 7039489379

Customer Name Sonal Jain Contact Number 9999834951

Installation Address A119 , 2nd Floor,,,m2k Aura Sector 47 Gurgaon ,Gurgaon,,Haryana,122001 GURGA Haryana

Airtel-UL-Xstream Fiber Basic 799 150GB


Segment Home Tariff Plan Opted (100Mbps/1024Kbps) COMBO Plan

CPE at center location Yes ✓ No Reason (If No)

Applicable VOICE & DSL

INSTALLATION COMPLETED ON Date 11 Jul 2020 Time 07:57:24 PM

Parallel connections given 0 Voice CPE (s) Provided (MAKE/MODEL NUMBER)

DSL CPE(Make/Model) G140WF DSL CPE MAC ID & Sl.NO ALCLFBCADE36

Old CPE Recovered for Upgrade Yes No Recovered CPE Make & Model

Recovered CPE MAC Id/ Serial number

I (Ajay kumar U) as Airtel representative confirm that I have verified and physically installed the connection at the above address and as per the details provided.

Engineer's Signature

Disclaimer

As per DOT Guidelines: i) I/We hereby certify that the above information provided by me/us is true &correct and that the
connection/services has been installed/activated as per my/our requirements and that all the services are working fine.ii)I/We
undertake to use the services in due compliance with the terms and conditions applicablethere to from time to time.iii)I/W e
further undertake that the Wi-Fi connection currently installed or any prospective W i-Fideployed by m e/us as the premises
shall be kept secured at tall times through airtel CentralAuthentication System failing which, I/We shall be solely accountable
and liable for any m isuseiv)l/We shall not tamper with
any equipment or device or any settings made therein or
cause anything which is capable of interfering or
Customer Name Sonal Jain
tampering with any device or setting made there-in for
the provision of services. V)l/We also understand & agree
Date & Time 11 Jul 2020 07:57:24 PM
that if there is any non- compliance to theabove
conditions, airtel reserves the right to disconnect /
Customer's Sign Relationship Self
suspend the service without any noticeand I/or airtel may
report the same to the concerned authorities.

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