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 012046434511_dsl Installed DELS 1 CAF No. 01242309276

Airtel Number 01204249340 Account Number 7040013190

Customer Name Shivam Agarwal Contact Number 9431200382

Installation Address Flat No 4R/1002,Tower 4R,,AWHO Gurjinder Vihar Sector Chi 1 Greater Noida, ,Noida,Uttar Pradesh,201310 NOIDA Uttar Pradesh

Airtel-UL-Xstream Basic 799 Unlimited GB

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 13 Oct 2020 Time 10:59:29 AM

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

DSL CPE(Make/Model) G2425GA DSL CPE MAC ID & Sl.NO ALCLB3AD4497

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

Recovered CPE MAC Id/ Serial number

I (MONU KUMAR) 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 Shivam Agarwal
tampering with any device or setting made there-in for
the provision of services. V)l/We also understand & agree
Date & Time 13 Oct 2020 10:59:29 AM
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.