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 040101260210_ap Installed DELS 1 CAF No. 0401578879

Airtel Number 04048501037 Account Number 7039388002

Customer Name C Rupa Narayanan Contact Number 8309128402

Flat No 301, SLN ARCADE-1,road No 5,,haripuri Colony Near Yallamma Temple, Kothapet, Saroornagar, K.v. Rangareddy,
Installation Address Telangana,Hyderabad,Telangana,Tel Engana,500035 HYDER Telangana

Airtel-UL-Xstream Fiber Basic 799 3333GB

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 21 Jun 2020 Time 11:12:44 AM

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

DSL CPE(Make/Model) HG8145V5 DSL CPE MAC ID & Sl.NO 4857544379F07CA1

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

Recovered CPE MAC Id/ Serial number

I (SSC_Sagar_IC) 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 C Rupa
tampering with any device or setting made there-in for Customer Name Narayanan
the provision of services. V)l/We also understand & agree
that if there is any non- compliance to theabove Date & Time 21 Jun 2020 11:12:44 AM
conditions, airtel reserves the right to disconnect /
suspend the service without any noticeand I/or airtel may Customer's Sign Relationship Self
report the same to the concerned authorities.