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 012046941528_dsl Installed DELS 1 CAF No. 01242923850

Airtel Number 01204276254 Account Number 7040838704

Customer Name Sudhanshu Shrivastva Contact Number 8882736002

Installation Address Flat No 406,Tower 8,,Nirala Estate Gr Noida West Up,Gautam Buddha Nagar,No Ida,Uttar Pradesh,201306 NOIDA Uttar Pradesh

Airtel-UL-Xstream Basic 499 3333GB

Segment Home Tariff Plan Opted (40Mbps/1024Kbps) COMBO SOS Plan

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

Applicable VOICE & DSL

INSTALLATION COMPLETED ON Date 20 Jan 2021 Time 04:52:29 PM

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

DSL CPE(Make/Model) G2425GA DSL CPE MAC ID & Sl.NO ALCLB3DADCB6

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

Recovered CPE MAC Id/ Serial number Lat/Long 28.586906/77.4436128

I (SANDEEP PAL SW) 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 applicable there to from time to time.iii) I/We
further undertake that the Wi-Fi connection currently installed or any prospective Wi-Fi deployed by me/us as the premises
shall be kept secured at all times through Airtel Central Authentication System failing which, I/We shall be solely accountable
and liable for any misuse iv) I/We shall not tamper with
any equipment or device or any settings made therein or
cause anything which is capable of interfering or Sudhanshu
tampering with any device or setting made there-in for Customer Name Shrivastva
the provision of services. V) I/We also understand & agree
that if there is any non- compliance to the above Date & Time 20 Jan 2021 04:52:29 PM
conditions, airtel reserves the right to disconnect /
suspend the service without any notice and I/or airtel may Customer's Sign Relationship Self
report the same to the concerned authorities.