BLACK MONTHLY STATEMENT

Pratik Nale Your Plan: Airtel Black 998 Plan

Total Amount:
Email: pratiknale1406@gmail.com Number of connections: 5 ₹ 1,839.56
Phone number: 9870331417 Statement Date: 12 Jun 2022
Primary Service ID: 9870331417 Statement Period: 11 May '22 - 10 Jun '22 Due Date:
Airtel Black ID: 10101013452148 30 Jun 2022

Previous Dues Payments Credits This Month's Charges Total Amount Amount after
due date (30 Jun)

₹1,811.06 - ₹2,011.06 - ₹0.00 + ₹2,039.56 = ₹1,839.56 ₹2,057.56

This Month's Summary (Amounts in ₹)

Services Connections Plan/Pack Charges Other Charges Total

Mobile - 9870331417 4 1,246.00 0.00 1,246.00

DTH - 3043041797 1 482.44 0.00 482.44

Airtel Black Plan - 10101013452148 5 1,728.44 0.00 1,728.44

Taxes - - - 311.12

Previous Dues - - - 1,811.06

Payments - - - - 2,011.06

TOTAL AMOUNT ₹ 1,839.56

One Thousand Eight Hundred Thirty Nine Rupees And Fifty Six Paise Only

How to pay?

Online: Airtel stores:

Airtel Thanks App or www.airtel.in/pay Store Locator (www.airtel.in/store)

POSTPAID MONTHLY STATEMENT
Mr. Pratik Sampat Nale Your Plan: Infinity Family 798 Homes Amount Payable:
F 802 Satyam Oleander Society Chikhloli Number of Connections:4
Sarvoday Nagar Thane Statement Date:12 Jun 2022
` 1370.28
Badlapur, Maharashtra, 421503 Statement Period:11 May 2022-10 Jun 2022 Due Date:
Email Address: pratiknale1406@gmail.com
30 Jun 2022
Phone Number: 9870331417

Amount after due

Previous Dues Payments Credit/Adjustment Charges for this Month Amount Payable
date(30Jun)

` 1377.36 - ` 1477.36 - ` 0.00 + ` 1470.28 = ` 1370.28 ` 1488.28

This Month's Summary

No. of Plan/Pack
Services Other Charges Total
Connections Charges

Mobile 9870331417 4 ` 1246.0 ` 0.0 ` 1246.0

Taxes (GST) - - - ` 224.28

Previous Dues - - - ` 1377.36

Payments1 - - - - ` 1477.36

Total (Incl. Taxes) ` 1370.28

Total : One Thousand Three Hundred Seventy Rupees and Twenty Eight Paise Only

How To Pay ?

Send payment to
1-3809180470870.POST@mairtel

Online: UPI:
Airtel Stores:
Airtel Thanks App or Scan the QR Code to pay your bill instantly
Store Locator(www.airtel.in/store)
www.airtel.in/pay Send Payment to 1-3809180470870.POST@mairtel

Scan & pay via any UPI Apps

Powered by

YOUR PAYMENT OPTIONS

Relationship No. 1-3809180470870 Bill No. BM2327I004015700 Amount Due : 1370.28 LoB : Mobility
cheque/DD In favour of "Airtel Relationship no. 1-3809180470870"
cheque/DD No. _____________ Dated _____________ Amount _____________ Bank _____________

Page 1 of 8
POSTPAID MONTHLY STATEMENT
Payment
Mr. Pratik Sampat 1
DetailsNale Your Plan: Infinity Family 798 Homes Amount Payable:
F 802 Satyam Oleander Society Chikhloli Number of Connections:
Description
Sarvoday Nagar Thane Statement Date:12-JUN-2022 Date ` 1370.28 Amount Paid
Badlapur 421503 Statement Period:11/05/22 - 10/06/22 Due Date:
Maharashtra Statement Number:
Payment via Airtel Pay (PayTM) 30 May 2022 30-JUN-2022 -1377.36
Email Address: pratiknale1406@gmail.com
Phone Number: 9870331417
Airtel Black Rewards 10 Jun 2022 -100.00

Total ` -1477.36

This is only a summary statement. Input tax credit will not be available on the basis of this document.

Page 2 of 8
MOBILE SERVICES
Original Copy for Recipient provided by Bharti Airtel Limited- Tax Invoice

1-3809180470870

Billing Address

Mr. Pratik Sampat Nale

F 802 Satyam Oleander Society Chikhloli Sarvoday Nagar
Thane
Badlapur 421503 BM2327I004015700 1-3809180470870
Maharashtra
Email: pratiknale1406@gmail.com Ship To State Code : 27 Place of Supply : Maharashtra
PhoneNo: 9870331417

Account

Account No 1-3809180470870 Bill NO BM2327I004015700

Bill Period 11 May 2022-10 Jun 2022 Adjustment 0.00
Bill Date 12 Jun 2022
Pay By Date 30 Jun 2022
Credit limit 5000.0
Security deposit 0.0

This Month's Charges Charges( ` )

Rental Charges 1246.00

Taxes 224.28

Total Amount ` 1470.28

Total:One Thousand Four Hundred Seventy Rupees and Twenty Eight Paise Only

Detailed breakup of these charges can be found on next page

Send payment to
1-3809180470870.POST@mairtel

For Bharti Airtel Limited

Scan & pay via any UPI Apps

Vasim Unissa S,VP Powered by

Page 3 of 8
 Relationship number 1-3809180470870

SUMMARY OF THIS MONTH CHARGES

Account summary
Account no. Airtel number Monthly rentals Usage One time charges Total
1-3809180470870 9870331417 648.00 0.00 0.00 648.00
1-3809210539841 9594955285 0.00 0.00 0.00 0.00
1-3841609185613 9763720334 299.00 0.00 0.00 299.00
1-3844491536506 7028018117 299.00 0.00 0.00 299.00
Total 1246.00 0.00 0.00 1246.00

Tax Details
CGST SGST/UTGST
HSN Taxable Value Total Tax Total(`)
Rate Amount Rate Amount
998413 648.00 9% 58.32 9% 58.32 116.64
224.28
999794 598.00 9% 53.82 9% 53.82 107.64

This month's charges 1470.28

Payment Details
Description Date Total Total(`)
Payment via Airtel Pay (PayTM) 30-May-2022 -1377.36
-1477.36
Airtel Black Rewards 10-Jun-2022 -100.00

Payment Modes - Pay online using debit/credit card, netbanking on My Airtel App, www.airtel.in, eWallets, UPI, visit an Airtel Store to pay using
cash/cheque/credit/debit cards or activate Auto pay options from bank account (NACH) or Credit card account (SI)
Contact Information - For Queries: Call 121(tollfree) | Complaints: Call 198(tollfree) | Email: 121@airtel.com | NDNC Registration: Call 1909
(Activation time: 7days) | Complaint / SR Status: www.airtel.in/airtelpresence . Appellate Desk: Mr. Kulasekar Venkatesan ;9987244865
020-40031233 ;appellate.mah@in.airtel.com ;appellate.west@in.airtel.comBharti Airtel limited, Plot No. 3/1, North Tower, ePark, MIDC
Knowledge park, Kharadi, Pune- 110014 ;
Charges - Cheque / SI / ECS Decline: Rs. 200 | Late fee (Bill value >Rs. 300 upto 5000: Rs. 100, >Rs. 5000: 750 or 2% whichever is higher, Max
Late fee Rs. 750) | No charge is levied for any service without your explicit consent
Address change - Visit the nearest Airtel Store with new address proof.For store details, visit www.airtel.in/store
Other Information - Tariff Plan: No increase in any line item (except ISD) for first 6months effective enrolment date. T&C apply | No fee is
charged for migrating to any plan | Disconnection: For permanent disconnection, security deposit will be refunded within 60days. Else, interest
will be paid @10%p.a. | Call pulses will be rounded off | Billing disagreements should be reported within 2months of bill receipt. Post this period
no claim shall be entertained. | The credit limit is not applicable on usage done in international roaming. | As per the Government directive,
effective 1-July-17, existing service tax of 15% has been replaced with 18% GST. |Whether tax is payable on Reverse Charge Basis - "NO".
Registered Office : Bharti Airtel Limited, Plot No. 16, Udyog Vihar, Phase IV, Gurugram - 122015, Haryana, India. Tel: +91-124-4248655, e-mail:
121@in.airtel.com, website: www.airtel.in
Corporate Identity Number: L74899HR1995PLC095967 Bharti Airtel Ltd., Interface Building No 7, 7th Floor, Off Link Road, Malad (W),
Mumbai, Maharashtra - 400064
State Code: 27 GST registration no.: 27AAACB2894G1ZN under Category TELECOMMUNICATION SERVICE PAN: AAACB2894G
HSN: 998433 On-line video content 996812 Courier Services 997317 Leasing or rental services concerning telecommunications equipment
with or without operator 998413 Mobile Telecommunication Service 9983 Support services 998716 Maintenance and repair services of
telecommunication equipment and apparatus 999799 Other Services n.e.c

Page 4 of 8
 Relationship number 1-3809180470870
Airtel mobile number 9870331417
YOUR CHARGES IN DETAIL - 9870331417

Monthly rentals
Description From date To dateRental Amount Total(`)
Plan Name
648.00
infinity family 798 homes_pkg_33597 11/05/2022 10/06/2022798.00 648.00

This month's charges 648.00

Tariff after plan benefits

Call rates Local( ` ) STD(` ) SMS rates Local( ` ) National( ` )
to airtel mobile 00/min 00/min local/national 0.1/msg 0.1/msg

to other mobile 00/min 00/min national roaming 0.25/msg 0.38/msg

international 5/msg 5/msg
to landline 00/min 00/min
to airtel cug 00/min 00/min
video call 00/sec 00/sec Data conversion : 1MB =1,024KB ; 1GB=1,024MB/1,048,576KB
For Roaming, ISD and other plans/tariff, visit www.airtel.in

Page 5 of 8
 Relationship number 1-3809210539841
Airtel mobile number 9594955285
YOUR CHARGES IN DETAIL - 9594955285

This month's charges 0.00

Tariff after plan benefits

Call rates Local( ` ) STD(` ) SMS rates Local( ` ) National( ` )
to airtel mobile 00/min 00/min local/national 0.1/msg 0.1/msg

to other mobile 00/min 00/min national roaming 0.25/msg 0.38/msg

international 5/msg 5/msg
to landline 00/min 00/min
to airtel cug 00/min 00/min
video call 00/sec 00/sec Data conversion : 1MB =1,024KB ; 1GB=1,024MB/1,048,576KB
For Roaming, ISD and other plans/tariff, visit www.airtel.in

Page 6 of 8
 Relationship number 1-3841609185613
Airtel mobile number 9763720334
YOUR CHARGES IN DETAIL - 9763720334

Monthly rentals
Description From date To dateRental Amount Total(`)
Plan Name
299.00
infinity family add-on 299_pkg_33601 11/05/2022 10/06/2022299.00 299.00

This month's charges 299.00

Tariff after plan benefits

Call rates Local( ` ) STD(` ) SMS rates Local( ` ) National( ` )
to airtel mobile 00/min 00/min local/national 0.1/msg 0.1/msg

to other mobile 00/min 00/min national roaming 0.25/msg 0.38/msg

international 5/msg 5/msg
to landline 00/min 00/min
to airtel cug 00/min 00/min
video call 00/sec 00/sec Data conversion : 1MB =1,024KB ; 1GB=1,024MB/1,048,576KB
For Roaming, ISD and other plans/tariff, visit www.airtel.in

Page 7 of 8
 Relationship number 1-3844491536506
Airtel mobile number 7028018117
YOUR CHARGES IN DETAIL - 7028018117

Monthly rentals
Description From date To dateRental Amount Total(`)
Plan Name
299.00
infinity family add-on 299_pkg_33601 11/05/2022 10/06/2022299.00 299.00

This month's charges 299.00

Tariff after plan benefits

Call rates Local( ` ) STD(` ) SMS rates Local( ` ) National( ` )
to airtel mobile 00/min 00/min local/national 0.1/msg 0.1/msg

to other mobile 00/min 00/min national roaming 0.25/msg 0.38/msg

international 5/msg 5/msg
to landline 00/min 00/min
to airtel cug 00/min 00/min
video call 00/sec 00/sec Data conversion : 1MB =1,024KB ; 1GB=1,024MB/1,048,576KB
For Roaming, ISD and other plans/tariff, visit www.airtel.in

Page 8 of 8
DTH MONTHLY STATEMENT
Pratik . DTH Account ID: 3043041797
F 802 Satyam oleander Chickloli Behind Number of connections: 1
Sarvoday Sc , . Total Amount:
. Statement Date: 12-Jun-2022 ₹ 469.28
Thane, MAHARASTRA 421502 Statement Period: 12-May-2022 to 12-
Due Date:
Jun-2022
Email Address: pratiknale1406@gmail.com 30-Jun-2022
Phone number: 9870331417

Previous Dues Payments Adjustments Charges for this Month Total Amount Amount after
due date (30 Jun)

₹ 433.70 - ₹ 533.70 - ₹ 0.00 + ₹ 569.28 = ₹ 469.28 ₹ 569.28

This Month's Summary

Services Connections Plan/Pack Charges Other Charges Total

DTH- 3043041797 1 ₹ 373.33 ₹ 109.11 ₹ 482.44

Taxes (GST) - - - ₹ 86.84

Previous Dues - - - ₹ 433.70

Payments - - - -₹ 533.70

Adjustments - - - -₹ 0.00

TOTAL ₹  469.28

Total: Four Hundred Sixty Nine Rupees And Twenty Eight Paise Only

How to pay?

Online: Airtel stores: UPI:

Airtel Thanks App or Store Locator Scan the QR Code to pay your bill
www.airtel.in/pay (www.airtel.in/store) instantly
TAX INVOICE • 3043041797
Original copy for recipient provided by Bharti Telemedia Ltd.

Billing Details

Pratik .
F 802 Satyam oleander Chickloli Behind Sarvoday Sc , . Bill Number FD2327I000260394
.
Thane, MAHARASTRA 421502 Bill Period 12-May-2022 to 12-Jun-2022

Email Address pratiknale1406@gmail.com Bill Date 12-Jun-2022

Contact Number 9870331417 Due Date 30-Jun-2022

Place of Supply MAHARASTRA

State Code 27

Credit Limit ₹ 2000.00

Security Deposit ₹ 0.00

Monthly Rental

DTH ID Description Duration Monthly Charges Net Charges Total

3043041797 Airtel Black 350 12 May - 12 Jun ₹ 350.00 ₹ 373.33 ₹ 373.33

Other Charges

DTH ID Description Duration Monthly Charges Net Charges Total

3043041797 Additional Usage 12 May - 12 Jun - ₹ 109.11 ₹ 109.11

Tax Details

HSN / SAC Code Taxable value CGST SGST/UTGST Total Tax

Rate Amount Rate Amount

998466 ₹ 482.44 9.0 % ₹ 43.42 9.0 % ₹ 43.42 ₹ 86.84

Charges For This month incl. tax (A) ₹  569.28

Previous Dues (B) ₹  433.70

Payments

Description Date Amount

Airtel Black Rewards 10-Jun-2022 -₹ 100.00

Selfcare - Payment via PayTM wallet 30-May-2022 -₹ 433.70

Total Payments (C) ₹  -533.70

TAX INVOICE • 3043041797
Original copy for recipient provided by Bharti Telemedia Ltd.

Total Adjustments (D) ₹  0.00

Amount Payable (A+B+C+D) ₹ 469.28

Total: Four Hundred Sixty Nine Rupees And Twenty Eight Paise Only (Inc. Taxes)

For Bharti Telemedia Limited

Ravi Negi, DGM

Payment Modes: Pay online using debit/credit card, netbanking, eWallets on Airtel App or on https://www.airtel.in/digitaltv-recharge. You can also
visit an Airtel Store to pay using cash/cheque/credit/debit cards or activate Auto pay options from bank account (NACH) or Credit card account (SI)
Contact Information: For Queries/ Complaints: Call 1800-103-6065 (tollfree) or Airtel users can also call on 12150 | Email: digitaltv@airtel.com. For
Nodal desk details: 022-40213261; dthnodal.mum@airtel.com; address: Bharti Telemedia Limited,5th Floor,Interface Building,Link Road,Malad
West,Mumbai, 400064. Complaint / SR Status: https://www.airtel.in/airtelpresence
Other Information: Tariff Plan: Charges for the plan would depend on the price of the bouquet and ala-carte channels that customer has adopted for.
NCF would apply as per the government regulations. T&C apply | No fee is charged for migrating to any plan | Disconnection: For permanent
disconnection, balance in the account will be refunded within 15 days.| Billing disagreements should be reported within 2months of bill receipt. Post
this period no claim shall be entertained. As per the Government directive, effective 1-July-17, existing service tax of 15% has been replaced with
18% GST. Whether tax is payable on Reverse Charge Basis - "NO".
Registered Office: Bharti Telemedia Ltd., Bharti Crescent, 1, Nelson Mandela Road, Vasant Kunj, Phase – II, New Delhi DL, 110070 IN. Tel: +91-124-
4222222 Fax: +91-124- 4243252, e-mail: digitaltv@airtel.com, website: https://www.airtel.in/digital-tv
Corporate Identity Number: U92200DL2006PLC156075 State Code: 27 GST registration no.: 27AADCB0147R1ZF Under Category
TELECOMMUNICATION SERVICE Interface Bulding No.7, 6th & 7th Floor, Bharti Airtel Limited, Interface 7, Off Link Road,Malad (W), Mumbai,
Maharashtra - 400064 PAN: AADCB0147R HSN: 998466 Home programme distribution services
*DTH Account Balance Shows:
- adjustment of Other Charges that are over and above the Monthly Rental.
- balance amount in case your DTH usage is lesser than your Monthly Rental.
YOUR CHARGES IN DETAILS • 3043041797
Original copy for recipient provided by Bharti Telemedia Ltd.

Usage Details
DTH ID Content/VAS/NCF Duration Monthly Charges Usage Charges Total

3043041797-001 Star Sports Select 2 HD 12 May - 12 Jun ₹ 11.80 ₹ 12.48

3043041797-001 UTV Action 12 May - 12 Jun ₹ 2.36 ₹ 2.56

3043041797-001 STAR PRAVAH HD 12 May - 12 Jun ₹ 17.70 ₹ 18.88

3043041797-001 Sony TEN 2 HD 12 May - 12 Jun ₹ 20.06 ₹ 21.44

3043041797-001 Airtel Black Marathi Hindi sports 12 May - 12 Jun ₹ 260.00 ₹ 277.44
pack_GT
₹ 569.28
3043041797-001 Sony SIX HD 12 May - 12 Jun ₹ 22.42 ₹ 24.00

3043041797-001 NCF pack for Rs.153 - STD 12 May - 12 Jun ₹ 153.00 ₹ 163.20

3043041797-001 Sony TEN 1 HD 12 May - 12 Jun ₹ 22.42 ₹ 24.00

3043041797-001 Star Sports Select 1 HD 12 May - 12 Jun ₹ 22.42 ₹ 24.00

3043041797-001 Star Gold 2 12 May - 12 Jun ₹ 1.18 ₹ 1.28

Total Charges (incl. Taxes) ₹ 569.28