BLACK MONTHLY STATEMENT

R Kumar Your Plan: Airtel Black 998 Plan

Total Amount:
Email: shivabest4u@gmail.com Number of connections: 3 ₹ 2,191.56
Phone number: 9840167077 Statement Date: 18 Sep 2022
Primary Service ID: 9840167077 Statement Period: 17 Aug '22 - 16 Sep '22 Due Date:
Airtel Black ID: 10101014145314 Immediately

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

₹2,498.46 - ₹1,543.44 - ₹0.00 + ₹1,236.54 = ₹2,191.56 ₹2,409.56

This Month's Summary (Amounts in ₹)

Services Connections Plan/Pack Charges Other Charges Total

Mobile - 9840167077 2 648.00 0.00 648.00

DTH - 3044823022 1 399.92 0.00 399.92

Airtel Black Plan - 10101014145314 3 1,047.92 0.00 1,047.92

Taxes - - - 188.62

Previous Dues - - - 2,498.46

Payments - - - - 1,543.44

TOTAL ₹ 2,191.56

Total: Two Thousand One Hundred Ninety One 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 R Shiva Kumar Your Plan: Infinity Family 798 Homes Amount Payable:
32 2nd Floor 6th Main Road P G Halli Number of Connections:2
Malleshwaram Statement Date:18 Sep 2022
` 764.64
Bangalore, Karnataka, 560003 Statement Period:17 Aug 2022-16 Sep 2022 Due Date:
Email Address: rshivajnj@gmail.com
28 Sep 2022
Phone Number: 9840167077

Amount after due

Previous Dues Payments Credit/Adjustment Charges for this Month Amount Payable
date(28Sep)

` 1543.44 - ` 1543.44 - ` 0.00 + ` 764.64 = ` 764.64 ` 882.64

This Month's Summary

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

Mobile 9840167077 2 ` 648.0 ` 0.0 ` 648.0

Taxes (GST) - - - ` 116.64

Previous Dues - - - ` 1543.44

Payments1 - - - - ` 1543.44

Total (Incl. Taxes) ` 764.64

Total : Seven Hundred Sixty Four Rupees and Sixty Four Paise Only

How To Pay ?

Send payment to
1230121748.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 1230121748.POST@mairtel

Scan & pay via any UPI Apps

Powered by

YOUR PAYMENT OPTIONS

Relationship No. 1230121748 Bill No. BM2329I007853323 Amount Due : 764.64 LoB : Mobility
cheque/DD In favour of "Airtel Relationship no. 1230121748"
cheque/DD No. _____________ Dated _____________ Amount _____________ Bank _____________

Page 1 of 6
POSTPAID MONTHLY STATEMENT
Payment
Mr Kumar 1
R Shiva Details Your Plan: Infinity Family 798 Homes Amount Payable:
32 2nd Floor 6th Main Road P G Halli Number of Connections:
Description
Malleshwaram Statement Date:18-SEP-2022 Date ` 764.64 Amount Paid
Bangalore 560003 Statement Period:17/08/22 - 16/09/22 Due Date:
Karnataka Statement Number:
Payment via Airtel Pay (UPI-RazorPay) 19 Aug 2022 28-SEP-2022 -1543.44
Email Address: rshivajnj@gmail.com
Phone Number: 9840167077
Total ` -1543.44

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

Page 2 of 6
MOBILE SERVICES
Original Copy for Recipient provided by Bharti Airtel Limited- Tax Invoice

1230121748

Billing Address

Mr R Shiva Kumar
32 2nd Floor 6th Main Road P G Halli Malleshwaram
Bangalore 560003
Karnataka BM2329I007853323 1230121748
Email: rshivajnj@gmail.com
PhoneNo: 9840167077 Ship To State Code : 29 Place of Supply : Karnataka

Account

Account No 1230121748 Bill NO BM2329I007853323

PAN NO. form60 Adjustment 0.00
Bill Date 18 Sep 2022
Bill Period 17 Aug 2022-16 Sep 2022
Pay By Date 28 Sep 2022
Credit limit 5000.0
Security deposit 0.0

This Month's Charges Charges( ` )

Rental Charges 648.00

Taxes 116.64

Total Amount ` 764.64

Total:Seven Hundred Sixty Four Rupees and Sixty Four Paise Only

Detailed breakup of these charges can be found on next page

Send payment to
1230121748.POST@mairtel

For Bharti Airtel Limited

Scan & pay via any UPI Apps

Vasim Unissa S,VP Powered by

Page 3 of 6
 Relationship number 1230121748

SUMMARY OF THIS MONTH CHARGES

Account summary
Account no. Airtel number Monthly rentals Usage One time charges Total
1230121748 9840167077 648.00 0.00 0.00 648.00
1-2858180766034 9900907156 0.00 0.00 0.00 0.00
Total 648.00 0.00 0.00 648.00

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

This month's charges 764.64

Payment Details
Description Date Total Total(`)
Payment via Airtel Pay (UPI-RazorPay) 19-Aug-2022 -1543.44 -1543.44

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. Saumil
Agrawal;9972544865;appellate.kk@in.airtel.com ;Bharti Airtel Limited, No 55, divyashree towers , Bannerghatta Road Bangalore - 560029
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, 55, DIVYASREE TOWER, BANNER GHATTA ROAD, BTM LAYOUT,
BENGALURU, KARNATAKA- 560029
State Code: 29 GST registration no.: 29AAACB2894G1ZJ 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 6
 Relationship number 1230121748
Airtel mobile number 9840167077
YOUR CHARGES IN DETAIL - 9840167077

Monthly rentals
Description From date To dateRental Amount Total(`)
Plan Name
648.00
infinity family 798 homes_pkg_33597 17/08/2022 16/09/2022798.00 648.00

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 6
 Relationship number 1-2858180766034
Airtel mobile number 9900907156
YOUR CHARGES IN DETAIL - 9900907156

Monthly rentals
Total(`)
Description From date To dateRental Amount
0.00

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/min 00/min 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 6
DTH MONTHLY STATEMENT
Shiva . DTH Account ID: 3044823022
no 75 durga nilaya escorts layout attur Number of connections: 1 Total Amount:
Yelahanka , . ₹ 1426.92
. Statement Date: 18-Sep-2022
Bangalore, Karnataka 560064 Statement Period: 18-Aug-2022 to 16-Sep- Due Date:
Phone number: 9840167077 2022 06-Oct-2022

Previous Dues Payments Adjustments Charges for this Month Total Amount Amount after
due date (06 Oct)

₹ 955.02 - ₹ 0.00 - ₹ 0.00 + ₹ 471.90 = ₹ 1426.92 ₹ 1526.92

This Month's Summary

Services Connections Plan/Pack Charges Other Charges Total

DTH- 3044823022 1 ₹ 350.00 ₹ 49.92 ₹ 399.92

Taxes (GST) - - - ₹ 71.98

Charges this month’s - - - ₹ 471.90

Previous Dues - - - ₹ 955.02

Payments - - - -₹ 0.00

Adjustments - - - -₹ 0.00

TOTAL ₹  1426.92

Total: One Thousand Four Hundred Twenty Six Rupees And Ninety Two 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 • 3044823022
Original copy for recipient provided by Bharti Telemedia Ltd.

Billing Details

Shiva .
no 75 durga nilaya escorts layout attur Yelahanka , . Bill Number FD2329I000641282
.
Bangalore, Karnataka 560064 Bill Period 18-Aug-2022 to 16-Sep-2022

Contact Number 9840167077 Bill Date 18-Sep-2022

Due Date 06-Oct-2022

Place of Supply Karnataka

State Code 29

Credit Limit ₹ 2000.00

Security Deposit ₹ 0.00

Monthly Rental

DTH ID Description Duration Monthly Charges Net Charges Total

3044823022 Airtel Black 350 18 Aug - 16 Sep ₹ 350.00 ₹ 350.00 ₹ 350.00

Other Charges

DTH ID Description Duration Monthly Charges Net Charges Total

3044823022 Additional Usage 18 Aug - 16 Sep - ₹ 49.92 ₹ 49.92

Tax Details

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

Rate Amount Rate Amount

998466 ₹ 399.92 9.0 % ₹ 35.99 9.0 % ₹ 35.99 ₹ 71.98

Charges For This month incl. tax (A) ₹  471.90

Previous Dues (B) ₹  955.02

Total Payments (C) ₹  0.00

TAX INVOICE • 3044823022
Original copy for recipient provided by Bharti Telemedia Ltd.

Total Adjustments (D) ₹  0.00

Amount Payable (A+B+C+D) ₹ 1426.92

Total: One Thousand Four Hundred Twenty Six Rupees And Ninety Two 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: 080-41704930; dthnodal.kk@airtel.com; address: Bharti Telemedia Limited, # 56/4, Sharada Towers, Nandidurga Road, Benson
Town, Bangalore - 560 046. 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: 29 GST registration no.: 29AADCB0147R1ZB Under Category
TELECOMMUNICATION SERVICE 55, DIVYASREE TOWER, BANNER GHATTA ROAD, BTM LAYOUT, BENGALURU, KARNATAKA- 560029 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 • 3044823022
Original copy for recipient provided by Bharti Telemedia Ltd.

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

3044823022-001 Vijay Super 18 Aug - 16 Sep ₹ 2.36 ₹ 2.40

3044823022-001 STAR VIJAY 18 Aug - 16 Sep ₹ 20.06 ₹ 20.10

3044823022-001 Kannada Value 18 Aug - 16 Sep ₹ 310.00 ₹ 309.90

₹ 471.90
3044823022-001 Sun TV 18 Aug - 16 Sep ₹ 22.42 ₹ 22.50

3044823022-001 Zee Tamil 18 Aug - 16 Sep ₹ 14.16 ₹ 14.10

3044823022-001 NCF pack for Rs.103 18 Aug - 16 Sep ₹ 103.00 ₹ 102.90

Total Charges (incl. Taxes) ₹ 471.90