Black Monthly Statement

vineeta jitesh Joshi Total Amount Payable: Due Date:

Registered Email: ₹2,500.36 Immediately
vinieeta.sharma86@gmail.com
Registered Telephone Number (RTN):
9503222228

Your Plan: Pay via

Airtel Black Plan
Airtel Thanks App
Airtel Black ID Number of connections
10101014502278 2 www.airtel.in/pay

Statement Date Statement Period Scan and pay via any UPI apps

3 Oct 2023 2 Sep 2023 - 1 Oct 2023 Powered by

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

₹1,194.47 - ₹0.00 - ₹0.00 + ₹1,305.88 = ₹2,500.36 ₹2,718.36

This Month's Summary (Amounts in ₹)

Services Connections Plan/Pack Charges Other Charges Total

Fiber - 025312247184_dsl 1 499.00 149.00 648.00

DTH - 3045907816 1 375.42 105.99 481.42

Airtel Black Plan - 10101014502278 2 874.42 254.99 1,129.42

Taxes - - - 176.47

Previous Dues - - - 1,194.47

TOTAL ₹2,500.36

Total: Two Thousand Five Hundred Rupees And Thirty Six Paise Only
Black Monthly Statement

Changes This Month

Services Details Amount *

Other Charges

Fiber: 025312247184_dsl Xstream Premium for 1 month charged on 03 Sep 2023 ₹149.00

DTH: 3045907816-001 Airtel Punjabi Cinema_NRC_1M_Rs49 channel added on 04 Sep 2023 ₹45.73

DTH: 3045907816-001 Airtel Marathi Cinema Top Up 1M (Upfront NRC Rs 42) channel added on 20 Sep 2023 ₹16.80

**All the charges are on pro rata basis. *Above charges are inclusive of 18% tax

Detailed breakup of these charges can be found on respective invoice pages.

Black Monthly Statement

Bills & Payments Summary

Bill for Oct'23 (2 Sep 2023 till 1 Oct 2023)

Connections Previous Dues Payments Credits This Month's Charges Total Amount
(A) (B) (C) (D) (A+B+C+D)

Digital TV-3045907816 456.66 0.00 0.00 568.07 1,024.73

Broadband-025312247184_dsl 737.81 0.00 0.00 737.81 1,475.63

Black-10101014502278 1,194.47 0.00 0.00 1,305.88 2,500.36

Bill for Sep'23 (2 Aug 2023 till 1 Sep 2023)

Connections Previous Dues Payments Credits This Month's Charges Total Amount
(A) (B) (C) (D) (A+B+C+D)

Digital TV-3045907816 981.08 -981.09 0.00 456.67 456.66

Broadband-025312247184_dsl 1,475.62 -1,475.62 0.00 737.81 737.82

Black-10101014502278 2,456.70 -2,456.71 0.00 1,194.48 1,194.48

Bill for Aug'23 (2 Jul 2023 till 1 Aug 2023)

Previous Dues Payments Credits This Month's Charges Total Amount
Connections (A) (B) (C) (D) (A+B+C+D)

Digital TV-3045907816 475.54 0.00 0.00 505.54 981.08

Broadband-025312247184_dsl 737.81 0.00 0.00 737.81 1,475.63

Black-10101014502278 1,213.35 0.00 0.00 1,243.35 2,456.71

Bill for Jul'23 (2 Jun 2023 till 1 Jul 2023)

Connections Previous Dues Payments Credits This Month's Charges Total Amount
(A) (B) (C) (D) (A+B+C+D)

Digital TV-3045907816 478.82 -478.82 0.00 475.54 475.54

Broadband-025312247184_dsl 737.81 -737.81 0.00 737.81 737.82

Black-10101014502278 1,216.63 -1,216.63 0.00 1,213.35 1,213.36

FIXEDLINE AND BROADBAND SERVICES
Original Copy for Recipient provided by Bharti Airtel Limited- Tax Invoice
Fixedline number : 02534005164 / Broadband ID : 025312247184_dsl

Billing Address

vineeta jitesh Joshi

Flat Ni-01,Gajanan Row House BH Ashirwad Nursing Home,NR
Shivam Park LCO-A rvind Shelke,Shardha Vihar.Indira HT2427I005047352 20004513941
Nagar,,Nashik,Maharashtra,422501 Nashik Ship To State Code : 27 Place of Supply : Maharashtra
Maharashtra,
422501
Email id : jiteshjoshi2008@gmail.com
PhoneNo:9503222228

Account

Account No 20004513941 Bill NO HT2427I005047352

Bill Period 02 Sep 2023 to 01 Oct 2023 Bill Date 03 Oct 2023
Pay By Date Immediately
Credit limit 2500.00
Security deposit 0.00

Amount after due

Previous Dues Payments Adjustments Charges for this Month Total Amount
date(Immediately)

` 737.81 - ` 0.00 - ` 0.00 + ` 737.82 = ` 1475.63 ` 1593.63

This Month's Charges Charges( ` )

Rental Charges 499.00

Taxes 89.82

Total Amount ` 588.82

Other Charges - Third party content charges (incl taxes) ` 149.00

Grand Total (`) ` 737.82

Total:Seven Hundred Thirty Seven Rupees and Eighty Two Paise Only

Detailed breakup of these charges can be found on next page

Send payment to
20004513941.FL@mairtel

For Bharti Airtel Limited

Scan & pay via any UPI Apps

Vasim Unissa S,VP Powered by

Page 1 of 2
 Relationship No : 20004513941

YOUR CHARGES IN DETAIL

Rentals
Description From date To date Rental Net charges Total(`)
Plan Details
499.00
Scheme Charges @ ` 499 02/09/2023 01/10/2023 499.00 499.00

Tax Details
CGST SGST/UTGST
HSN Taxable Value Total Tax Total(`)
Rate Amount Rate Amount
998412 499.00 9% 44.91 9% 44.91 89.82 89.82

Third party content charges

CGST SGST/UTGST Subscription
Description HSN Taxable Value Total(`)
Rate Amount Rate Amount Charges
Xstream Premium Subscription 998433 126.27 9% 11.36 9% 11.36 149.00 149.00

This month's charges 737.82

Bill Plan Details : Airtel-UL-Xstream Value 499 Unlimited GB (40Mbps/1024Kbps) COMBO Plan
Rental: ` 499.00 Quota: Unlimited *Speed: 40 Mbps
( 499.00 Rental includes Rs.349 towards Broadband & Fixed Line Plan and Rs.150 towards Platform Services )
Tariff Details
Local STD Intra Circle STD Inter Circle ISD
Voice - Call Rates
(Rs/sec) (Rs/sec) (Rs/sec) (Rs/sec)
to airtel fixedline 0.6/60 0.75/60 0.75/60
to other fixedline 0.6/60 0.75/60 0.75/60 for country
to airtel mobile 0.6/60 0.75/60 0.75/60
specific rates
to other mobile 0.6/60 0.75/60 0.75/60
to fixedline CUG 0.6/60 0.75/60 0.75/60 visit www.airtel.in
to WLL 0.6/60 0.75/60 0.75/60
*Post consumption of Unlimited quota, the speed would be revised to 1 Mbps as per Fair Usage Policy | For information on other plans, visit www.airtel.in/broadband

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 (toll free for Airtel), 020-44444121(for Non-Airtel number, call charges apply) | Complaints: Call
198 (toll free for Airtel), 020-44444198(for Non-Airtel number, call charges apply) | NDNC Registration: Call 1909 (Activation time: 7 days) |
Complaint/SR Status: www.airtel.in/help. | Appellate Desk: Mr. Kulasekar Venkatesan, 020-40031233; appellate.west@in.airtel.com; address:
Bharti Airtel limited, Plot No. 3/1, North Tower, ePark, MIDC Knowledge park, Kharadi, Pune- 110014
Call 1930 for cyber-crime fraud reporting.
Corporate Coordinator Contact Information - For queries and complaints: Call 1800102002 | Email: Esupport@in.airtel.com
Charges - Itemized bill: Rs. 50/Bill | Duplicate Bill: Rs. 50/Bill (Last 2 months free) | 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). As per the Government directive, effective 1-July-17,
18% GST is applicable on Late Fee Charges. 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. | 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
Ship To State Code : 27 GST registration no : 27AAACB2894G1ZN under Category TELECOMMUNICATION SERVICE PAN : AAACB2894G
HSN : 998412 Fixed Telephony Service , 998433 On-line video content , 996812 Courier Services , 997317 Leasing or rental services
concerning telecommunications equipment with or without operator , 9983 Support services , 998716 Maintenance and repair services of
telecommunication equipment and apparatus , 999799 Other Services n.e.c

Page 2 of 2
DTH MONTHLY STATEMENT
Vinita Joshi DTH Account ID: 3045907816
Row House No -01 , Gajanan Row House Number of connections: 1
. , BH Aashirwad Nursing Hospital. Total Amount:
Nashik, MAHARASTRA 422009 Statement Date: 03 Oct 2023 ₹ 1024.73
Statement Period: 02 Sep 2023 to 01 Oct 2023
Email Address: Due Date:
jiteshjoshi2008@gmail.com 13 Oct 2023
Phone number: 9503222228

Previous Dues Payments Adjustments Charges for this Month Total Amount Amount after
due date (13 Oct)

₹ 456.66 - ₹ 0.00 - ₹ 0.00 + ₹ 568.07 = ₹ 1024.73 ₹ 1124.73

This Month's Summary

Services Connections Plan/Pack Charges Other Charges Total

DTH- 3045907816 1 ₹ 375.42 ₹ 105.99 ₹ 481.42

Taxes (GST) - - - ₹ 86.65

Charges this month’s - - - ₹ 568.07

Previous Dues - - - ₹ 456.66

Payments - - - -₹ 0.00

Adjustments - - - -₹ 0.00

TOTAL ₹ 1024.73

Total: One Thousand Twenty Four Rupees And Seventy Three Paise Only

Changes This Month

Services Details Total

Other Charges

DTH - 3045907816-001 Airtel Punjabi Cinema_NRC_1M_Rs49 channel added on 04 Sep 2023 ₹ 45.73

DTH - 3045907816-001 Airtel Marathi Cinema Top Up 1M (Upfront NRC Rs 42) channel added on 20 Sep 2023 ₹ 16.80

Above charges are inclusive of taxes

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 • 3045907816
Original copy for recipient provided by Bharti Telemedia Ltd.

Billing Details

Vinita Joshi
Row House No -01 , Gajanan Row House Bill Number FD2427I000984199
. , BH Aashirwad Nursing Hospital.
Nashik, MAHARASTRA 422009 Bill Period 02 Sep 2023 to 01 Oct 2023

Email Address jiteshjoshi2008@gmail.com Bill Date 03 Oct 2023

Contact Number 9503222228 Due Date 13 Oct 2023

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

3045907816 Airtel Black 375 02 Sep - 01 Oct ₹ 375.00 ₹ 375.42 ₹ 375.42

Other Charges

DTH ID Description Duration Monthly Charges Net Charges Total

3045907816 Addtional Usage 02 Sep - 01 Oct ₹ 130.12 ₹ 105.99 ₹ 105.99

Tax Details

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

Rate Amount Rate Amount

998466 ₹ 481.42 9.0 % ₹ 43.33 9.0 % ₹ 43.33 ₹ 86.65

Charges For This month incl. tax (A) ₹ 568.07

Previous Dues (B) ₹ 456.66

Total Payments (C) ₹ 0.00

TAX INVOICE • 3045907816
Original copy for recipient provided by Bharti Telemedia Ltd.

Total Adjustments (D) ₹ 0.00

Amount Payable (A+B+C+D) ₹ 1024.73

Total: One Thousand Twenty Four Rupees And Seventy Three 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
YOUR CHARGES IN DETAILS • 3045907816
Original copy for recipient provided by Bharti Telemedia Ltd.

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

3045907816-001 SPORTS18 - 1 HD 02 Sep - 01 Oct ₹ 11.80 ₹ 11.80

3045907816-001 NCF 1M ALL Upfront Rs 60 02 Sep - 01 Oct ₹ 60.00 ₹ 60.00

3045907816-001 STAR PLUS 02 Sep - 01 Oct ₹ 22.42 ₹ 22.42

3045907816-001 Airtel Marathi Cinema Top Up 1M 20 Sep - 01 Oct ₹ 42.00 ₹ 16.80

(Upfront NRC Rs 42)
₹ 568.07
3045907816-001 Airtel Punjabi Cinema_NRC_1M_Rs49 04 Sep - 01 Oct ₹ 49.00 ₹ 45.73

3045907816-001 Colors Cineplex HD 02 Sep - 01 Oct ₹ 5.90 ₹ 5.90

3045907816-001 Black Marathi Premium Family Lite HD 02 Sep - 01 Oct ₹ 383.00 ₹ 383.00

3045907816-001 Star Sports 1 HD 02 Sep - 01 Oct ₹ 22.42 ₹ 22.42

Total Charges (incl. Taxes) ₹ 568.07