CAF No

NLD Dark Fiber Local Loop

Mix Bandwidth Drop & Carry Peering Broadband

Pan No. GST No.

Customer Business informa on

Customer Category: Corporate ISP LCO BPO Others

License Type: License Area: ISP License No:

Authorized Signatory Details:

Name:
Email Id Designa on

Add Contact No

Security Deposit Amt.

Cheque No./NEFT Date

I/We have read and understood the terms and condi ons men oned overleaf and uncondi onally accept them as binding on me. I/We have understood
the rates, tariffs and other related condi ons as men oned in the bill plan enrollment format for which telecommunica on services will be provided within
India, as applicable, as on date and as may be amended from me to me. I/We undertake to pay all charges raised on account of services availed. I/We
further declare and undertake that the above informa on provided b me/us is true and correct in all respect.

Account Manager Partner