MONTHLY STATEMENT

Rajendra Prasad Lohra Your Plan: Airtel Black Plan

Total Amount:
Email: rplohra@gmail.com Number of connections: 3
₹ 1,314.03
Phone number: 9407987088 Statement Date: 27 Apr 2022
Primary Service ID: 078810766954_dsl Statement Period: 26 Mar '22 - 25 Apr '22 Due Date:
Airtel Black ID: 10101013670004 15 May 2022

Previous Dues Payments Credits This Month's Charges Total Amount Amount after
due date (15 May)

₹505.67 - ₹605.67 - ₹0.00 + ₹1,414.03 = ₹1,314.03 ₹1,550.03

This Month's Summary (Amounts in ₹)

Services Connections Plan/Pack Charges Other Charges Total

Mobile - 9109539180 2 669.06 10.00 679.06

Broadband - 078810766954_dsl 1 789.33 0.00 789.33

Airtel Black Plan - 10101013670004 3 1,458.39 10.00 1,468.39

Taxes - - - 215.70

Previous Dues - - - 505.67

Payments - - - - 605.67

TOTAL AMOUNT ₹ 1,314.03

One Thousand Three Hundred Fourteen Rupees And Three Paise Only

Changes This Month

Services Details Total

Plan Change

Bill Plan changed on 27/03/2022, the charges are prorated in your bill for this month. For more
Fiber: 078810766954_dsl ₹931.41
refer to invoices below

Black: 10101013670004 You have added Mobile 9406349985 to your Airtel Black Plan on 29/03/22, the charges are -
prorated in your bill for this month. For more refer to invoices below

Additional Usage

Mobile: 9109539180 ISD Usage ₹11.8

Check invoices for more details Above charges are inclusive taxes

How to pay?

Online: Airtel stores:

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

MONTHLY STATEMENT
Rajendra Prasad Lohra Your Plan: Airtel-UL-Xstream Basic 799 Amount Payable:
Qtr No 27/B,Street No 5 Sector
Unlimited GB (100Mbps/1024Kbps) COMBO
2,,Bhilai,,Bhilai,Chattisgarh,490001
Plan
` 931.41
Bhilai Chattisgarh 490001
Email Address: rplohra@gmail.com Number of Connections: 1 Due Date:
Phone Number: 9407987088 Statement Date: 27 Apr 2022 07 May 2022
Statement Period: 26 Mar 2022 to 25 Apr 2022

Amount after due

Previous Dues Payments Credits Charges for this Month Amount Payable
date(07May)

` 378.53 - ` 378.53 - ` 0.00 + ` 931.41 = ` 931.41 ` 1049.41

This Month's Summary

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

Broadband - 078810766954_dsl 1 ` 789.33 ` 0.0 ` 789.33

Taxes (GST) - - - ` 142.08

Previous Dues - - - ` 378.53

Payments1 - - - - ` 378.53

Total (Incl. Taxes) ` 931.41

Total : Nine Hundred Thirty One Rupees and Forty One Paise Only

Changes This Month

Services Details Total
Plan Change

Fiber: 078810766954_dsl Bill Plan changed on 27/03/2022, the charges are prorated in your bill for this
931.41
month. For more refer to invoices below.

Check invoices for more details Above charges are inclusive taxes

How To Pay ?

Send payment to
20001552626.FL@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 20001552626.FL@mairtel

Scan & pay via any UPI Apps

Powered by

Page 1 of 4
MONTHLY STATEMENT
1
Payments and refunds-details
Last Payment against this account

Description Date Amount Paid

Payment via Airtel Pay (CCA) 30 Mar 2022 -378.53

Total ` -378.53

YOUR PAYMENT OPTIONS

Relationship No. 20001552626 Bill No. HT2322I000060909 Amount Due : 931.41 LoB : Telemedia
cheque/DD In favour of "Airtel Relationship no. 20001552626"
cheque/DD No. _____________ Dated _____________ Amount _____________ Bank _____________

This is only a summary statement. Input tax credit will not be available on the basis of this document.
Page 2 of 4
FIXEDLINE AND BROADBAND SERVICES
Original Copy for Recipient provided by Bharti Airtel Limited- Tax Invoice
Fixedline number : 07884230228 / Broadband ID : 078810766954_dsl

Billing Address

Rajendra Prasad Lohra

Qtr No 27/B,Street No 5 Sector 2,,Bhilai,,Bhilai,Chattisgarh,490001
Bhilai HT2322I000060909 20001552626
Chattisgarh, Ship To State Code : 22 Place of Supply : Chhattisgarh
490001
Email id : rplohra@gmail.com
PhoneNo:9407987088

Account

Account No 20001552626 Bill NO HT2322I000060909

Bill Period 26 Mar 2022 to 25 Apr 2022 Bill Date 27 Apr 2022
Pay By Date 07 May 2022
Credit limit 2500.00
Security deposit 0.00

This Month's Charges Charges( ` )

Rental Charges 789.33

Taxes 142.08

Total Amount ` 931.41

Total:Nine Hundred Thirty One Rupees and Forty One Paise Only

Detailed breakup of these charges can be found on next page

Send payment to
20001552626.FL@mairtel

For Bharti Airtel Limited

Scan & pay via any UPI Apps

Vasim Unissa S,VP Powered by

Page 3 of 4
 Relationship No : 20001552626

YOUR CHARGES IN DETAIL

Rentals
Description From date To date Rental Net charges Total(`)
Plan Details
Scheme Charges @ ` 499 26/03/2022 27/03/2022 16.10 16.10 789.33
Scheme Charges @ ` 799 27/03/2022 25/04/2022 773.23 773.23

Tax Details
CGST SGST/UTGST
HSN Taxable Value Total Tax Total(`)
Rate Amount Rate Amount
998412 789.33 9% 71.04 9% 71.04 142.08 142.08

This month's charges 931.41

Payments and refunds-details

Description Date Amount Total(`)
payment via airtel pay (cca) 30-Mar-2022 -378.53 -378.53

Bill Plan Details : Airtel-UL-Xstream Basic 799 Unlimited GB (100Mbps/1024Kbps) COMBO Plan
Rental: ` 799 Quota: Unlimited *Speed: 100 Mbps
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), 0755-4444121(for Non-Airtel number, call charges apply) | Complaints: Call
198 (toll free for Airtel), 0755-4444198(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. Devendra Jain, 0755-4221100; appellate.central@in.airtel.com; address: Bharti
Airtel Limited, 3rd Floor, Metro Towers, AB Road, Near Vijay Nagar, Indore- 452010, Madhya Pradesh
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, Nav Bharat Udyog Bhawan in front of Old RTO, Ring Road No-1,
Telibanda, Raipur, Chattisgarh -492006
Ship To State Code : 22 GST registration no : 22AAACB2894G1ZX 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 , 9983 Support services , 998716 Maintenance and repair services of telecommunication equipment and apparatus ,
999799 Other Services n.e.c , 998412 Fixed Telephony Service

Page 4 of 4
MONTHLY STATEMENT
Mr. Rajendra Prasad Lohra Your Plan: Infinity Family Plan 399 Amount Payable:
Quarter No 27/B Street No 5 Ward No 49 Sector Number of Connections:2
2 Bhilai 1 durg bhilai 1 Durg Statement Date:27 Apr 2022
` 382.62
Bhilai, Chhattisgarh, 490001 Statement Period:26 Mar 2022-25 Apr 2022 Due Date:
Email Address: rplohra@gmail.com
15 May 2022
Phone Number: 9109539180

Amount after due

Previous Dues Payments Credit/Adjustment Charges for this Month Amount Payable
date(15May)

` 127.14 - ` 227.14 - ` 0.00 + ` 482.62 = ` 382.62 ` 500.62

This Month's Summary

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

Mobile 9109539180 2 ` 669.06 ` -260.06 ` 409.0

Taxes (GST) - - - ` 73.62

Previous Dues - - - ` 127.14

Payments1 - - - - ` 227.14

Total (Incl. Taxes) ` 382.62

Total : Three Hundred Eighty Two Rupees and Sixty Two Paise Only

Changes This Month

Services Details Total
Additional usage

Mobile: 9109539180 ISD Usage 11.80

Check invoices for more details Above charges are inclusive taxes

How To Pay ?

Send payment to
1-3857809360458.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 1-3857809360458.POST@mairtel

Scan & pay via any UPI Apps

Powered by

Page 1 of 7
MONTHLY STATEMENT
Payment Details1

Description Date Amount Paid

Payment via Airtel Pay (CCA) 30 Mar 2022 -127.14

Balance Transferred from Prepaid (Validity) 07 Apr 2022 -100.00

Total ` -227.14

YOUR PAYMENT OPTIONS

Relationship No. 1-3857809360458 Bill No. BM2322I000052300 Amount Due : 382.62 LoB : Mobility
cheque/DD In favour of "Airtel Relationship no. 1-3857809360458"
cheque/DD No. _____________ Dated _____________ Amount _____________ Bank _____________

This is only a summary statement. Input tax credit will not be available on the basis of this document.
Page 2 of 7
MOBILE SERVICES
Original Copy for Recipient provided by Bharti Airtel Ltd.- Tax Invoice

1-3857809360458

Billing Address

Mr. Rajendra Prasad Lohra

Quarter No 27/B Street No 5 Ward No 49 Sector 2 Bhilai 1
durg bhilai 1 Durg
Bhilai 490001 BM2322I000052300 1-3857809360458
Chhattisgarh
Email: rplohra@gmail.com Ship To State Code : 22 Place of Supply : Chhattisgarh
PhoneNo: 9109539180

Account

Account No 1-3857809360458 Bill NO BM2322I000052300

Bill Period 26 Mar 2022-25 Apr 2022 Adjustment 0.00
Bill Date 27 Apr 2022
Pay By Date 15 May 2022
Credit limit 2500.0
Security deposit 0.0

This Month's Charges Charges( ` )

Rental Charges 669.06

Usage 10.00

One time charges -270.06

Taxes 73.62

Total Amount ` 482.62

Total:Four Hundred Eighty Two Rupees and Sixty Two Paise Only

Detailed breakup of these charges can be found on next page

Send payment to
1-3857809360458.POST@mairtel

For Bharti Airtel Limited

Scan & pay via any UPI Apps

Vasim Unissa S,VP Powered by

Page 3 of 7
 Relationship number 1-3857809360458

SUMMARY OF THIS MONTH CHARGES

Account summary
Account no. Airtel number Monthly rentals Usage One time charges Total
1-3857809360458 9109539180 399.00 10.00 0.00 409.00
1-3978092034890 9406349985 270.06 0.00 0.00 270.06
Total 669.06 10.00 0.00 679.06

Tax Details
CGST SGST/UTGST
HSN Taxable Value Total Tax Total(`)
Rate Amount Rate Amount
998413 138.94 9% 12.50 9% 12.50 25.00
73.62
999794 270.06 9% 24.31 9% 24.31 48.62

This month's charges 482.62

Payment Details
Description Date Total Total(`)
Payment via Airtel Pay (CCA) 30-Mar-2022 -127.14
-227.14
Balance Transferred from Prepaid (Validity) 07-Apr-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. Devendra
Jain ;9981544865 ;appellate.mpcg@in.airtel.com ;Bharti Airtel Limited, 3rd Floor, Metro Towers, AB Road, Near Vijay Nagar , Indore, Madhya
Pradesh
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, Nav Bharat Udyog Bhawan in front of Old RTO, Ring Road No-1,
Telibanda, Raipur, Chattisgarh -492006
State Code: 22 GST registration no.: 22AAACB2894G1ZX 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 7
 Relationship number 1-3857809360458
Airtel mobile number 9109539180
YOUR CHARGES IN DETAIL - 9109539180

Monthly rentals
Description From date To dateRental Amount Total(`)
Plan Name
399.00
infinity family plan 399 26/03/2022 25/04/2022399.00 399.00

Usage - (26-Mar-2022 to 25-Apr-2022)

Description Total usage Usage above eligibility Amount Total(`)
SMS - International
2 2 10.00
10.00
Internet Usage(MB) Amount
mobile internet 2g 426758* With in Quota 0.00
*Pulses to MB conversion = (no of pulse * 10) / 1024, here charging is done per 10 KB.
Internet charges may vary due to usage in multiple data bands (2g/3g/4g).

This month's charges 409.00

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 7
 Relationship number
1-3857809360458
Airtel mobile number 9109539180

YOUR ITEMIZED STATEMENT

S.no Date Time Number Duration/ Pulse Amount

volume
1.SMS - International Messages
1.a
1 26/MAR/2022 15:54:24 0082109482563 1 1 5.00
3
2 10/APR/2022 16:29:48 0082109482563 1 1 5.00
3

total 2 2 10.00

Page 6 of 7
 Relationship number 1-3978092034890
Airtel mobile number 9406349985
YOUR CHARGES IN DETAIL - 9406349985

Monthly rentals
Description From date To dateRental Amount Total(`)
Plan Name
270.06
infinity family add-on 299_pkg_33601 29/03/2022 25/04/2022270.06 270.06

This month's charges 270.06

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 7