APPLICATION FOR TRANSFER OF TELEPHONE
DUE TO CHANGE OF CONSTITUTION
MAHANAGAR TELEPHONE NIGAM LIMITED
1. Name of the subscriber --------------------------------------------------
2. Address where the connection is working ---------------------------------
---------------------------------
3. Category of phone OYT/Genl/Spl. -----------------------------------------
4. Telephone number -----------------------------------------------------
5. Whether telephone provided on priority ----------------------------------
6. Particular of accessories such as Extn., PBX. etc. ----------------------
7. Reason for transfer -----------------------------------------------------
8. Name of the party to whom telephone being transferred -------------------
9. Address where the telephone is required after transferred ----------------
10. Name of prop./partners/Dir/Mg. Dir. (before Transfer)
1.
2.
3.
4.
11. Name of prop./partners/Dir/Mg. dir.1.
2.
3.
4.
I/We affirm that the above information is correct that the telephone indicated above may transferred to party indicated at item No. 1 above I/We further declare that I/We will not claim the Telephone the Indian Telephone Department in future.
Place:
Date:
(Sign. of the Transferors)
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I hereby agree to accept the above phone(s) and I/We agree to abide by the provisions in the Indian Telephone Rules 1951.
I further undertake to pay the transfer fee Rs. 100/- (Rupees one hundred only)
I further undertake complete responsibility for making payment of all outstanding dues including pending dues pertaining to prior to the date of transfer of the above telephone and further claims.
(Sign. of the Transferee)