FORM-BTRC: CC5

Bangladesh Telecommunication Regulatory Commission

IEB Bhaban (5th, 6th & 7th Floor), Ramna, Dhaka-1000 APPLICATION FOR CONNECTIVITY OF CALL CENTER / HOSTED CALL CENTER SERVICE PROVIDER (HCCSP)

A. APPLICANT PROFILE 1. 2. 3. 4. 5. 6. 7. 8. 9. Name of Applicant Type of Call Center (Tick) License Number & Issue Date Registered Office Address Address of Operation Center Contact Persons Name Contact Number E-Mail Number of Employees (Local & Expatriate)

CC DOMESTIC

HCCSP INTERNATIONAL

B. PRESENT CAMPAIGN INFORMATION 1. 2. 3. 4. Type of Campaign (Tick) Number of Seats Clients Name Clients Address Clients Details (E-Mail, Website, Telephone & FAX) Type of Activities Outsourced Mode of Payment & Period of Payment (Use separate sheet if required) Contract Period

DOMESTIC INBOUND

INTERNATIONAL OUTBOUND

5. 6. 7. 8.

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FORM-BTRC: CC5

9.

10.

Details of Call Minutes Provider (Name, Address, E-Mail, Website, Telephone) Details of Leads Provider (Name, Address, E-Mail, Website, Telephone)

C. CONNECTIVITY DETAILS Connectivity Type (Tick):

IPLC

IP BANDWIDTH

OTHER

NOTE: a) Fill up section C.1 for IPLC connectivity; b) Fill up section C.2 for IP Bandwidth connectivity; c) Fill up section C.3 for Other connectivity.

C.1. DETAILS OF IPLC CONNECTIVITY 1. 2. 3. Address of the local end POP Address of the foreign end POP Proposed Amount of Bandwidth (Kbps/Mbps/E1, etc)

C.2. DETAILS OF IP BANDWIDTH CONNECTIVITY 1. 2. Type of Services Provided by ISP 3. 4. 5. Proposed Amount of Bandwidth Dedicated IP Address Destination IP Address Name of the IIG (Tick) Name of the ISP

BTCL Carrier
Per Seat :

MANGO TELESERVICES LTD. Bandwidth Provider

Total :

C.3. DETAILS OF OTHER CONNECTIVITY (for Domestic Call Center) 1. 2. 3. 4. Type of Connectivity Name of the Connectivity Provider Proposed Amount of Bandwidth (Kbps/Mbps/E1, etc) Type of Call (Only one is allowed) Incoming Outgoing
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FORM-BTRC: CC5

D. DOCUMENTS TO BE ENCLOSED Following documents are to be attached with the application form: Serial 1. 2. 3. 4. 5. 6. 7. 8. 9. Documents Actual Network Diagram Copy of Client Agreement ISP/ Connectivity Providers Offer Letter List of Agents (Name, Cell Number, E-Mail) List of Equipments BTRC CC2 Form BTRC CC3 Form IPLC/ IP Bandwidth/Others Requirement Calculation (Seat Wise) Copy of Proposal from Minutes & Leads Provider Both Existing and Proposed If Registered Number of Seats is Changed If Registered/Operation Center Address is Changed. Remarks

E. DECLARATION I/We hereby certify & declare that the above information is correct and complete to the best of my/our knowledge.

Date : Place :

_____________________ Signature and name of the Applicant/Authorized Signatory with seal

NOTE: BTRC CC6 Form has to be submitted within 15 days from the approval of connectivity.

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