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in

TARIFF ENROLMENT FORM FOR MASS SEGMENT

Subscriber Name: Request Date
Subscriber Address:
SEF No:
Existing/Old Telephone No. Existing telephone service provided:

Plan Name Pace - 899 Upto 16 Mbps Zoom - 1099 Upto 40 Mbps Zoom - 1299 Upto 40 Mbps
Zoom - 1499 Upto 40 Mbps Zoom - 1799 Upto 40 Mbps Zoom - 2099 Upto 40 Mbps Zoom - 3299 Upto 40 Mbps
Plan Rental (Rs.) 899 □ 1099 □ 1299 □ 1499 □ 1799 □ 2099 □ 3299 □
Plan Code FLBPL195342
FLBPL195343
FLBPL195344
FLBPL195345
FLBPL195346
FLBPL195347
FLBPL195348 FLBPL195349
FLBPL195350
FLBPL195351
FLBPL195352
FLBPL195353FLBPL195354
FLBPL195355
FLBPL195356
FLBPL195357
FLBPL195358 FLBPL195359
FLBPL195360
FLBPL195362
FLBPL195363
FLBPL195364 FLBPL195365
FLBPL195366
FLBPL195368
FLBPL195369
FLBPL195370 FLBPL195371
FLBPL195372
FLBPL195374
FLBPL195375
FLBPL195376 FLBPL195377
FLBPL195378
Configured Speed (To be ticked as per Max 2 Mbps □ 4 Mbps □ 8 Mbps □ 16 Mbps □ 2 Mbps □ 4 Mbps □ 8 Mbps □ 16 Mbps □ 40 Mbps □ 2 Mbps □ 4 Mbps □ 8 Mbps □ 16 Mbps □ 40 Mbps □ 2 Mbps □ 4 Mbps □ 8 Mbps □ 16 Mbps □ 40 Mbps □ 2 Mbps □ 4 Mbps □ 8 Mbps □ 16 Mbps □ 40 Mbps □ 2 Mbps □ 4 Mbps □ 8 Mbps □ 16 Mbps □ 40 Mbps □ 2 Mbps □ 4 Mbps □ 8 Mbps □ 16 Mbps □ 40 Mbps □
feasible speed)
Speed Beyond FUP Limit 512 Kbps 512 kbps 512 kbps 512 kbps 512 kbps 512 kbps 512 kbps
Free Voice Usage -Local & STD Mins Unlimited Unlimited Unlimited Unlimited Unlimited Unlimited Unlimited
(both Fixed line & Mobile)
Additional DSL Usage Charges (Rs./MB) Nil Nil Nil Nil Nil Nil Nil

FUP Download Limit (in GB) 60 GB 90 GB 125 GB 160 GB 220 GB 275 GB 500 GB
Installation charges Rs. 1000 Rs. 1000 Rs. 1000 Rs. 1000 Rs. 1000 Rs. 1000 Rs. 1000

Voice calling rate (paisa/minute)

Local Pulse Rate: To Airtel Fixed line 60 ps/min 60 ps/min 60 ps/min 60 ps/min 60 ps/min 60 ps/min 60 ps/min
Local Pulse Rate: To Others Fixed line 60 ps/min 60 ps/min 60 ps/min 60 ps/min 60 ps/min 60 ps/min 60 ps/min
Local Pulse Rate: To Airtel Mobile 60 ps/min 60 ps/min 60 ps/min 60 ps/min 60 ps/min 60 ps/min 60 ps/min
Local Pulse Rate: Other Mobile 60 ps/min 60 ps/min 60 ps/min 60 ps/min 60 ps/min 60 ps/min 60 ps/min
STD Pulse Rate: To Airtel Fixed line 75 ps/min 75 ps/min 75 ps/min 75 ps/min 75 ps/min 75 ps/min 75 ps/min
STD Pulse Rate: To Others Fixed line 75 ps/min 75 ps/min 75 ps/min 75 ps/min 75 ps/min 75 ps/min 75 ps/min
STD Pulse Rate: To Airtel Mobile 75 ps/min 75 ps/min 75 ps/min 75 ps/min 75 ps/min 75 ps/min 75 ps/min
STD Pulse Rate: Other Mobile 75 ps/min 75 ps/min 75 ps/min 75 ps/min 75 ps/min 75 ps/min 75 ps/min
ISD Rate (60 Sec)
USA Canada & Fixed line Europe 6.00 6.00 6.00 6.00 6.00 6.00 6.00
SE Asia & Australia 7.99 7.99 7.99 7.99 7.99 7.99 7.99
Gulf Countries 11.00 11.00 11.00 11.00 11.00 11.00 11.00
Fsecure (3 devices) Antivirus for 3 devices @ 0 cost Antivirus for 3 devices @ 0 cost Antivirus for 3 devices @ 0 cost Antivirus for 3 devices @ 0 cost Antivirus for 3 devices @ 0 cost Antivirus for 3 devices @ 0 cost Antivirus for 3 devices @ 0 cost

Approximate Bill Calculations

Usage in Minutes Pace - 899 Upto 16 Mbps Zoom - 1099 Upto 40 Mbps Zoom - 1299 Upto 40 Mbps Zoom - 1499 Upto 40 Mbps Zoom - 1799 Upto 40 Mbps Zoom - 2099 Upto 40 Mbps Zoom - 3299 Upto 40 Mbps
100 899 1099 1299 1399 1699 1999 2299
200 899 1099 1299 1399 1699 1999 2299
300 899 1099 1299 1399 1699 1999 2299
400 899 1099 1299 1399 1699 1999 2299
500 899 1099 1299 1399 1699 1999 2299
1000 899 1099 1299 1399 1699 1999 2299
Service Tax As Applicable As Applicable As Applicable As Applicable As Applicable As Applicable As Applicable

Terms and conditions

1. Speed will be configured as per the max speed feasible speed for the customer location. Maximum feasible speed can vary from 2 Mbps to 40 Mbps
2. STD is available by default
3.%FCV or any other benefits in the plan , if any, are available per bill cycle and cannot be carried forward to next billing cycle unless explicitly allowed by Airtel
4.Apart from the above mentioned ISD rates , there are certain other area specific codes which will be charged at different rates , please refer details on www.airtel.in
5. Interest fee is refundable after disconnection subject to adjustment of outstanding dues , if any
6. As per TRAI, bill calculation is based on the following assumption- 61% of overall calling on local fixed line (on net 23%, off net 38%) 13% of local mobile (On Net 5%, Off Net 8%), 20% on fixed line STD (On Net 3%, Off Net 17%) and 6% on Mobile STD (On Net 2%, Off Net 4%)
7. Data transfer includes both Upload and Download
8. The Estimated bill is exclusive of taxes, PRS/VAS charges, chargeable broadband usage, etc. and hence cannot be taken as the exact bill amount . Activation is subject to necessary documents viz Customer Acquisition Form / Subscriber Enrollment Form along with valid POI (Proof of Identity) and POA (Proof of Address) being submitted and furnished by customer along with this tariff enrollment form. All Value Added and Premium Rate Services (VAS/PRS) are
9. The plans / offers are subject to guidelines/directions/orders issued by TRAI and/or DoT . Bharti Airtel Ltd reserves the right to modify/alter/change/withdraw the tariff plans
10. Accuracy of measurement of time is +/- 1 second . Call duration is rounded upwards if it is equal to or more than 1 milli second . All value added and premium rate (VAS/PRS) are chargeable services and available if subscribed to

Declaration
I have read the details of the tariff plan chosen by me, and have fully understood the one-time charges and all the terms and conditions on the same. I understand that terms and conditions are subject to change without prior notification. I also declare that no extra amount has been collected from me apart from the amount quoted by me above.

Signature of the sales executive

Signature of the subscriber Sales executive Code
Place : Place :
Date : Date :