APPLICATION FOR SHIFT OF TELEPHONE
WITHIN SAME EXCHANGE AREA
MAHANAGAR TELEPHONE NIGAM LIMITED, MUMBAI
To
The Divisional Engineer ( )
-----------------------------------------
Mumbai .
Sub: Shifting of Telephone No_________________________
Sir,
Please arrange for the shifting of my/our telephone No_______________as per
particulars given below:-
1. Name of the subscriber:
(In block letters)
2. Telephone works for individual/
firm/company/organisation
3. Address where the telephone is working
4. Address where telephone is required
to be shifted
5. State Whether the telephone is working
at present, if not, give details of not
working i) Disconnected due to non payment
ii) Disconnected for safe-custody
(Tick the relevent one) iii) Disconnected for shift (as per
earlier application and details
thereof)
6. If the telephone is technically not
feasible for the shift, state whether
it should continue to work at its
present address or it should be
closed under shift.
7. Accessories working on the telephone:
8. Whether the accessories presently working
are required at the new address also.
I/We/am/are/ ready to pay necessary charges for the shift aplied for.
Contact Telephone No_____________________O_________________R________________
Fax No _______________
(Signature of the subscriber/authorised signatory)
Name........................
Attestation by Gazetted Officer or Ist class Magistrate
The signatory mentioned above is personally known to me for last
________________years. His signatures are hereby attested.
(Signature of the Officer):
Name
Tele. No...................
Official Seal
INSTRUCTIONS
*
1. Please make a xerox or type the form in the format received on Fax, on a good quality paper preferably bond paper and fill in the application neatly.
2. Application form for shifting of telephone should be signed by the person in whose name the telephone has been opened or by the authorised person in case it is working in the name of a firm/ company etc.
3. Filled in application form should be submitted at Divisional Customer Service Centre in whose jurisdiction the telephone is presently working.
4. Photocopy of the paid bill should be attached along with the application (less than two months old).
5. You can send the filled in application form on our Fax No. 1661 for further action by MTNL.
Name
Official Seal