A. Transfer fee chargeble...............................................................................................Rs.100/-

1. Transfer to near relative viz. father, mother, sister, brother, husband, wife, son, daughter is permissible only after one year.

Of subscriber.......................................................................................................................................

2. Address where the connection is working.................................................................................

...............................................................................................................................................

3. Category of phone. OYT/Genl/Spl..........................................................................................

4. Telephone Number ...................................

5. Where telephone provided on priority.......................................................................................

6. Particular of eccesseries such as..............................................................................................

Extn., PBX etc.

7. Reason for transfer..................................................................................................................

8. Name of the party to whom telephone being transferred............................................................

9. Address whether the telephone is required after transfer.............................................................

10. Relationship between the present subscriber & the transferee....................................................

11. Name of prop. before transfer ( if properientorship ).................................................................

12.

        2.

        3.

        4.

13. Name of Dir/Mg. Dir (If Ltd./Pvt.Ltd. Co.)

        2.

        3.

        4.

14. Name of prop/partners/directors/Mg.Dir.(as the may be) after transfer.................................... 1.

        2.

        3.

        4.

I/We affirm that the above information is correct that the telephone indicated above may be transferred to the party indicated at item no. 8 above and I/We further declare that I/We will not claim the telephone from the Indian Telephone Department now or in future.

Place.................................. (.........................................)

Sign. of the Subscriber.

Date..................................(In case of death write Expired.)

_________________________________________________________________________________

1. I/we hereby agree to accept the above phone(s) and I/we agree to abide by the provisions in the

Indian Telephone Rules, 1951.

2. I/we further undertake to pay the transfer fee Rs. 100/-( Rupees One Hundred only)

3. I/we further undertake complete responsibility for making payment of all outstanding dues

including and pending dues pertaining to prior to the date of transfer of the above telephone

and further claims.

(Sign. of the Transferee)