APPLICATION FOR SHIFTING

REGISTRATION ON ALL INDIA BASIS

MAHANAGAR TELEPHONE NIGAM LIMITED, NEW DELHI

Application for shifting of Registration on all India basis

(To be filled in by the appplicant in triplicate)

To,

The General Manager ( )

----------------------------------

----------------------------------

SUB: Shifting of Regn. No.---------------------------------Dated---------------

Sir,

Kindly arrange for shifting of my/our Registration number --------------------

Dated ------------as per particulars given below:

1 . Name of the subscriber.

(In Block Letters).

2. Father's/husband's Name

(in case of individual )

3. Address for correspondence.

4. Address where the telephone

has been registered.

5. Category of Registration.----------- Regn. No.-----------------------------

6. Date of Registration.

7. Address where registration

is required to be shifted

Dated:   Signatures of the subscriber

1. Please make a xerox copy 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. Filled in application form should be submitted at Divisional Customer Service Centre in whose jurisdiction the telephone is presently working.

MAHANAGAR TELEPHONE NIGAM LIMITED, NEW DELHI

Certificate for shift of Registration (On All India Basis)

(To be issued to the subscriber)

O/o ------------------------------------------

Book No. ------------------------------------- Dated ------------

Serial No. -----------------------------------

Reference

Registration No. ------------------------Dated----------------

1. Certified that Registration No. -------------------------- Dated------------

in the name of-------------------------------------------------for the address

---------------------------------------------------------- has been deleted form

the waiting list register on ------------------

2. Registration of the party was under the category:

Tatkal/OYT-G/OYT-S/NON-OYT-SWS/NON-OYT-SS/NON-OYT-S/NON-OYT-GENl.

------------------------------------------------Dated---------for the address

-------------------------------------------------------------------------------

3. Registration is to be shifted to this address : ---------------------------

---------------------------

4. Registration deposit amounting to Rs.---------------has been refunded to the

party/refund has been sanctioned vide memo no.---------------------------------

Dated ------------------

Specimen Signatures

1. -------------------- 2. ----------------------

3. -------------------- 4. ----------------------

Signatures

Name

Designation

Tele. No.

SEAL