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BSNL Customer Application Form
BSNL Customer Application Form
(Signature of Customer)
Counterfoil to be given to Applicant www.bsnl.co.in|Helpline 1800 180 1503
CAF NO. Name of Subscriber _______________________________________ Mobile no. allotted
Proof of identity details Proof of Address details
Type of POI Driving License Document No. TN18 20130000336 Type of POA Driving License Document No. TN18 20130000336
Date of Issue 18-JAN-2013 Place of Issue RED HILLS Date of Issue 18-JAN-2013 Place of Issue RED HILLS
Issuing Authority RTO Issuing Authority RTO
Received w ith thanks an amount of Rs.________/- By Draft/Cash/Cheque No.
___________ Dated_______________issued POS POS Name_______________________________________
POS Code________________________________________
from_______________Bank_____________City__________________. Note:For
activation ,please dial 1507 using your new SIM in 1-2 days forteleverification Sign & Stamp Date_____________________________________________