Application for Transfer of Registration on All India Basis

  Department of Telecommunications
Application for Transfer of Registration on All India Basis

   

To,

      The General Manager Telecom,

 

I/We, the undersigned apply for shifting of registration fro telephone connection. The relevant particulars are given below : 

1. 

Name of the Applicant (SURNAME FIRST) 

 

   

2. 

Name of Father/Husband 

 

   

3. 

Address where the telephone is registered presently. 

 

     

4. 

Registration data 

_______________ _______________ 

______________________ 

 

Registration No. 

_______________ _______________ 

Dated ______________________ 

    

5 

Category   (Please tick)

 

 

NOYT-G 

NOYT-S 

NOYT-SS 

NOYT-SWS 

OYT-G 

 

 

OYT-S 

TATKAL 

 

6. 

Status of the applicant (Please tick)

1. Individual 2. Partnership  3. Proprietorship 4. Ltd. Co.  5. Pub. Inst. 
6. Society  7. Association 8. Trust  9. P.S.U.  10. Government 
11. H.U.F.  12. Statutory body  13. Foreign National 
 

7. 

Purpose for which telephone is required (Pleas tick) 

 

Residence 

Business 

 

8. 

Address (where registration is required to be transferred) 

 

   

9. 

Address (for purpose of correspondence) 

 

 

 

 

PIN CODE

 

10.

Reason for shifting :