Department of Telecommunications 

Application form for Change of Address/Change of STD Status

  To  

The Commercial Officer  
___________________________ 
___________________________ 

Sir,  

I have changed my premises. I request you to kindly make necessary change in my file for installation of New Telephone as per particulars given below.

1.

Wating List No.  
i.e. Name of Exchange/Category/No.

2.

Name of the applicant (in Block Letters)

3.

Complete New Address With Existing STD Status 

4. 

Complete New Address with desired STD Status 

5. 

Reasons for change of Address

6. 

If change of Address is required from Resi. to commercial permises, convincing proof of reasons for Shift :- Affidavit, Property owner ship Proof, Rent lease deed, Electric  connection Bill etc. 

7.

Whether any change is required in STD Status if yes,please specify whether you want STD/ISD or both.

8.

Specimen Signatures

1)  

2)

Date:

Signature :  

Name :  

Address :