Application For Grant of Licence for using Facsimile Machine

Department of Telecommunications 

Application For Grant of Licence for using Facsimile Machine

 

1.  Name of the applicant  : 
2.  Postal Address  : 
3.  Nature of business  : 
4.  Status of applicant 
Central Govt., State Govt., Private Firm, Private Industrial 		 : 
5.  Address at which the FAX machine is proposed to be located.  : 
6.  Purpose ( see note below ) for own use 
For public use. 		 : 
7.  How the FAX machine is proposed to be connected. 

1. On Telephone No. ______________________ for use over PSTN. 

2. On leased line between __________________________ (Station) and ____________________________ (Station). 
8.  Name & Type of the machine proposed to be used.  : 
9.  Manufacture's Name  : 
Place ______________________________ 

Date______________________ 

Signature of the applicant 

Name/Designation 

Organisation 

  

DECLARATION

We ______________________________________________________________ hereby agree to the following terms and conditions in the event of our request is granted:  

1. We are aware that the licence is governed by the Indian Telegraphs Act and Rules frames thereunder and that we will abide by them. 

2. We shall pay regulalrly to the Department of Telecom during the continuance of the license such time fixed the department as licence fee and in such manner as prescibed by the Department of Telecom. 

3. We shall also pay such other charges (call chanrges rentals etc) as are/may be prescribed by the Department of Telecomduring the continuance of the licence. 

4. We indemnify the Department of Telecom for any loss caused due to errors in transmission through FAX machines. Nor will the Department liable to pay any damages caused to the improper functioning of the FAX equipment. 

5. We are aware that the inability to establish of use us FAX communication link licenced by the Department of Telecom is no ground for claiming refund of licence. 

6. We will use only the make/type of the machines for which the licence is granted and will not substitute any other make/type without consent of the Department of Telecom. 

7. We will remove retrial facility if available in the make/type of the machine for which licence is applied.

(Note: FAX Machines with only one automatic retrieal is permitted. FAX Machines with successive retrials will not be permitted.)  

8. We will use the FAX transmissioni only for sending/receiving documents / charts / drawings connected with our business and that we will not use the facility for transmission / reception of documents / charts / drawing of the general public or other organisation.

OR  
We will use FAX facility for providing FAX service for public use subject to the provisions of the Indian Telegraph Act & Rules.  

9. We ar aware that the maintenance of the FAX Machine (subscriber owned) is fully our responsibility and the Department of Telecom is not liable to repair the machine. 

10. We are aware that in the event of violation of any of the above conditions or violation of Indian Telegraph ACt / Indian Telegraphs Rule, Department of Telecom, will revoke the Licence, 

  

Place ______________________________   Date______________________ 

Signature of the applicant

Name/Designation 

Organisation

* Strike off whichever is not applicable