APPLICATION FORM FOR  SHIFTING OF TELEPHONE

Application form for shifting of Telephone
Specimen Signature Sheet For Shift of Telephone to Other Stations With in the SSA

APPLICATION FORM FOR  SHIFTING OF TELEPHONE 

 
To  The Commercial Officer/ 
The Sub Div Officer Telegraphs/Phones 
________________________
Sub:-       Shifting of Telephone No. _______________________________ 

Sir, 
       Please arrange for the shifting of my /our Telephone No. ________________________ as per particulars given below :- 

1.  Name of the Subscriber (in block letters) in whose name the telephone was sanctioned.    
2.  Address where the telephone is /was   working     
3. 

(a)Address for correspondence.

(b) New  Billing Address.

    
4.  (a) Whether telephone is working at present. 

(b)  If not working give details of disconnection (Tick one of them) 

YES/NO 

(i) Temporarily disconnected due to non payment.

(ii) Disconnected for safe custody.

(iii) Disconnected for shift (as per earlier application and detalis thereof)

5.  (a) Accessories working with the telephone. 
 

 
 

(b) Present STD facility 

(i) Plug & Socket 
(ii) Plan-103 
(iii)Parallel extension. 
(iv)Long Cord. 
(v)Any other 
 

Available/Barred 

6.  Are the accessories presently working on telephone required at the new place also    Yes/No. 
7. (a)  Address where the telephone is required to be shifted. 
(b) Status of applicant in the organisation, firm or company if the telephone belongs to firm, organisation,or company. 		    
8. If shifting is not immediately feasible, Whether telephone connection should continue working at its present address or should be closed under shift Continue to work Closed under shift from dt.
9.  In case telephone is not eligible for shift whether it should continue to work at its present address or should be disconnected under safe custody. Should continue to work  To be disconnected under safe custody from dt.
10. Billing address of the subsciber during the period of disconnection under shift/safe custody.     
11.  State if subscriber will carry the instrument with him to the new place of  installation.

Yes/No

 
Place__________________ 
Date. __________________

SIGNATURE OF THE SUBSCRIBER
     

(With Date) 

For Office use only 
(To be filled by Account Officer (TR)) 		  
1.  Is the telephone working or disconnected       
2.  Date of disconnection & O.B. No., if the connection is lying DNP       
3.  Outstanding bills of the subscriber, if any.       

Accounts Officer (TR) 

4.  Check of Commercial records and issue of orders. 
(a) Details of orders
 
DS O.B. No. 

DS (E)O.B. No

DS (C) O.B. No

(b) With STD/ISD Barred 
(c) Intimation to subsciber 
(d) Instruction for review of the case.(in the event of safe custody)

     
 

Commercial Officer, Telephones, 

 

Instructions 

  1. Application form for shifting of telephone should be signed by person in whose name the telephone has been working or by the authorised person in case it is working in the name of a firm, company etc.
  2. Accessories provided to telephone will be closed at the original location and will be   provided at the new location if required.
  3. The telephone is eligible for shift if (a) the registration date of intial application for the telephone connection required to be shifted falls within the release period of concerned category pertaining to the exchange to which it is required to be shifted or (b) if the telephone has been working for at least 18 months in respect of NON-OYT connection and 6 months in respect of OYT connections.

 

 

SPECIMEN SIGNATURE SHEET FOR SHIFT OF TELEPHONE TO OTHER STATION / WITH IN SSA

(To be filled up by the applicant in duplicate)

 

Telephone No..........................................
Name......................................................

Address where the phone working                 :    ..........................................................
                                                                        ..........................................................
                                                                        ..........................................................

Address where the shift is required                 :   ..........................................................
                                                                       ..........................................................
                                                                       ..........................................................

SPECIMEN SIGNATURES:

         1.                                                                   3.

         2.                                                                   4.

 

FOR OFFICE  USE ONLY

Certified that the telephone No. ...................................... for shift to ............................................ has been closed on .......................... in the name of ....................................................... and a certificate No .................................... dated ............................ issued to had been issued to the subscriber. This is a specimen signature sheet   duly verified with office record and being sent for keeping in record for further necessary action at your end.

                                                                                Signature ...............................................
                                                                                Name of the Officer ...............................
                                                                                Designation ...........................................
                                                                                Telephone No .......................................

Dated:                           Seal.