Certificate for Transfer of Registration on All India Basis

BSNL 

CERTIFICATE FOR TRANSFER OF REGISTRATION ON ALL INDIA BASIS 

    

To be filled in by the applicant ( In Duplicate) 
1. Regn. No. ____________________________ 

Dated _________ 

2. Name ________________________________________________________ 
3. Address where telephone has been registered presently  

  

 

4. Address where the shift is required:  

  

  

 

SPECIMEN SIGNATURES
1) ___________________________  
3) ___________________________ 
2) ___________________________  
4) ___________________________ 
FOR OFFICE USE  
Certified that Regn. No. ___________________________________dated _____________________ for shift to _________________________ in the name of _____________________________________________ has been deleted in the waiting list register and a certificate No. _________________________ dated_____________________ has been issued to the subscriber. This is a specimen signature sheet duly certified for further necessary action at your end. Registration fee of Rs. _________________________ is being refunded to the Party.
Note  This certificate is valid for a period of 30 days & the Applicant has to apply to the concerned station within the validity period. 
Dated :  Signature: 
Name of the Officer__________________________  
Designation :  
Telephone No. :  
SEAL :