APPLICATION FOR TRANSFER OF TELEPHONES 

Diary No.

Date :

ANNEXURE - I 

APPLICATION FOR TRANSFER OF TELEPHONES 

1  Name of the Subscriber 
2  Address where the telephone is working 
3  Telephone No._____________________ 

Category 

4  Particulars of Accessories such as Extensions/PBX etc. 
5  Name of the Party to whom the connection is going to be transferred. 
6  Address where telephone is to be installed after transfer. 
7  Reasons for transfer 
8  Relationship between the transferer and transfree. 
9  Name(s) of the existing Prop./Partners in the case subscriber is a firm. 
10  Name of the Prop./Parterner after transfer, in case subscriber is a firm 
(Before transfer)
11  Name of the subsciber after tranfer. 
I/We affirm that the above information is correct, and that the telephone indicated above may be transferred to the party indicated above at Item No. 5. The relevant documents prescribed are attached here with duly filled. 
 Witness:

1.

2. 

 Signatures of Tranferer and Tranferee :

1.  

2.

3.

Place ____________________________  
Dated ____________________ 
NOTE : Attestation must be made from the Magistrate 1st Class.