BHARAT SANCHAR NIGAM LIMITED

Lucknow Telecom District

Telephone Bill Name & Address of the Customer SUBHASH CHANDRA AGRAWAL . 21/104 MALHAR SAHARA STATES JANKIPURAM LUCKNOW SAHARA ESTATE SAHARA ESTATE LUCKNOW IN 226020 India Customer ID Account Number Invoice Number Invoice Date Invoice Period Due Date Deposit 1500.00 Customer Type Phone Number Last Payment 76.13 Plan ONE INDIA
Payment Details Description Payments Adjustments Adjustment Description Adjustment for Portal Payment Total Charges (Rs.) Recurring Charges Product LANDLINE Total Charges (Rs.) Usage Charges Phone Calls Local LL BSNL Local LL Other Operator Total Charges (Rs.) Discounts Discount Type LL-WLL-FREE-CALL-50-1-ISD_EXEMPT Total Discounts (Rs.) Plan ONE INDIA Period 01/12/12 to 31/12/12 Qty NA Rate NA Date 15/12/12 Amount(Rs.) 77.00 Charges -1.80 -1.80

1000605941 1000918638 10009186380038 05/01/2013 01/12/2012 to 31/12/2012 28/01/2013 INDIVIDUAL 0522-2735351 Amount Payable =

Account Summary
Previous Balance Adjustments + 77.00 -1.80 + 202.25 Current Charges

Account Balance = 199.58

200.00
(Rounded Up)

Summary of Current Charges

Recurring Charges One Time Charges Usage Charges Discount

Amount (Rs.)
180.00 0.00 32.00 -32.00 22.25 PAN Number

Charges Tax 180.00 180.00 Total Net Amt 30.000 2.000 32.00

Charges

202.25

Units 30 2

Duration/Vol Gross Amt 00:13:10 30.00 00:00:30 2.00 32.00

Disc 0.00 0.00 0.00

Period 01/12/12 to 31/12/12

Discounts -32.00 -32.00

Tax Details Description Service Tax New Education Cess New Higher Edu. Cess New

AABCB5576G

Tax Rate 12.00% 0.24% 0.12%

Amount (Rs.) 21.60 0.43 0.22

Pay your bill on www.bsnl.co.in and enjoy 1% discount in next bill

Accounts Officer (TR)

"Please pay current bill amount only, if the previous telephone bill amount has already been paid." This is a Computer generated Bill and hence does not require any Signature.
E & OE

Counter Foil

Lucknow Telecom District

Invoice No.: 10009186380038 Invoice Date: 05/01/2013 Due Date:
Mode of payment Cheque/DD No. Please Charge Rs. Expiry Date

BHARAT SANCHAR NIGAM LTD

Account No.: 1000918638 Phone No. : 0522-2735351 Amount Due : 200.00

28/01/2013
Cash Cheque/DD Dated Against Card no. Signature Credit / Debit Card Bank Visa Card Holder's Name

E-payment Branch Masters

EFT

Diners

Amex

Please make crossed Cheque/DD/Pay order for Amount Payable(Round up) in favour of AO (Cash),BSNL, LUCKNOW Note: Post Offices / Banks to accept Bills against Account Number on or before Due Date only For bank use only

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