Application for BSNL Broadband Offer

From

To

Dear Sir,

Sub: BSNL promotional offer availing reg.

I would like to avail the discount of 20% in Broadband Service Charges applicable for the
government employees. Please find the enclosed undertaking countersigned by the Drawing and
Disbursing Officer. My existing connection details are given below.

Tel. Number……………………………..……Exchange…………….……………………………
Customer No :…………………………..………………….

Yours Truly,

Undertaking by the Drawing and Disbursing Officer

Certified that Mr./Mrs.……………………………………………………………………….of is a

Permanent employees of
………………………………………………………………….from……………………,,,………
and is at present holding the post of ………………………………………………………………
It is certified that organization is a Government.

The Identity Card Number of Mr / Mrs……………………………...……………………………..

is………………………………………………………………….This is issued for the purpose of
availing the promotional Offer for the government employees on BSNL broadband connection.

Ref. No. & Date…………….

Name, Designation & address………………..