Bharat Sanchar Nigam Limited

Dear Customer,

Greetings.

As required under the GST Act 2017, if you intend to avail Cenvat Credit on the GST Payable on Telecom
Services w.e.f 1st July 2017, you are requested to furnish the following details to the Accounts Officer (TR), of your
area along with a photocopy of the registered GST / UTGST provisional ID, by 25th May 2017.

GSTIN Information
CIRCLE

SSA

S.No GSTIN Details Data to be filled up

1 Billing Account No as on the Telephone Bill

2 Telephone No with STD Code

3 Customer Name as on the Telephone Bill

4 Mobile No

5 e-mail id

6 Address where phone is installed

7 PAN No

8 UID in case of Embassy / UN

Status of GSTIN Registered customer

9
whether SEZ/ EOU/DTA/ Govt/ Local Authority
Type of Customer whether registered under
10
GSTIN or not

11 GSTIN No

12 Name & Address as registered in GSTIN

13 State of registration of GSTIN

Encl: Copy of the registered GST / UTGST Provisional ID

Signature of the Customer