Application Form For New Internet Connection

Company Name(s): 

ISP-I
MAHANAGAR TELEPHONE NIGAM LIMITED,DELHI

APPLICATION FORM FOR NEW INTERNET CONNECTION

Note:Please read the instructions & broad terms and conditions before filling up the
form.
1.PERSONAL/COMPANY DETAILS
C) Contact Phone No.------------------ Fax No.---------------------
--
(For informing account details)
2.SERVICE OPTED :(Please tick your choice)
PSTN Dial up PSTN Unlimited
plan ISDN 64 Kbps ISDN 128 Kbps
100Hrs
Lifetime One Month 100
Hrs.Lifetime
100 Hrs.
Lifetime
250 Hrs
Lifetime Three Months 250 Hrs.
Lifetime
250 Hrs.
Lifetime
500 Hrs
Lifetime Six Months 500 Hrs.
Lifetime
500 Hrs.
Lifetime
Twelve Months 1000 Hrs.
6Months
1000 Hrs.
6Months
FOR HELPDESK USE
Opening Date-----------
Signature---------------
FOR OFFICE USE ONLY
Password Reference No.----
---------
Customer Code--------------
Booking Date--------------
Signature--------
A) Name
B)Address
for
Correspondence
Pin3.User/Login ID
4.A) Additional Mail Storage: -------------------MB(In Multiples of 2MB)
B) Additional Personal Web Space: -------------------------MB(In Multiples of 2MB)
C)Additional E-Mail ID: Option1-------------------------- Option 2------------
--------------
D)Fixed IP Access: PSTN-----------------------------ISDN------------------
--------
6.PAYMENT PARTICULARS :
CASH/DD Number--------------------Date--------------Amount------------
Bank Name------------------------------Branch----------------------------
I/We have carefully read the terms and conditions of the agreement and technical
specifications of MTNL Internet access Services and agree to abide by the same.
Date--------- Signature of the
Applicant
RECEIPT
Recieved from Mr./Ms-------------------------------------------------------------------------
Rs.------ -(In words,Rs.---------------------------------------------------------------------)
Vide Cash/DD No.-------------------------------------- Dated------------------------------
Drawn on ---------------------------------------------------------(Bank's Name & Branch)
Customer Code ----------------------- Signature
Note:1. Please quote your Customer Code No. for all future communications.
2.Please ensure you get following things alongwith this acknowledgement:
1)Pasword Envelope
ii)Configuration Manual.
Choice1 Choice2ANNEXURE
BROAD TERMS AND CONDITIONS OF MTNL, INTERNET ACCESS
SERVICE SUBSCRIPTION
1. MTNL shall be free to update Internet access progressive to bring in new features with
time. MTNL may not be in a position to intimate Customer immediately, however it will
endeavor to make it known to subscribers through advertisements.
2. Subscribers are advised to use modems and other gadgets approved by Telecom
Engineering Center. In cases where it is necessary to pay license fee to MTNL for
connecting modems and other interface equipments, subscribers shall be required to
complete necessary formalities with the local MTNL Office.
3. International connectivity is being provided through VSNL right now. Exclusive
gateway is likely to be organised by MTNL in future.
4. The current access network is likely to inhibit speeds. Improved speeds are likely to be
available in future.
5. The subscriber of MTNL Internet Access Services is not allowed to resale the Internet
Services (Except WWW Service).
6. Voice on IP is not permitted as per DOT regulations.
7. The subscriber is required to fully comply the provisions of the Indian Telegraph Act,
1885, and the Indian Telegraph Rules made thereunder and any amendments or
replacements made there to from time to time.
8. The subscriber is required to ensure that objectionable or obscene massages or
communications, which are in consistent with the established laws of the country are not
made by him or any other person using his password.
9. MTNL may revise the tariff for MTNL Internet Access Services from time to time at
its discretion.
10. Customer assumes total responsibility and risk for use of the MTNL Internet Access
Services, Neither MTNL nor its affiliates make any express or implied warranties, representations or endorsements whatsoever (including without limitation warranties of
title or non infringement, or the implied warranties of merchantability or fitness for a
particular purpose) with regard to any merchandise information or service provided
through the internet, any they shall not be liable for any cost or damage arising either
directly or indirectly from any such transaction. It is solely custome r’s responsibility to
evaluate the accuracy, completeness and usefulness of all opinions, advice, services and
other information, and the quality and merchantability of all merchandise, provided
through the services or in the Internet generally.
11. Customer understands further that the internet contains unedited materials some of
which are sexually explicit or may be offensive to some people. Customers access such
materials at their own risk. MTNL has no control over and accepts no responsibility
whatsoever for such materials.
12. The subscriber is required to deist from putting unsolicited massaging on server
hosted at MTNL premises. The subscriber is required to ensure that objectionable or
obscene massages or communications, which are inconsistent with the established laws of
the country are not made by him or any other person on the Web Server or web space of
the subscriber.
13. The service is provided on an ‘AS IS and AVAILABLE’ basis without warranties of
any kind, either express or implied, including but not limited to warranties of title, noninfringement or implied warranties of merchantability of fitness for particular purpose.
No advice or information given by MTNL, its affiliates or their respective employees
shall create a warranty. Neither MTNL nor its affiliates warrants that the service will be
uninterrupted or error free or that any information, software or other material accessible
on the service is free of viruses, worms, Trojan horses or other harmful components.
14. Under no circumstances shall MTNL, its affiliates or its contractors be liable for any
direct, indirect, incidental, special, punitive, or consequential damages that result in
anyway from customers use of or inability to use the service or to access the Internet or
any part thereof, or customers reliance on or use of information, services or merchandise
provided on or through the service, or that result from mistakes, omissions, interruptions,
deletion of files, errors, defects, delays in operation, or transmission, or any failure of
performance.
15. payment of bills - it would be the responsibility of subscriber to make advance
payment to MTNL Internet Access service. MTNL would disconnect the service in case
of non-receipt of advance payment without giving any notice to the subscriber.
16. Force Majeure - if any time, during the continuance of MTNL Internet Access
Services, the performance in whole or part, of any obligation under it shall be prevented
or delayed by reason of war, hostility, acts of the public enemy, civil commotion ,
sabotage, fire, flood, explosion, epidemic, quarantine restriction, strikes, look-out or act
of GOD etc. the subscriber shall not have any claim for damages, against MTNL in