Digital Cloud Technologies Pvt. Ltd.Regd off: 104, First Floor, Bldg No. SS3, Harihar Complex, S. No. 111,

Hissa No. 3, Dapode, Taluka Bhiwandi, Dapode - 421302, Maharashtra, India.

Date :

CUSTOMER APPLICATION FORM

LOCATION WHERE INSTALLATION IS REQUIRED

PAYMENT RECEIPT :

RESIDENTIAL ADDRESS OF APPLICANT

PROOFS ATTACHED :

S.NO.:D D M M Y Y Y Y

PLEASE FILL IN BLOCK LETTERS ONLY, CROSS(x) IN THE APPROPRIATE BOXES ONLY,PLEASE USE BLACK OR DARK BLUE INK .PLEASE ASK FOR ASSISTANCE FROM OUR EXECUTIVE ALL FIELDS ARE

MANDATORY FIELDS TO BE FILLED IN BY THE CUSTOMER

CUSTOMER INFORMATION:

CUSTOMER NAME:

CUSTOMER ID:

FATHERS/HUSBAND'S/

GENDER MALE FEMALE D.O.B. D D M M Y Y Y Y NATIONALITY:

INCOME TAX PAN NO.: AADHAR NO.:

LANDLINE NO:

EMAIL ADDRESS:

CITY

CITY

STATE

STATE

PIN CODE

PIN CODE

LANDMARK

LANDMARK

SALES PERSON NAME :

PAYMENT RECEIVED :

INSTALLATION :

ROUTER :

MONTHLY PLAN :

TOTAL :

CUSTOMER NAME :

CUSTOMER SIGNATURE :

DATE :

RECEIVERS NAME :

RECEIVERS SIGNATURE :

CUSTOMER SIGNATURE :

Photograph

with

Signature

ELECTRICITY BILL

LEAVE LICENSE AGREEMENT

AADHAR CARD

LANDLINE BILL

PASSPORT

AADHAR CARD

PAN CARD

PASSPORT

ADDRESS PROOF PHOTO ID PROOF

MOBILE NO:

Government of india

Ministry of Communications & IT

Department of Telecommunication

(DS Cell)

Performa for checking bonafide of Internet Customer of the ISPs(A) DETAILS TO BE FURNISHED IN CASE OF INDIVIDUAL APPLICANT

Signature to respresentative of ISP

Network :

Name :

Designation :

Signature of Customer Authorised Signatory of

Customer

High Speed Internetwith

Unlimited Download: 022 4171 1333 : info@samparkinfo.com: www.samparkinfo.com

TERMS AND CONDITIONS

The under mention terms and conditions apply to all telecom services provided by Digital Cloud

Technologies Pvt Ltd.

1. Digital Cloud Technologies Pvt Ltd means a company incorporated under the provisions of

Companies Act, 1956,having its registered office at: 104, First Floor, Bldg No. SS3, Harihar Complex,

S. No. 111, Hissa No. 3, Dapode, Taluka Bhiwandi, Dapode - 421302, Maharashtra, India.

2. Digital Cloud Technologies is the registered brand of which the services are provided.

3. Customer Equipment ‘or ‘CPE’ shall mean and any other equipment/’customer Equipment/accessories

included with it and supplied (but not sold) by Digital Cloud Technologies

4. ‘Customer Equipment’ shall mean Any equipment not provided by—---

5. ‘Network’ shall mean ---network through which services are or would be made available to the customer.

6. ‘Relationship period’ shall mean the period commencing upon activation of the Services and shall run in

concurrence with the license agreement under which Digital Cloud Technologies is authorized to provide

services within the Network (license Agreement’) unless otherwise terminated.

7. ‘Services’ shall mean all telecom services provided by Digital Cloud Technologies to its Customers which,

interalia, shall include Telephone, Internet, Value Added Services (VAS) and/or any supplementary

additional services made available to the customer.

8. ‘Customer’ shall mean a person (including any entity or association of persons) who has subscribed to

the Services after completing the required formalities i.e. making necessary payments etc. and gets

activated on Digital Cloud Technologies network. Mere execution of the CRF shall neither constitute a

person to be a customer/subscriber or consumer of Digital Cloud Technologies

9. ‘Customer Application Form’ or ‘CAF’ shall mean the non – transferable form appended here with, which

has been filled and executed by the Customer for subscribing to the Services.

10. ’Tariff’ shall mean all the rates, fees, charges levies etc. and related conditions including but not limited

to activation fee, usage charges, deposits, advances and services charges including services tax and

any other statutory outgoings under the tariff schedules notified by Digital Cloud Technologies for

providing Services.

1. RESERVATIONS

Digital Cloud Technologies Pvt. Ltd reserves the right:

1.1 To seek and /or verify the particulars including financial information provided by the Customer, either by

itself or from independent sources;

1.2 To reject any CAF, in case the particulars provided therein are incomplete, incorrect or for any other

legally just and valid reason. The information provided by the customer/ gathered by Digital Cloud

Technologies Pvt. Ltd shall become Digital Cloud Technologies Pvt. Ltd property even if CAF is

rejected and Digital Cloud Technologies Pvt. Ltd may use the said data for any lawful purpose, subject

to the applicable laws and regulations.

1.3 To amend the present Terms and Conditions for the proper provisioning of Services or to comply with

the applicable laws and regulations.

2. SERVICES

2.1 Services will be provided within a reasonable time, on receipt of duly completed CAF. Digital Cloud

Technologies Pvt. Ltd will use all reasonable endeavours to provide and maintain Services during the

subscription Period.

2.2 Digital Cloud Technologies Pvt. Ltd has the right to predetermine, prefix or re-fix the credit limit for the

usage o f Services availed by the Customer based on its internal credit rating. In the event of exceeding

of the credit limit, the customer shall be liable to make interim payment forth with for the services

availed including rentals failing which Digital Cloud Technologies reserves the right to totally or partially

disconnect / suspend the services.

2.3 Quality, functionality and / or availability of the Services, may be affected and Digital Cloud Technologies

Pvt.

Ltd without any liability, whatsoever is entitled to refuse, limit, suspend, vary or disconnect

the services, at any time, for any reasonable cause, including, but not limited, to the following:-

2.3.1. Any / all applicable rules, regulations, orders, directions, notifications, License Agreement conditions

etc. issued by the Government / Telecom Regulatory Authority of India (TRAI) etc.

2.3.2. Any discrepancy in the particulars (s) provided by the Customer.

2.3.3. If the customer is in default (including past defaults) in making payment for the Services.

2.3.4. During technical failure, modification, up-gradation, variation, relocation, repair and/or maintenance

of the system/ equipment.

2.3.5. To combat potential fraud, sabotage, willful, destruction, national security or for any other force

majeure reasons etc.

2.3.6. Transmission limitations caused by topographical, geographical, atmospheric, hydrological and/or

mechanical or electronic constraints/limitations and/or availability of suitable cell-sites.

2.3.7. If services are used in violation of any law, rule/ regulation.

2.3.8. Interconnection failure between Digital Cloud Technologies Pvt. Ltd. and other service provider(s)

2.3.9. Any other reason, which is found to be reasonable by Digital Cloud Technologies Pvt. Ltd. warranting

limiting/ Suspension/disconnection of Services.

3. BILLING, PAYMENT AND SECURITY DEPOSIT

3.1 Digital Cloud Technologies Pvt. Ltd. shall bill the Customer as per the billing cycle which shall run on

a frequency as may be decided by Digital Cloud Technologies from time to time. Taxes shall be as per

applicable law.

3.2 Customer shall pay the subscription amount in advance as these are pre-paid services.

3.3 No payments are to be made in cash. Only A/c payee crossed cheque or a bank’s demand draft is valid.

3.4 Customer shall deposit, such amount as interest free security deposit, as may be determined by

Digital Cloud Technologies Pvt. Ltd. reserves the right to forfeit/adjust/apply the said security deposit in

full or in part satisfaction of any sum which may be due from the Customer to Digital Cloud

Technologies Pvt. Ltd. at any time. Customer shall continue to be liable for balance, if any. Digital Cloud

Technologies Pvt. Ltd. may call for additional security deposit for Services, made available to the

customer.

3.5 Digital Cloud Technologies Pvt. Ltd. in accordance with TRAI guidelines rules/regulations is entitled

to charge, vary, add, withdraw any services and/or to vary the Tariff on these services and/ or make any

Service Chargeable which is not initially or at any stage chargeable.

3.6 Upon delay / non-payment of bills beyond the due date or non- deposit of any applicable fee, charge or

deposit, or any increase thereof, Digital Cloud Technologies reserves the right totally or partially

disconnect the Services of such Customer. For restoring the Services, the Customer shall have to apply

for restoration charges.

3.7 Digital Cloud Technologies Pvt. Ltd. will not be liable for Customer equipment being faulty

4. CUSTOMER’S OBLIGATIONS

4.1 If the CPE is lost or stolen, the Customer shall forthwith inform Digital Cloud Technologies Pvt. Ltd. This

notification shall authorize Digital Cloud Technologies Pvt. Ltd. to suspend all or any part of the Services

and/or disconnect the Services. However, the Customer shall be liable for all the charges incurred before

such notification and suspension of services by Digital Cloud Technologies Pvt. Ltd. reserves the right to

charge notification and suspension of Services by Digital Cloud Technologies Pvt. Ltd. reserves the right to

charge reasonable amount as CPE replacement charges from the Customer.

4.2 Customer shall not use the Services for any unlawful, immoral or abusive purpose in violation or

derogation of any law/rule or regulation or statutory directive or Order for the time being in force or against

any public policy or for sending/receiving obscene threathning, harrassing messages / communications or

sending messages or communications that affect national interest, or create any damage or risk to Digital

Cloud Technologies Pvt. Ltd. or its Network / equipments/call centre and /or other Customer(s). Any violation

or misuse by Customer shall under no circumstances be attributed to Digital Cloud Technologies and the

Customer shall be solely responsible for all such acts or omissions. The customer hereby agrees to

indemnify, held Digital Cloud Technologies Pvt. Ltd. Harmless against any claims including any claims

arising by anyone else using the Internet facilities availed by the customer.

4.3 Customer shall intimate Digital Cloud Technologies Pvt. Ltd. about change in address, if any, in writing

along with such proof, as may be deemed necessary by Digital Cloud Technologies Pvt. Ltd.

4.4 Customer shall not use the Services as an ‘OSP’ (Other Service Provider).

5. CONFIDENTIALITY

Privacy of communication is subject to the terms of the license agreement of Digital Cloud Technologies

with DoT and other statutory and regulatory notifications/directives etc. The Customer specifically agrees

that in order to facilitate Digital Cloud Technologies Pvt. Ltd. to provide Services, Digital Cloud Technologies

Pvt. Ltd. may be required to disclose any information or particulars pertaining to the Customer to any

authority, statutory or otherwise, including but not limited to any debt collection agency, credit reference

agency, security agency, and reserves the right to comply with the directions of such authorities at its

discretion and without intimating the Customer .

6. OWNERSHIP

6.1 The Customer shall have no title and/or ownership and/or interest in the CPE and therefore shall not be

entitled to transfer/assign/lease and/or otherwise part with the same under any circumstance. The

ownership and effective control over the CPE shall always remain with Digital Cloud Technologies Pvt. Ltd.

The Customer shall not claim any charge or lien on the CPE, even if any dispute is pending between the

Customer and Digital Cloud Technologies Pvt. Ltd. Customer shall be responsible for the maintenance and

upkeep of the CPE subject to normal wear and tear.

6.2 All CPE, provide (but not sold) by Digital Cloud Technologies Pvt. Ltd. shall always remain absolute

property of Digital Cloud Technologies Pvt. Ltd. The Customer shall only have the custody of the equipment

or other equipment / accessories during the enrolment period.

6.3 The CPE has been provided to the Customer in order to facilitate Digital Cloud Technologies Pvt. Ltd. to

exclusively use the same for rendering its Services. The Customer shall not deal with the CPE independent

of Digital Cloud Technologies Pvt. Ltd. in any manner whatsoever.

6.4 Customer shall neither shift the CPE nor transfer the same in any manner .In case the Customer fails to

comply with the terms and conditions of enrolment Digital Cloud Technologies Pvt. Ltd. reserves the right to

lift or remove the CPE from the Customer‘s premises and terminates the enrolment without any liability

whatsoever on its part.

6.5 Further, acceptance of bill payments by Digital Cloud Technologies Pvt. Ltd. from a person other than

the Customer does not mean acceptance of transfer/assignment/lease of any rights or obligation of the

Customer to such person making the payment.

7. DISCLAMER OF LIABILITY

7.1 Digital Cloud Technologies Pvt. Ltd. makes no express or implied warranty, guarantee, representation

or undertaking whatsoever regarding the Service, which are not expressly mentioned herein.

7.2 Digital Cloud Technologies shall not be responsible for any acts or omissions of any third party including

franchisees/dealers/distributors/retailers etc., with regard to scheme(s) which are not expressly authorized

by Digital Cloud Technologies Pvt. Ltd. .

7.3 Digital Cloud Technologies Pvt. Ltd. shall not be liable to the Customer if any delays, loss of business,

profit, revenue or good will, anticipated savings, use of contracts, damages, fees costs, expense, orders,

judgment, etc. or for any indirect or consequential loss, howsoever, it arises for or account of

unavailability/usage of Services or otherwise.

7.4 Digital Cloud Technologies shall not be liable to the Customer for injuries or damages resulting from

omissions, interruption, delays, errors in transmission, failures or defects in equipments, or any other cause

including but not limited to the failure to transmit, which are connected with incidents of fire, explosion, war,

riots, strikes, lockouts, picketing boycotts, and cause originating in the facilities or operations of other

telecom or allied service providers and other reasons or causes beyond the control of Digital Cloud

Technologies Pvt. Ltd. or for any reason whatsoever.

7.5 The terms and conditions herein shall be subject to the notifications/guidelines issued by TRAI and

DoT, from time to time.

8. ADDITIONAL T&Cs FOR TELEMEDIA SERVICES

8.1 The Internet/Broadband speed available to the Customer is the maximum prescribed speed for which the

Customer is entitled and Digital Cloud Technologies Pvt. Ltd. does not hold out any assurance that the said

speed shall be maintained at all times and the same may vary depending upon the network congestion,

technical reasons or any other unavoidable circumstances.

8.2 It is clearly understood that installation of internet/broadband services require several vital and time

consuming activities, inter-alia, including laying down of cables , proper wiring of the area, other technical

requirements etc. and therefore Digital Cloud Technologies does not prescribe or hold out any fixed

execution of the CAF, during which the said Services shall be activated. Digital Cloud Technologies Pvt. Ltd.

shall endeavour to activate the Service within reasonable time and it is expressly agreed that the person

executing the CAF shall not be entitled to raise any claim or action or damages of whatsoever nature on

account of delay in activation of Services and the Customer shall only be entitled to refund of the initial

amount paid by the Customer.

9 The validity, construction and performance of the terms and conditions of the CAF shall be governed by

and interpreted in accordance with the laws of Republic of India. The courts at Mumbai, Maharashtra shall

have exclusive jurisdiction in respect of the subject matter of this CAF.

10 The parties have fully read and the contents of the terms and conditions have been explained in

vernacular, Verbatim and upon understanding, have signed the CAF as a token of its acceptance/consent

and further with a clear understanding that it is valid and binding document on both the parties and can be

enforced in the Court of Law.

Customer Signature