ll name transfer form

8/11/2019 LL Name Transfer Form

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BHARAT SANCHAR NIGAM LIMITED(A Govt. of India Enterprise )CALCUTTA TELEPHONES

Procedure for change / transfer of name of Telephones as

detailed below:

No Affidavit is required for name change / transfer of

Telephones.

Customer has to submit Undertaking (Enclosed-Anx I to III).

Application Form (Com-12) (Enclosed).

Instructions for name change / transfer of Telephones

(Enclosed).

Charge for name change / transfer of Telephones

o Rs 200/- per occasion

Enclosed:1. Application form (Com-12)

2 Instructions

3. Undertaking (Annexure I to III)


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BHARAT SANCHAR NIGAM LIMITED affi

(A Govt. of India Enterprise ) a

CALCUTTA TELEH!NES

s

"or# No. Co# $ %& of

APPLICATION FOR NAME TRANSFER OF TELEPHONES

TELEH!NE N!.(s) '''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''

%. Na#e of te oriina* S+,s-ri,er '''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''

&. Address at i- te -onne-tion is or/in '''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''

'''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''

0. "a-i*it1 a*read1 e2ists in Te*epone a) STD ,) ISD -) Centre2 d) Broad,and e) IT3 ( p*. p+t te ti-/ #ar/ ) f) DIAS ) A 4 "4"ree -onne-tion. ) !ters '''''''''''''''''''

5 Na#e of te part1 to o# te Te*e. No. is oin to ,e transferred ''''''''''''''''''''''''''''''''''''''''''

'''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''

6. Address of te ne part1 ''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''

'''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''

. Nationa*it1 '''''''''''''''''''''''' Ae ''''''''''''''''''''''' !--+pation '''''''''''''''''''''''''''''''''''''''''

7 Reason of Transfer '' Deat 4 Not re8+ired ,1 oriina* s+,s-ri,er 4 !ters ''''''''''''''''''''''''''''''''''''

9 Re*ationsip ,eteen te present s+,s-ri,er and transferee: if an1 ; ''''''''''''''''''''''''''''''''''''''''''''''

< In te -ase of transfer on a--o+nt of deat of oriina* irer ; Date of deat ''''''''''''''''''''''''''''''''''''

=. Do-+#ents to ,e s+,#itted ,1 transferee >'''' ( p*ease p+t te ti-/ #ar/ )

a) Se*f attested passport si?e potorap ,) oto I.D. proof

-) Address proof d) Underta/ins (an1 one) @. Anne2+re $ I4 Anne2+re $ II 4 Anne2+re ' III

e) Last paid ,i** -op1 f) Deat -ertifi-ate ) S+--ession -ertifi-ate ) oters '''''''''''''''

''''''''''''''''''''''''''''''''''''''''''''''''''''''''''' '''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''

Sinat+re of te Transferer date Sinat+re of te Transferee date

% Na#e (s) of te existingroprietors 4artners4 Dire-tors (in -ase of a fir#4-o#pan1 ) >''

%%. Na#e(s) of te newroprietors 4 artners4Dire-tors after na#e transfer (in -ase of a fir#4-o#pan1) >''

%&. Sinat+re(s) of te ne proprietors4partners4dire-tors Sinat+re(s) of te e2istin proprietors4partners4dire-tors

(it offi-ia* sea*) ( it offi-ia* sea* )

''''''''''''''''''''''''''''''''''''''''''''''''''''' '''''''''''''''''''''''''''''''''''''''''''''''''

''''''''''''''''''''''''''''''''''''''''''''''''''''' '''''''''''''''''''''''''''''''''''''''''''''''''

''''''''''''''''''''''''''''''''''''''''''''''''''''' '''''''''''''''''''''''''''''''''''''''''''''''''

Affi2 se*f

attested

passport si?e

poto of

transferee(Mandator1)


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INSTRUCTIONS fo !"#nge $ t#nsfe of n#%e of te&ep"one

A. (nde !#tego* of +ene#& T#nsfe ' wit"in b&ood etion )%. In !#se of de#t">''

I. Te transfer is per#issi,*e it no *i#itation of period for i- it is or/in in te na#e of

s+,s-ri,er.II. Na#e -an ,e -aned to an1 re*ative o as ,onafide e2isten-e at te sa#e pre#ises it

+nderta/inin Anne2+re $ I.: in a,sen-e of de#and fro# a *ea* eir

III In -ase of de#and fro# a *ea* eir a*so an +nderta/in in Anne2+re $ I sa** ,e s+,#itted

if e fai*s to s+,#it s+--ession -ertifi-ate or no o,e-tion -ertifi-ate fro# oter *ea* eir.4eirI3 Do-+#ents to ,e s+,#itted '''' a) oto I.D. proof of te Transferee ,) Deat Certifi-ate

-) roof of re*ationsip itin ,*ood re*ation: if an1 d) Address proof so+*d ,e sa#e as

insta**ation address e ) Se*f attested passport otorap of transferee f) Anne2+re ' I e ) roof of Lea* Heir 4 S+--ession -ertifi-ate: if an1.

&. In ot"e !#ses> '''

I. Te transfer is per#issi,*e it no *i#itation of period for i- it is or/in in te na#e of

s+,s-ri,er.

II. Consent *etters 4 de-*arations in Anne2 $ II sa** ,e s+,#itted ,1 transferer and transferee.III. roof of re*ationsip sa** ,e s+,#itted for transfer itin ,*ood re*ation.

I3. In a,sen-e of an1 *ea* do-+#ent: na#e -an ,e -aned to an1 re*ative o as ,onafidee2isten-e at te sa#e pre#ises it +nderta/in in Anne2+re $ II..

3. Do-+#ents to ,e s+,#itted ''''' a) oto I.D. proof of te Transferee ,) roof of re*ations

itin ,*ood re*ation: if an1 -) Address proof of transferee so+*d ,e sa#e as insta**ationaddress d ) Se*f attested passport otorap of transferee one -op1.

d) Consent *etters 4 de-*aration: in Anne2 $ II .

, (nde !#tego* of T"id P#t* T#nsfe ' No b&ood etion )%. In !#se of indi.idu#& Subs!ibe> ''

I Te transfer is per#issi,*e it no *i#itation of period.

II In a,sen-e of de#and fro# a *ea* eir(s): na#e -an ,e -aned to an1 person o as ,onafie2isten-e at te sa#e pre#ises: it +nderta/in in Anne2+re $ III..

III. Do-+#ents to ,e s+,#itted '''a) Address proof of transferee so+*d ,e sa#e as insta**ation

address

,) oto I.D proof of te transferee -) Se*f attested passport si?e potorap of transfered) Underta/in in Anne2 $ III e) Last paid ,i** -op1

&. In !#se of !"#nge of Co%p#n*/s n#%e itse&f :--I In-orporation -ertifi-ate #entionin te -ane of na#e of te -o#pan1 iss+ed ,1 Reistrar

of Co#panies sa** ,e s+,#itted ,1 te transferer.

II C+rrent Trade Li-ense in te na#e of ne -o#pan1: if an1 : #a1 a*so to ,e s+,#itted.

III. oer of attorne1 4 A+tori?ation *etter of a+tori?ed sinatories.

0. In !#se of t#nsfe fo% Co%p#n* to ot"e Co%p#n*>''I. Consent *etters in *etter ead fro# ,ot te Co#panies #entionin te reason of transfer

II C+rrent Trade *i-ense and Address proof of te se-ond Co#pan1 sa** ,e ta/en

III oer of attorne1 4 A+tori?ation *etter of a+tori?ed sinatories


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%. UNDERTAING "!R TRANS"ER !" NAME IN CASE !" DEATH (ANNEURE '%) ' wit"in b&ood etion ) Sri 4 S#t. ''''''''''''''''''''''''''''''''''''''''' son4da+ter4ife4+s,and of *ate '''''''''''''''''''''''''

'''''''''''''''''''''''''''' aed ''''''''''''''' ,1 fait '''''''''''''''''' ,1 o--+pation '''''''''''''''''''''''''

at present residin at '''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''' do ere,1 so*e#n*1 affir#

and de-*are as fo**os >''

Tat Late ''''''''''''''''''''''''''''''''''''''''''''''''' as te s+,s-ri,er of Te*. No. '''''''''''''''''''''''' and e 4 se died on ''''''''''''''''''''''''''''''''' *eavin ,eind i# 4 er and oters as *ea* eir4 eirs.

Tat intend to et Te* No. ''''''''''''''''''''''''''''''''''''' transferred to #1 persona* na#e and a--o+nt.

Tat oter *ea* eir4eirs ave iven -onsent to te a,ove proposa*.

Tat en-efort I sa** ,e *ia,*e for te a,ove pone a*on it d+es: if an1. I do ere ,1 inde#nif1 to

te Ca*-+tta Te*epones: BSNL aainst -o+nter -*ai# for te te*epone in f+t+re. Tat te a,ove state#ents are tr+e to te ,est of #1 /no*ede and ,e*ief.

Dated at ''''''''''''''''''' '''''''''''''''''''''''''''''''''''''''''''''''''

Dt.''''''''''''''''''''''''' Sinat+re of te Transferee

0- UNDERTAING "!R GENERAL TRANS"ER !" NAME ( ANNEURE $ II )

' wit"in b&ood etion )

Sri 4 S#t. ''''''''''''''''''''''''''''''''''''''''' son4da+ter4ife4+s,and of Sri4S#t.''''''''''''''''''' '''''''''''''''''''''''''''' aed ''''''''''''''' ,1 fait '''''''''''''''''' ,1 o--+pation '''''''''''''''''''''''''

at present residin at ''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''' do ere,1 so*e#n*1 affir#


Tat I a# te o*der of Te*. No. ''''''''''''''''''''''''''''' tat I intend to transfer #1 said te*epone to

#1 son 4da+ter4oter Sri4S#t. '''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''' on ood fait.

''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''' Dated at ''''''''''''''''''''''''''' Sinat+re of te transferer

Sri 4 S#t. ''''''''''''''''''''''''''''''''''''''''' son4da+ter4ife4+s,and of Sri4S#t.''''''''''''''''''''

'''''''''''''''''''''''''''' aed ''''''''''''''' ,1 fait '''''''''''''''''' ,1 o--+pation '''''''''''''''''''''''''

at present residin at '''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''' do ere,1 so*e#n*1 affir#


Tat #1 fater4,roter4oter as a,ove *i/es to transfer is4er te*epone to #1 persona* na#e and

a--o+nt and I #1se*f as transferee a--ept te proposa*. Tat en-efort I sa** ,e *ia,*e for te a,ove pone a*on it d+es: if an1.

Tat I sa** a,ide ,1 te r+*es and re+*ations of te Depart#ent of Ca*-+tta Te*epones.Tat te a,ove state#ents are tr+e to te ,est of #1 /no*ede and ,e*ief.

Dated at '''''''''''''''''' '''''''''''''''''''''''''''''''''''''''''''''''''''''''''''

Dt. '''''''''''''''''''''' Sinat+re of te Transferee

1. (N2ERTA3IN+ (N2ER CATE+OR4 OF THIR2 PART4 TRANSFER ' ANNE5(RE 6 III )

' no b&ood etion )Sri 4 S#t. ''''''''''''''''''''''''''''''''''''''''' son4da+ter4ife4+s,and of Sri4S#t.''''''''''''''''''''''

'''''''''''''''''''''''''''' aed ''''''''''''''' ,1 fait '''''''''''''''''' ,1 o--+pation ''''''''''''''''''''''''''''

at present residin at ''''''''''''''''''''''''''''''''''''''''''''''''''''''''''' do ere,1 so*e#n*1 affir#


Tat Sri 4 S#t.4 M4s '''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''is4 as te o*der of te Te*. No.

'''''''''''''''''''',+t te servi-e is not re8+ired ,1 te oriina* +ser and I o+*d *i/e to +se tis *ine.. Tat I a# +sin and intend to et te Te* No. ''''''''''''''''''''''''''''''' transferred to #1 persona* na#e.

Tat in f+t+re if an1 person -*ai#s tis te*epone: ten to verif1 te *ea*it1: te e2istin te*epone

,e dee#ed to ave ,een s+rrendered .

Tat I aree to pa1 a** d+es ti** te *ast da1 of +sae.

Tat I sa** a,ide ,1 te r+*es and re+*ations of te Depart#ent of Ca*-+tta Te*epones: BSNL.

Tat en-efort I sa** ,e *ia,*e for te a,ove pone a*on it d+es if an1. I do ere ,1 inde#nif1

to te Ca*-+tta Te*epones aainst -o+nter -*ai# for te te*epone in f+t+re. Tat I sa** not -*ai# te ref+nd of oriina* se-+rit1 deposit in f+t+re on s+rrender of te*epone .

''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''' ''''''''''''''''''''''''''''''''''''''''''''''''''''''

Sinat+re of te transferer (if avai*a,*e) Sinat+re of te transferee

Date ''''''''''''''''''''''''Sea* ( for -o#pan1 4 fir# ) Date ''''''''''''''''''''''Sea* (for -o#pan14 fir# )

ll name transfer form

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