APPLICATION FOR GRANT OF LICENCE FOR FAX MACHINE

MAHANAGAR TELEPHONE NIGAM LIMITED, MUMBAI
Application
No.____________________________Dated____________________________________________________
APPLICATION FOR GRANT OF LICENCE FOR USING FACSIMILE MACHINE
1. Name of the Applicant_________________________________________________________________________
2. Postal Address : ______________________________________________________________________________
__________________________________________________
______
3. Nature of Business :
___________________________________________________________________________
4. Central Government___________________________________________________________________________
State Government.
Private Firm.
Private/Individual
5. Address at which the Fax Machine_______________________________________________________________
is proposed to be located.
6. Purpose *(See note Below) for Own/ for Public use.
7. How the Fax Machine is propose_________________________________________________________________
to be connected.
(a) On Telephone No.________________________
for use over PSTN ________________________
(b) On leased line between____________________Station_________________________
and____________________Station________________________
8. Name & Type of the
machine____________________________________________________________________
Propose to be used_____________________________________________________________________________9. Manufacture's Name : _________________________________________________________________________
Signature of the applicant
Place : ______________ Name/Designation.
Date : ______________ Organisation
Note :-
1. Annual licence fee for own use Rs. 3000/-
2. Annual licence fee for public use Rs.15000/-
licence who/take permission for own use will not be allowed
to receive/transmit documents/charts from the general public
DECLARATION
We____________________________________________________________________________
hereby agree to the following terms conditions in the event of our request for licence is granted.
1. We are aware that licence is governed by the Indian Telegraph Act & Rules framed there under and that we will
abide by them.
2. We shall pay regularly to the Department to Telecom during the continuance of the licence such sums fixed by the
Department as licence fee and in such a manner as prescribed by the Department of Telecom.
3. We shall also pay such other charges( Call charges rentals etc.) as are/may be prescribed by the Dept. of Telecom
during the continuance of the licence.
4. We indemnity the Department of Telecom, for any loss caused due to errors in transmission through FAX
Machines. Nor will the Department of Telecom,liable to pay any damages caused to the improper functioning of the
FAX machine.
5. We are aware that the inability to establish or use FAX communication link licenced by the Dept. of Telecom is
no ground claiming refund of licence fee.
6. We will use only the mark/type of the machines for which the licence is granted and will not substitute any other
make/type without the consent of the Dept. of Telecom.
7. We will remove the retrial facility if available in the make/type of the machine for which licence is applied. (Note
Fax machines with successive retrials will not be permitted.)8. We will use the FAX transmission facility only for sending/receiving documents/
charts/drawings connected with our own business and that facility for transmission reception of
documents/charts/drawings of the general public of other organisation.
OR
We will use FAX facility only for providing FAX service for public use subject to the provisions of the Indian
Telegraph Act & rules.
9. We are aware that the maintenance of the FAX machine( Subscriber's owned) is fully our resposibility and the
Dept. of Telecom is not liable to repair the machine.
10. We are aware that in the event of violation of any of the above conditions or violation of Indian Telegraph
Act/Indian Telegraph rules,Dept. of Telecom will revoke the licence.
Place : ____________
Dated :_____________
Signature of the applicant
Name/Designation.
Organisation
* Strike out which ever is not applicable