MAHANAGAR TELEPHONE NIGAM LTD, DELHI
(A Govt. of India Enterprising)
APPLICATION FOR LOCAL/STD/ISD PUBLIC CALL OFFICE (PCO)

Self Attested
Photograph
For Landline/FWT
1. Name of the applicant in whose name : ……………………………………………………………
Local/STD/ISD PCO is required.
2. Father/Spouse’s name
(in case of individual) : ……………………………………………………………
2.Address of Installation : ……………………………………………………………..
……………………………………………………………..
3. Residential Address of applicant : ……………………………………………………………..
……………………………………………………………..
4. Permanent Address of applicant : ……………………………………………………………….
………………………………………………………………..
5. If applicant is handicapped, : i)Yes ii) No.
please state and attach the document
indicating the disability
6. Telephone Number in the vicinity of : …………………………………………………………….
the installation address(if any)
7. Whether any PCO is working in the : ………………………………………………………………
name of applicant in the same premises,
if so indicate the Tele. Nos.
8. Whether any PCO is working : ………………………………………………………………
in the name of Applicant at any other
premises. If yes, please indicate
Tele. Nos.
Telex / Fax No. : ……………………………………………………………..
9. Type of application : Individual, Company, Others(Specify)
10. Service : 1. Local only.
2. Local & STD
3. Local & STD & ISD11.Category of PCO : 1. Landline
2. FWT Post paid
3. FWT Prepaid
12. Proposed timing of PCO : Working day From……………..to…………………
Holidays From………………. .to ……….…….
13.(a) I am enclosing demand draft No…………………….of Bank………………………………………………
Branch…………………….Dated…………………for amount…………………………………………………
(b) I will be paying by cash after receipt of demand note.
*Strike off whichever is not applicable.
14. I/We hereby declare that the current rules and regulations/Instructions/terms and conditions of the
MTNL as amended from time to time are acceptable to me/us. I/We also agree that any dispute arising
with MTNL will be subjected to Arbitration by the arbitrators appointed by the MTNL. The undertaking
duly signed by me/us is annexed.
Date: Signature of the Applicant
Name:
Encl: 1. Proof of identity.
2.Proof of Address of installation.
3.Attested signature by Banker/GO, in original, with designation, address & telephone no. of the
officer attesting the signature.
4.Undertaking.
For Office Use Only
Application received on___________________Regn. No.______________________________
Dtd:______________________
The documents are verified with original by undersigned and found them to be in order
Signature:------------------------------------
Name:-----------------------------------------
Staff No---------------------------------------
Design. :--------------------------------------
QCSC:----------------------------------------
Regd. & Corporate Office : Mahanagar Telephone Nigam Limited, Jeevan Bharti Building,
Tower-1, 12th Floor, 124 Connaught Circus, New Delhi-110 001 MAHANAGAR TELEPHONE NIGAM LTD, DELHI
(A Govt. of India Enterprising)
INSTRUCTIONS TO APPLICANTS REQUESTING FOR LOCAL/STD/ISD PCO
*The application form for Local /STD/ISD/PCO is free of cost.
*The premises where Local/STD/ISD is required to be installed should be accessible to the public.
* Please ensure that all columns in the application form are filled in properly and all relevant documents as given below are
annexed with the application form before submitting to the PCO Registration Counter.
1. Undertaking on paper from the applicant
2. Demand Draft / cash towards Security Deposit for Local & STD/ISD for landline /FWT prepaid/FWT Post –paid PCO
respectively.
3. (a) Document required for address proof: Self Attested copy of any of the following-
Passport, latest paid telephone/Gas/water/electricity/Credit Card/House Tax Bills receipt, Allotment letter of accommodation
issued by Estate Office of a Govt. Body Income-Tax return. Election Card, Driving licence, Rent receipt/rent lease agreement.
(b) Documents required for proof of identity: self attested copy of any of the following:- Passport, Driving licence, Election Card
issued by Election Commission of India, PAN Card. Any Govt. document containing photograph, identity card issued by
Govt./Semi Govt./PSU/Recognized Institutions.
( c) Please present original document mentioned above for verification by the MTNL Official at the booking counter. Photograph
will also be verified by MTNL official.
( d) One self attested photograph to be affixed by the applicant. In case the applicant is a Public
Ltd Company/Govt. Body the photograph is not required.
(e) Public Ltd Companies may enclosed certificate of incorporation, memorandum of articles, duly signed by MD/director of
Company along with any proof of identity’s above of the authorized Officer of the Company. In case application is signed by
authorized signatory, then attested copy of power of attorney must be attested
( f) Signature attestation by Banker in original.
4. THE APPLICATION SHOULD BE SIGNED BY THE COMPETANT AUTHORITY AS INDICATED BELOW.
Office seal should be affixed in all cases except I individuals.
(a) By the individual applicant.
(b) Director/Authorized signatory if it is for a company.
(c) By Secretary, if it is a Society
(d) Trustee, if it is a Trust.
(e) By the Principal, if it is for the college/School.
5. The applicant is required to purchase & provide at his own cost MTNL/TEC approved models of CCB type PCO instrument
for Local and MTNL/ TEC approved charging device for STD/ISD PCO only & no other model. Similarly, the charging device
should be MTNL/TEC type approved.
6. The applicant is informed that MTNL has full right to deny installation of LOCAL/STD/ISD at the installation address should
there be any outstanding dues against any telephone that is/was working at the installation address.
7. The registration for the Local/STD/ISD PCO shall be done only if above conditions & required valid documents are furnished
along with the application. It is therefore, the responsibility of the applicant of ensure supply of all the valid documents to
the MTNL authorities.
8. In addition to above, whenever it is required MTNL may request the applicant for production of additional documents as may
deem fit & the same shall be produced by the applicant. MAHANAGAR TELEPHONE NIGAM LTD, DELHI
(A Govt. of India Enterprising)
UNDERTAKING BY PCO HOLDER
LOCAL/STD/ISD PUBLIC TELEPHONE OFFICE
1.I,Shri/Smt./Ms._________________________________________________________S/o,D/o,W/o_____________________________
_____________and resident of ________________________________________________________________________________
_________________________________________________ hereby state and declare the following:-
a) My nationality is Indian and I am above 18 year of age.
b) The Premises where the Public Telephone required is:
i) easily accessible to public
ii) Occupied by me/allotted to me by____________________________________
(Name of Authority)
c) MTNL/ DoT-TEC approved CCB instrument only will be purchased by me at my own cost for the Local PCO provision and the
same will be maintained by me in working condition. Similarly, MTNL/ DoT-TEC approved charging equipment will be purchased
by me at my own cost for my STD/ISD/PCO which will be compatible to operate invariably on 16 KHz metering pulse from the
telephone exchange and calls will be charged according to this metering pulse.
d) My landlord has no objection for installation of STD/ISD PCO at installation address. However, if in future my landlord takes
objection for STD/ISD/PCO then I hereby authorize MTNL Delhi to disconnect my PCO line without giving any notice to me.
Further, I indemnify MTNL Delhi from any liabilities due to any dispute between me and the owner and /or lesser of the
premises.
e) I hereby declare that all the documents provided by me for STD/ISD/PCO are true and genuine. However, if in future any of the
documents submitted by me proves to be false and/or fabricated in that case MTNL Delhi is authorized to disconnect my PCO
line without giving any notice to me and I am aware that I will be liable for losses and consequences arising thereof.
f) I am also aware that if any of the above information stated at item No. 1(a) to (d) is found to be false or incorrect or distorted
my PCO will not be installed by MTNL and that the money deposited by me to MTNL for STD/ISD/Local PCO will be refunded to
me without interest. Also, any of the conditions stated at item (1) above is violated at any stage, my Public Telephone is liable
for disconnection by MTNL at any time without giving any notice to me.
2. After the installation of the STD/ISD/Local PCO by MTNL, I give the following undertaking.
a) I shall not replace the CCB instrument/STD PCO charging equipment with any other type of instrument other than MTNL/ DoTTEC approved.
b) I shall charge strictly according to MTNL rates. The STD PCO pulse will be sent by exchange and I will use a charging device
which operates only on 16 KHz exchange pulse. For local PCO, I will programme my PCO instrument according to pulse rate
decided by MTNL
c) I shall not charge any service charge or any other additional charge from the Public for local calls made from local PCO. For
STD/PCO I know that I am eligible to charge upto Rs. 2/- only per STD call as service charge.
d) I shall allow everybody to use the PCO and I shall keep PCO open on all days.
e) I shall not convert this PCO into a private phone.
f) I shall allow use of VCC cards without collecting any charges from users.
g) I Shall comply with all applicable laws,/bye-laws, rules, regulations, orders directions, notification etc. of the
Govt./Court/Tribunals and shall also comply with all directions issued by MTNL.
h) I am fully aware that MTNL will not given any rebate on account of wrong calls ,access metering. No free calls will be permitted