APPLICATION FOR NEW TELEX CONNECTION

MAHANAGAR TELEPHONE NIGAM LIMITED, MUMBAI
Office of the Chief General Manager Telephones,
Mumbai
Price Rs. 25/-
APPLICATION FORM FOR NEW TELEX CONNECTION TLX SERIAL No.: 4127
REGISTRATION No. This form is valid for one year
FOR OFFICE USE
1. Name of the Applicant : (in block letters)
2. Address where telex service is required :
3. Telephone No.
4. Address for correspondence :
5. Applicant's Legal Status
6. Code reference for the
Answer back facility
7. I/We agree to retain the telex connection for a minimum period of one year
from the date of installation.
8. I/We also agree to make my/our own arrangements to procure tape and/or paper
rolls, ribbon, electric power etc. and the Government shall not be responsible
to supply the same.
9. I/We agree to abide by all the conditions set forth in the Indian Telegraphs
Rules and also such amendments as may be made from time to time to these Rules,
in so for as they relate to this telex connection now or at a later date.
10. Accessories / attachments required if any.Station -------------------- Signature of the Applicant
Date -----------------------
--------------------------------------------------------------------------------
To,
------------------------------------- No.: 4127
-------------------------------------
Regarding your requested for a new telex connection the same has been
registered under No.-------------------------------------- This may please be
quoted in all future correspondence.
For Chief General Manager Telephones
Price Rs. 25/-
MAHANAGAR TELEPHONE NIGAM LIMITED, MUMBAI
Office of the Chief General Manager Telephones, Mumbai
APPLICATION FORM FOR NEW TELEX CONNECTION
1. Name of the Applicant : (in block letters)
2. Address where telex service is required :
3. Telephone No.
TLX SERIAL No.: 4127
REGISTRATION No.
This form is valid for one
year
FOR OFFICE USE
4. Address for correspondence :
5. Applicant's Legal Status
6. Code reference for the
Answer back facility
7. I/We agree to retain the telex connection for a minimum period of one yearfrom the date of installation.
8. I/We also agree to make my/our own arrangements to procure tape and/or paper
rolls, ribbon, electric power etc. and the Government shall not be responsible
to supply the same.
9. I/We agree to abide by all the conditions set forth in the Indian Telegraphs
Rules and also such amendments as may be made from time to time to these Rules,
in so for as they relate to this telex connection now or at a later date.
10. Accessories / attachments required if any.
Station -------------------- Signature of the Applicant
Date -----------------------
--------------------------------------------------------------------------------
To,
------------------------------------- No.: 4127
-------------------------------------
Regarding your requested for a new telex connection the same has been
registered under No.-------------------------------------- This may please be
quoted in all future correspondence.
For Chief General Manager Telephones
Annexures V
MAHANAGAR TELEPHONE NIGAM LIMITED, MUMBAI
SPECIMEN SIGNATURE SHEET
Application Form No-----------------------------Date -------------------
Four specimen signature of each person1. ------------------------------------------
2. ------------------------------------------
3. ------------------------------------------
4. ------------------------------------------
Name [IN BLOCK CAPITAL LETTERS]
------------------------------------------
------------------------------------------
INSTRUCTIONS
(a) In case of a sole proprietary concern, the sole proprietor should sign himself and affix Rubber
Stamp.
(b) In case of partnership concern all the partners or any one of the partners duly authorised or
manager with the power of attorney may sign.
(c) In case the applicant is limited company, signature should be of a person on behalf of
company, in accordance with the provisions of its Articles of Association.
(d) Security deposit Rs. 10,000/- payable only by D.D. in favour of Mahanagar Telephone
Nigam Ltd " New Delhi. For each registration separate Demand Draft will be accepted. Common
draft in more than one registration will not be accepted.
Copies of documents Photostate/Typed duly attested by a Magistrate or Gazetted Officer should
be attached as applicable.
(1) Power of Attorney
(2) Registered Partnership Deed or Partnership Deed with from 'A' issued by Registrar of Firms.
(3) Articles of Association attested by Managing Director/Director with certificate of
incorporation.
Note:- Please bring originals for verification at the time of registration.
Registration and Sale of Form Timings 10.00 AM to 2.30 PM.