Form 'A'
BHARAT SANCHAR NIGAM LIMITED
APPLICATION FOR NEW REGISTRATION/RENEWAL PSTN/ISDN DIALUP INTERNET ACCESS SERVICE
ON SANCHARNET(NIB)

(Use one Application Form per Account)
For Office Use Only
Customer Code
Date Received
Signature
I/We wish to subscribe for Internet services, necessary particulars as given below :
1. Name
2. Address
City
State
PIN Code
Prefix STD Code without 0
3. Telephone Nos. from where internet is to be (1)
Accessed (2)
4. Contact telephone No. (1)
(2)
5. Fax no.
6. Contact E-mail id (if any)
7. Existing Service details (to be filled in case of renewal only):
P.S.T.N. Dial up 25hrs 50hrs 100hrs 200hrs 500hrs 1000hrs
or
ISDN Dial Up 100hrs 500hrs 1000hrs
Speed of Access for ISDN 64 kbps 128 kbps
(five to ten characters)
Dialup User ID
Email ID (1) @sancharnet.in
(2) @sancharnet.in
8. Service Details (for new account):
P.S.T.N. Dial up 25hrs 50hrs 100hrs 200hrs 500hrs 1000hrs
ISDN Dial Up 100hrs 500hrs 1000hrs
Speed of Access for ISDN 64 kbps 128 kbps
(five to ten characters)
Dialup User ID
Alternate Dialup UserID (1)
(2)
(3)
(4)
9. Payment Details Cash/DD No. Bank Name Branch Date Amount
I have gone through the Broad Terms and Conditions of the services at Annexure I and agree to abide
by the same.
Signature
Date: Applicant's NameVisit Us at www.bsnl.co.in
OPTIONAL INFORMATION, IF FILLED WILL HELP US IN IMPROVING OUR SERVICE
2. Have you got any other Internet account. If yes, kindly indicate:
Type of Account:
Name of ISP:
3. What additional facilities you expect, please mention:
4. For what purpose you intend to use/using Internet:
5. What is the average number of hours per week, that you surf Internet:
6. Suggestions if any:
TARIFF : For the latest tariff please see internet section of our website www.bsnl.co.in
PASSWORD ACKNOWLEDGEMENT RECEIPT FROM THE CUSTOMER
I have received the envelope bearing the customer code _________________containing the password for
applied Sancharnet (NIB) Internet Services.
Date Signature of Customer
For Use of NIB Node-in-charge
User-id created
Type of account
Time & Date of activation of new account/renewal
Date Signature of Node-in-chargeVisit Us at www.bsnl.co.in
ANNEXURE - I
Broad Terms and Conditions of BSNL Internet Services (Sancharnet)
1. BSNL shall update its Internet Service without prior intimation to its subscribers.
2. BSNL would try to provide a reliable services to its customers. But it would own no responsibility in
case of interruptions in the network beyond its reasonable control.
3. BSNL will make its best endeavors to upgrade network capacity so as to provide desired speed of
connections to the subscribers. However the subscriber understands and acknowledges that
he/she be able to connect and operate at such speed as determined by network resources
available at that time.
1. The subscriber of BSNL Internet Services is not allowed to resale the Internet Services.
2. The subscriber is required to use Telecom Engineering Centre (TEC), New Delhi approved
Interface Equipment for accessing Sancharnet Services. In case it is necessary to pay Licence Fee
to BSNL for connecting Modem/other Interface equipment etc. to PSTN, subscriber is required to
complete the necessary formalities with the local BSNL office.
6. Value Added Telecom service providers shall get necessary permission/licence from Dy.
Director General (CS), Department of Telecommunications, Sanchar Bhavan, 20 Ashoka
Road, NEW DELHI-110 001 [Tel: 3716874,- Fax: 3353303]
7. The subscribers of BSNL Internet Services would not be allowed to use its Internet Services for
inter-active Voice or Fax messaging.
8. The subscriber is required to desist from sending unsolicited messaging via BSNL Internet
Services.
9. The subscriber is required to fully comply the provisions of the Indian Telegraph Act, 1885, Indian
Telegraph Rules made thereunder and Information Technology Act 2000 and any amendments or
replacements made thereto from time to time.
10. The subscriber shall ensure that objectionable or obscene messages or communications, which
are inconsistent with the established laws of the country, are not created, accessed, transmitted or
retransmitted by him or any other person using his password.
11. BSNL may revise the tariff and email domain for its Internet Services from time to time at its
discretion.
12. Subscriber assumes total responsibility and risk for use of the BSNL Internet Services. Neither
BSNL nor its affiliates make any express or implied warranties, representations or endorsements
whatsoever (including without limitation warranties of title or non-infringement, or the implied
warranties of merchantability or fitness for a particular purpose) with regard to any merchandise,
information or service provided through the Internet, and they shall not be accountable to any
person whomsoever for any cost or damage arising either directly or indirectly from any such
transaction. It is the responsibility of subscriber to evaluate the accuracy, completeness and
usefulness of all opinions, advice, services and other information, and the quality and
merchantability of all merchandise, provided through the service or in the Internet generally.
13. Subscriber understands further that the Internet contains unedited materials some of which are
sexually explicit or may be offensive to some people and accessing, downloading, creating, storing
or transmission thereof in any form or manner may be illegal/ unlawful. Should subscriber desire or
decide to access such materials he/she do so at their own risk. BSNL has no control over and
accepts no responsibility whatsoever for such materials.
14. The subscriber shall desist from putting unsolicited messaging on server hosted by BSNL. The
subscriber shall ensure that objectionable or obscene messages or communications, which are
inconsistent with the established laws of India, are not made, created, downloaded, modified,
transmitted or retransmitted by him/her or any other person on the web server or web space of the
subscriber. Visit Us at www.bsnl.co.in
15. The Internet service is provided by BSNL on an “AS IS and AVAILABLE” basis without warranties
of any kind, either expressed or implied, including but not limited to warranties of title, noninfringement or implied warranties of merchantability of fitness for a particular purpose. No advice
or information given by BSNL, its affiliates or their respective employees shall create a warranty.
Neither BSNL nor its affiliates warrants that the service will be uninterrupted or error free or that
any information, software or other material accessible on the service is free of viruses, worms,
Trojan horses or other harmful components.
16. Under no circumstances shall BSNL, its affiliates or its contractors be liable for any direct, indirect,
incidental, special, punitive or consequential damages that result in any way from subscribers, use
of or inability to use the service or to access the Internet or any part thereof, or customers reliance
on or use of information, services or merchandise provided on or through the service, or that result
from mistakes, omissions, interruptions, deletion of files, errors, defects, delays in operation, or
transmission, or any failure of performance.
17. Payment of bills - The subscriber shall be responsible to make advance payment of BSNL
Internet Services. BSNL shall be entitled to disconnect the service in case of non-receipt of
advance payment without giving any notice to the subscriber.
18 Disclaimer :- While every effort is made by BSNL to provide highest quality services to its
subscribers of BSNL Internet Services (Dial – up services, Leased line services and dedicated
dial-up services) the subscriber acknowledges that the linking, quality and speed of data
transmission of the subscriber with BSNL network is entirely dependent on the telephone lines
connectivity as may be permitted by MTNL/BSNL systems. Accordingly, BSNL shall in no event be
responsible to the subscriber in any manner whatsoever for any failure, defect, delay in
connectivity or accidental loss of connectivity of the subscriber with BSNL network computer or the
deficiency in data transmission between the subscriber and BSNL network computers, or for any
inconvenience, damage or loss that may be caused to any one or of any kind arising therefrom.
19. Force Majeure - If at anytime, during the continuance of BSNL Internet Services Services, the
performance in whole or part, of any obligation under it shall be prevented or delayed by reason of
war, hostility, acts of the public enemy, civil commotion, sabotage, fire, flood, explosion, epidemic,
quarantine restriction, strikes, lock-out or act of GOD etc., the subscriber shall not have any claim
for damages against BSNL in respect of such non-performance or delay in performance of BSNL
Internet Services Services.
20. Arbitration of Disputes -
That in case of any dispute or differences, breach & violation relating to the terms and conditions the said
matter or dispute, difference shall be referred to the sole arbitration of Chairman and Managing Director
(CMD) of BSNL or any other person appointed by him. That the award of arbitrator shall be final and
binding on both the parties. In the event of such Arbitrator to whom the matter is originally referred to is
being transferred or vacates his office on resignation or other wise or refuses to do work or neglecting his
work or being unable to act as Arbitrator for any reasons whatsoever, the CMD BSNL shall appoint another
person to act as Arbitrator in place of outgoing Arbitrator and the person so appointed shall be entitled to
proceed further with the reference from the stage at which it was left by the predecessor. Subscriber will
have No objection in any such appointment that arbitrator so appointed is an employee of the BSNL, same
as above, the said Arbitrator shall act as under the Provision of the Arbitration and conciliation Act, 1996 or
any statutory modification or re-enactment thereof or any rules made thereof.
21. Acceptable user policy for Sanchernet’s users
This acceptable user policy (AUP) specifies the actions permitted by Bharat Sanchar Nigam
Limited (BSNL) to its users of Sancharnet Internet Services, including leased line, dial up and other
services which may be introduced in future.. BSNL reserve right to modify the policy at any time. All
subscribers of Sancharnet Services, directly or indirectly are required to engage in acceptable use only as
per this policy as modified from time to time.
a. Illegal use
Sancharnet network may be used only for lawful purposes. Transmission, distribution or storage of
any material in violation of any applicable law or regulation is prohibited. This includes, without limitation,