BHARAT SANCHAR NIGAM LIMITED
(www.bsnl.co.in )

FORM FOR SHIFTING OF TELEPHONE CONNECTION

(Please read the instructions before filling the form)
1. Telephone Number to be Shifted: Inter City/ Intra City Shift
(please tick the option and strike off other)
2. Other Telephone No. working, if any:
3. Name of the Customer (in Capital Letters) SURNAME FIRST
4. Present Address where the telephone is working
House No Street/ Road/ Village
Bldg./Appt.
Area/ Locality/ Tehsil
City/ District Pin
5. Address where the telephone is to be shifted
House No Street/ Road/ Village
Bldg./Appt.
Area/ Locality/ Tehsil
City/ District Pin
6. Billing/ Correspondence Address (if different from 5 above)
7. E-mail address (if any): ___________________@_______________ 8. Contact Tel. No.
9. Existing facilities working on the telephone: __________________________________________________________
10. If the telephone shifting is not immediately feasible whether the Yes No
telephone connection should continue to work at its present address
11. If no, date on which telephone is required to be disconnected:
(Minimum 3 working days notice is required)
12. Whether internal wiring will be provided by you at new place: Yes No
Signature of Customer/ Authorized Signatory
Signed on: DateINSTRUCTIONS FOR FILLING THE FORM FOR SHIFTING OF TELEPHONE CONNECTION
1. The form may be filled up in Capital letters only.
2. Application should be signed by person in whose name the telephone has been working or by the authorized signatory in case of a
firm, company, etc.
3. Application for shifting should be submitted to the concerned Commercial Officer in whose jurisdiction the telephone is working
presently.
4. The telephone is eligible for shift if:
(a) Either Registration Date of initial application for the telephone connection required to be shifted falls within the release period
of concerned category pertaining to the exchange to which it is required to be shifted
OR
(b) If the telephone has been working for at least 18 months in case of N-OYT Registration Category and 6 months for OYT
Registration Category.
In case of non-fulfillment of any of the above criteria, the telephone will be kept in safe custody and will be shifted as and when
the above criteria is met.
5. The subscriber shall himself carry telephone instruments/ accessories to the new installation address
6. The phone will be shifted to new place with existing facilities. Any required change may be made at the new address after
installation of the phone.
7. Telephone at old residence will be closed on the date mentioned against Sl.No.11 of the form, in case it is not technically feasible
to provide the new connection at new place.
8. If the subscriber provides internal wiring at the new place, he will be entitled to the rebate at the prescribed rates [Rs.300/- as on 1st
August 2001].