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Videsh Sanchar Nigam Limited
Mumbai - 400 001
Kind Attn : Customer Relations

Date:                       

Dear Sir,

            I / We wish to renew my / our Internet Account which is registered with VSNL / Mumbai. The particulars of my / our Account are as follows :

1.  Email  Address :                                                                   
.
2.  Name of  the Applicant :                                                                   
.
3.  Contact Address :                                                                   
.
4.  Contact  Name :                                                                   
.
    Phone No.                              Fax No.                                                                    
.

5.  Account Type                                 ( Tick Only One )

Service Terminal Dial Up   TCP / IP  
    100 Hrs 250 Hrs 500 Hrs
Option [         ] [     ] [      ] [     ]
Payment Rs. 5,000 /- Rs. 2,400 /- Rs. 5,200 /- Rs. 8,000 /-

.
6.  Payment Particulars                            :

      ( i )    DD / Pay Order

      ( ii )   Amount                                   Bank                                             

.

    Place :                                         

    Date  :                                                                           Signautre :

...

..

For  Office  Use

  Date  of  Renewal
  Customer informed on
  Siganture of officer :