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    Service Application Form: Leased Circuit Service Order

    Uploaded by

    Kanishka Khanna
    This document is a service order form for a leased circuit from Anonet. It requests details about the type of order (new, upgrade, etc.), existing circuit IDs, circuit type (IIL, NLD, etc.), bandwidth in Mbps, number of circuits, customer type (corporate, ISP, etc.), purpose of the circuit, termination details for ends A and B including addresses, interfaces, and equipment, and charges including one-time, recurring, and total costs. The applicant declares the information is true and provides a signature accepting the terms and conditions.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Service Application Form: Leased Circuit Service Order

    Uploaded by

    Kanishka Khanna
    12 views2 pages
    This document is a service order form for a leased circuit from Anonet. It requests details about the type of order (new, upgrade, etc.), existing circuit IDs, circuit type (IIL, NLD, etc.), bandwidth in Mbps, number of circuits, customer type (corporate, ISP, etc.), purpose of the circuit, termination details for ends A and B including addresses, interfaces, and equipment, and charges including one-time, recurring, and total costs. The applicant declares the information is true and provides a signature accepting the terms and conditions.

    Original Description:

    SAF (32)

    Original Title

    SAF (32)

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    This document is a service order form for a leased circuit from Anonet. It requests details about the type of order (new, upgrade, etc.), existing circuit IDs, circuit type (IIL, NLD, etc.), bandwidth in Mbps, number of circuits, customer type (corporate, ISP, etc.), purpose of the circuit, termination details for ends A and B including addresses, interfaces, and equipment, and charges including one-time, recurring, and total costs. The applicant declares the information is true and provides a signature accepting the terms and conditions.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    12 views2 pages

    Service Application Form: Leased Circuit Service Order

    Uploaded by

    Kanishka Khanna
    This document is a service order form for a leased circuit from Anonet. It requests details about the type of order (new, upgrade, etc.), existing circuit IDs, circuit type (IIL, NLD, etc.), bandwidth in Mbps, number of circuits, customer type (corporate, ISP, etc.), purpose of the circuit, termination details for ends A and B including addresses, interfaces, and equipment, and charges including one-time, recurring, and total costs. The applicant declares the information is true and provides a signature accepting the terms and conditions.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    Service Application Form SO No.................................

    LEASED CIRCUIT SERVICE ORDER


    I/We hereby order for Anonet Leased Circuit Service subject to terms and conditions, as description in the service order form.
    We Furnish the necessary details as follow.

    1.1 Type of Order : New Upgrade Downgrade Price Revision Shifting

    Existing A/c No.............................................

    1.2 Existing Circuit ID's Circuit ID's ..............................................................................................................

    1.3 Circuit type IIL NLD Local Loop Drop & Carry Mix Bandwidth

    Peering Dark Fiber Others

    1.4 Bandwidth (In MBPS)......................................................................................................................................................................

    1.5 No of Circuits Nos 1.7 Proposed ready for Service date

    1.6 Customer of Type Corporate ISP LCO BPO Others

    1.8 Purpose (write in detail):

    IF DETAILS : Number of IP's required............................................................ static routing (Y/N)..................................................

    BGP(Y/N) .......................... (If 'Y' ) Full BGP Default BGP

    Last mile detail : Media (tick one) Fiber Wireless

    Customer end interface (tick one) Optical Ethernet other (Specify)...............................................................

    Earthing Status.....................................................................................

    Customer end equipment Provided by : (tick one): Customer Anonet

    Details of Customer end equipment: Router............................ Qty............................ Switch ...........................Qty.....................

    1.9 Customer Purchase order No.................................................................. Purchase Order Date.................................................

    2.0 Link taken by customer for Own use Reselling

    LEASED CIRCUIT TERMINATION A END & B END

    Leased circuit termination details at A End

    Contact Person Name


    Dept. Name
    Address
    City/Village/Post Office
    State Name
    Landmark
    e-Invoice - Please tick Yes No
    Contact Email Id
    Last Mile Provider - A End Anonet Other .................................................
    Customer end interface Ethernet Optical Other....................................................
    Customer end equipment Switch Convertor MUX Other...................................................
    Leased circuit termination details at B End

    Contact Person Name


    Dept. Name
    Address
    City/Village/Post Office
    State Name
    Landmark
    e-Invoice - Please tick Yes No
    Contact Email Id
    Last Mile Provider - A End Anonet Other .................................................
    Customer end interface Ethernet Optical Other....................................................
    Customer end equipment Switch Convertor MUX Other...............................................

    CHARGE DESCRIPTION

    Specify Currency (INR) One Time (A) Annual Recurring (B) Grand Total (A+B) Payment Cycle Payment term
    1. Bandwidth
    2. Hardware
    2.1 Router
    2.2 Others
    3. Installation Charges
    4. Other Charges
    5. Total Charges
    Total order Value
    Price Above excludes any Taxes as Applicable

    Comments

    Declaration
    I/We have read and understood the terms and conditions mentioned overleaf and unconditionally
    accept them as binding on me. I/We have understood the rates, tariffs and other related conditions
    n a tu re
    as mentioned in the bill plan enrollment format for which telecommunication services will be provided
    within India, as applicable, as on date and as may be amended from time to time. I/We undertake to
    pay all charges raised on account of services availed. I/We further declare and undertake that the S i g
    above information provided b me/us is true and correct in all respect.

    Applicant Name (Authorised Signatory)...................................................................

    Designation..................................... Place................................................ Date.........................

    Date .........................
    Anonet Account Manager

    Name..................................... Emp. Code ................................................ Contact .........................

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