Web Conferencing Application Form Please fill in the following information to avail BSNL Web Conferencing service (Fields marked with * are mandatory fields) Subscriber Details *No. of User IDs *Plan Subscribed *CA Number *Billed Phone No (STD Code : prefixed with 0) ( Phone No ) (The Billed Telephone No. is the No. on which BSNL Broadband connection is obtained) * Title Mr / Mrs /Ms * First Name: Middle Name: * Last Name: *Date Of Birth (in DD/MM/YYYY format) *Billing Address *City *State *Country * Pin Code Alternate Telephone Nos: Residence No. Office No. Mobile No. *Email Address IMPORTANT: Please add /save "
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" in your email address box to avoid spam marking. Please enter a valid E-mail address, since the registration e-mail (to select "user Id" and "password") will be sent to this account. I have gone through the terms and conditions and abide by the same. *(Yes / No) (see terms and conditions on the reverse side) Date: ___/___/______ (DD/MM/YYYY) Signature: Place: _______________ For Official Use Only To be filled by Customer Service Center Received (Rs) By (Tick one) Cash/Check/DD Cheque/DD No Dated Drawee Bank Circle Town/City/SSA Received Date Received By To be filled by Commercial Section Status of the Application (Tick one) Accepted/Rejected If Accepted, Transaction No. If Rejected, Reason for rejection Date Updated By Tear away partSubscriber's Copy Received (Rs) By (Tick one) Cash/Check/DD Cheque/DD No Dated Drawee Bank Circle Town/City/SSA Email ID given above: Received date & Received By( signature) Application Form: Page 1 of 2 Terms and Conditions GENERAL: Subject to the acceptance of the application and technical feasibility, BSNL will endeavor to provide "BSNL Web Conferencing Service" as soon as possible. The performance of the service will be dependent on the bandwidth of the IP used by the participants using the service and any drop in the bandwidth due to this will not be under the discretion of BSNL. Customers are free to use any standard Web camera with resolution of at least 300K pixels. Pl note higher resolution cameras will consumer higher bandwidth. The service is offered to active BSNL Broadband subscribers. The subscriber is required to fully comply with the provisions contained in the Indian Telegraph Act 1885, Indian Telegraph Rules and the Information Technology Act 2000 and any amendments or replacements made thereto from time to time. OTHERS: The service will be provisioned within 15 days of the form submission at the Customer Service Center. The payment can be done by Cash/Cheque/DD. Cheque/DD payment is considered as paid subject to realization. The service offerings are under the full discretion of BSNL and are subject to change. Billing will be done separately for this service. RIGHT TO TERMINATE SERVICES: BSNL reserves the right to disconnect the service to any customer in case there is sufficient evidence of the customer intentionally or unintentionally using the service in the manner which would adversely impact BSNL or BSNL's network. The customer shall be responsible for using the service only for legal and appropriate purposes. BSNL reserves the right to terminate the services in the event of nonpayment of bills issued by BSNL in accordance with the tariff plans opted by the customer and the extent of usage or any default on the part of the customers. DISCLAIMER: BSNL will exercise all reasonable care in providing its services, but it is not responsible for interruption in service due to power failures, equipment malfunctions, or acts of natural calamity. BSNL is not responsible for subscriber's computer hardware and software or areas of the Internet not under its control. BSNL does not warrant privacy, security or efficiency of the Internet. BSNL is not responsible for actions taken by its customers or others as a result of its services. BSNL is not responsible for material any person (including household members of the subscriber) may receive or transmit via the Internet, or for anything bought or sold via the Internet, or for any other result of an action taken by anyone using its service. Application Form: Page 2 of 2
