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Affix self signed passport size photograph (required for FTTH facility only)BHARAT SANCHAR NIGAM LIMITED www.bsnl.co.inFORM FOR FIBER BASED SERVICES NEW CONNECTION Companies/ OrganizationsIndividuals(Tick.

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How to fill out the Form For Fiber Based Services New Connection online

Filling out the Form For Fiber Based Services New Connection online is a straightforward process that ensures you receive the services you need. This guide provides clear, step-by-step instructions to help you complete the form efficiently.

Follow the steps to complete the form with ease.

  1. Click the ‘Get Form’ button to obtain the form and open it for editing.
  2. Select the appropriate category by ticking the box for either 'Companies/Organizations' or 'Individuals'.
  3. Indicate whether you are an existing customer of BSNL by selecting 'Yes' or 'No'. If you have selected 'Yes', provide your BSNL Number in the designated area.
  4. In Section 1A, enter your title and name in the format 'SURNAME FIRST'. If there is a joint applicant, fill in their name in Section 1B.
  5. Provide the nominee's name, and fill in the PAN/GIR Number in Section 4.
  6. Enter your contact details in Section 5, including home, business, and mobile numbers.
  7. Complete the address section (Section 6) with the complete address where the service is required, including the building or apartment details, area/locality, city or district, and pin code.
  8. If your billing or correspondence address differs from the previous section, fill out Section 7 accordingly.
  9. Provide your email address in Section 8.
  10. Select your gender in Section 9.
  11. Enter your date of birth in Section 10.
  12. Indicate your employment status with options provided for working or retired employees of Govt./PSU/CPSU in Section 11.
  13. Specify the purpose of your service request by selecting either 'Residence' or 'Business' in Section 12.
  14. Choose your service type from the options available (e.g., Broadband, IPTV/Cable) in Section 13.
  15. Indicate the number of connections required for Broadband and IPTV in Section 14.
  16. Select required telephone facilities and video facilities, and affix a photograph for ISD facility if applicable in Section 15a and 15b.
  17. Indicate whether a telephone instrument is required in Section 16.
  18. Specify the type of ONT required by selecting Type-A or Type-B in Section 18.
  19. Mention the tariff package desired for Broadband and IPTV in Section 19a.
  20. Choose the desired billing frequency in Section 19b.
  21. Fill in the payment mode and details, including amount and demand draft information if applicable in Section 20.
  22. After completing all sections, review the form for accuracy before saving changes, downloading, printing, or sharing the form.

Complete your Form For Fiber Based Services New Connection online today to get connected to high-speed internet services.

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Prospective customers can submit their application for BSNL FTTH connection at nearest BSNL Customer Service Center (BSNL CSC) or BSNL Exchange. Customer need to apply for BSNL FTTH connection in the required application form which will be available at BSN CSC / BSNL telephone exchange.

A. Title/ Name of the Customer/ Company/ Firm/ Organization (SURNAME FIRST):- ... Name of Father/ Husband/ Group/ Proprietor/ Partner(s) ___________________________ ________________________ ___________________________________ Nominee Name:- _____________________________________ 4.PAN/GIR No:

ODN (Optical Distribution Network) Optical Splitter. Fiber Optics Cables( feeder , Secondary ,home line cable ) Fiber Termination Cabinet(FTC) or Fiber Distribution Hub(FDH) Fiber distribution Point(FDP)

Prospective customers can submit their application for BSNL FTTH connection at nearest BSNL Customer Service Center (BSNL CSC) or BSNL Exchange. Customer need to apply for BSNL FTTH connection in the required application form which will be available at BSN CSC / BSNL telephone exchange.

ODN (Optical Distribution Network) Optical Splitter. Fiber Optics Cables( feeder , Secondary ,home line cable ) Fiber Termination Cabinet(FTC) or Fiber Distribution Hub(FDH) Fiber distribution Point(FDP)

Prospective customers can submit their application for BSNL FTTH connection at nearest BSNL Customer Service Center (BSNL CSC) or BSNL Exchange. Customer need to apply for BSNL FTTH connection in the required application form which will be available at BSN CSC / BSNL telephone exchange.

Login to the selfcare page and add your FTTH ,using Telephone number and Account number(It will be available in Telephone bills). After successful addition of FTTH number. Click on the Billing Account Number field with your Billing Acc Number highlighted. It will take you to the following page.

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