Black Monthly Statement

Soubhagya Kumar Parida Total Amount Payable:

Registered Email: -₹2,640.84
ksoubhagya07@gmail.com
Registered Telephone Number (RTN):
7077070380

Your Plan: Pay via

Airtel Black 1099 Plan
Airtel Thanks App
Airtel Black ID Number of connections
10101019095604 2 www.airtel.in/pay

Statement Date Statement Period Scan and pay via any UPI apps
12 Mar 2024 11 Feb 2024 - 10 Mar 2024 Powered by

Last bill amount Payment made Credits This Month's Charges Total Amount Amount after
due date (22 Mar)

₹0.00 - ₹3,300.00 - ₹0.00 + ₹659.16 = -₹2,640.84 ₹0.00

This Month's Summary (Amounts in ₹)

Services Connections Plan/Pack Charges Other Charges Total

Airtel Black Plan - 10101019095604 2 558.62 0.00 558.62

Taxes - - - 100.55

This month's charges 659.16

Payment made - - - - 3,300.00

TOTAL -₹2,640.84

Total: Minus Two Thousand Six Hundred Forty Rupees And Eighty Four Paise Only

Changes This Month

Services Details

Plan Change

Black: 10101019095604 All the connections have been combined on 26 Feb 2024

**All the charges are on pro rata basis.

Detailed breakup of these charges can be found on respective invoice pages.

Bills & Payments Summary

Month Previous Dues (A) Payments (B) Credits (C) This Month's Charges (D) Total Amount (A+B+C+D)

Mar'24 0.00 -3,300.00 0.00 659.16 -2,640.84

All above values are inclusive of tax

FIXEDLINE AND BROADBAND SERVICES
Original Copy for Recipient provided by Bharti Airtel Limited- Tax Invoice
Fixedline number : 06726462077 / Broadband ID : 0672617839116_wifi

Billing Address

Soubhagya Kumar Parida

Natapada,Vyasanagar,Natapada,Jajpur Road,Jajpur,Jajpur
Road,Orissa,755019 Jajpur Road HT2421I000544649 20015890577
Orissa, Ship To State Code : 21 Place of Supply : Orissa
755019
Email id : ksoubhagya07@gmail.com
PhoneNo:7077070380

Account

Account No 20015890577 Bill NO HT2421I000544649

Bill Period 11 Feb 2024 to 10 Mar 2024 Bill Date 12 Mar 2024
Due date 22 Mar 2024
Credit limit 3000.00
Security deposit 0.00

Amount after due

Last bill amount Payment made Credits This month's charges Total Amount
date(22Mar)

` 0.00 - ` 2444.00 - ` 0.00 + ` 496.81 = ` -1947.19 ` -1947.19

This Month's Charges Charges( ` )

Rental Charges 421.03

Taxes 75.78

Total Amount ` 496.81

Total:Four Hundred Ninety Six Rupees and Eighty One Paise Only

Detailed breakup of these charges can be found on next page

Send payment to
20015890577.FL@mairtel

For Bharti Airtel Limited

Scan & pay via any UPI Apps

Vasim Unissa S, Powered by

Head - Experience Operations (VP)

Page 1 of 2
 Relationship No : 20015890577

YOUR CHARGES IN DETAIL

Rentals
Description From date To date Rental Net charges Total(`)
Plan Details
421.03
Scheme Charges @ ` 999 25/02/2024 10/03/2024 516.72 421.03

Tax Details
CGST SGST/UTGST
HSN Taxable Value Total Tax Total(`)
Rate Amount Rate Amount
998412 421.03 9% 37.89 9% 37.89 75.78 75.78

This month's charges 496.81

Payments and refunds-details

Description Date Amount Total(`)
advance payment (payu) 25-Feb-2024 -2444.00 -2444.00

Bill Plan Details : Airtel-UL-Xstream Ultra 999 Unlimited GB (200Mbps/1024Kbps) COMBO Plan
Rental: ` 999.00 Quota: Unlimited *Speed: 200 Mbps
( 999.00 Rental includes Rs.749 towards Broadband & Fixed Line Plan and Rs.250 towards Platform Services )

Voice - call rates: Unlimited local and STD calls

ISD - call rates: for country specific rates visit www.airtel.in

*Post consumption of Unlimited quota, the speed would be revised to 2 Mbps

For information on other plans, visit www.airtel.in/broadband

Payment Modes - Pay online using debit/credit card, netbanking on My Airtel App, www.airtel.in, eWallets, UPI, visit an Airtel Store to pay using cash/cheque/credit/
debit cards or activate Auto pay options from bank account (NACH) or Credit card account (SI)
Contact Information - For Queries: Call 121 (toll free for Airtel), 033-40016676(for Non-Airtel number, call charges apply) | Complaints: Call 198 (toll free for Airtel),
033-40016676(for Non-Airtel number, call charges apply) | NDNC Registration: Call 1909 (Activation time: 7 days) | Complaint/SR Status: www.airtel.in/help. |
Appellate Desk: Mr.Raja Bose, 033-40016676; appellate.orissa@in.airtel.com; address: Bharti Airtel Limited, Infocity Campus, 6th Floor, E-13/1, Chandaka Industrial
Estate, Chandrasekharpur, Bhubaneswar-751024, Odisha
Call 1930 for cyber-crime fraud reporting.
Corporate Coordinator Contact Information - For queries and complaints: Call 1800102002 | Email: Esupport@in.airtel.com
Charges - Itemized bill: Rs. 50/Bill | Duplicate Bill: Rs. 50/Bill (Last 2 months free) | Cheque / SI / ECS Decline: Rs. 200 | Late fee (Bill value >Rs. 300 upto 5000: Rs.
100, >Rs. 5000: 750 or 2% whichever is higher, Max Late fee Rs. 750). As per the Government directive, effective 1-July-17, 18% GST is applicable on Late Fee
Charges. No charge is levied for any service without your explicit consent
Address change - Visit the nearest Airtel Store with new address proof. For store details, visit www.airtel.in/store
Other Information - Tariff Plan: No increase in any line item (except ISD) for first 6months effective enrolment date. T&C apply | No fee is charged for migrating to
any plan | Disconnection: For permanent disconnection, security deposit will be refunded within 60days. Else, interest will be paid @10%p.a. | Call pulses will be
rounded off | Billing disagreements should be reported within 2months of bill receipt. Post this period no claim shall be entertained. | Whether tax is payable on
Reverse Charge Basis - "NO". The Airtel Xstream Fiber router is Airtel's property & may be reclaimed if the customer discontinues Airtel's Fiber services.
Registered Office : Bharti Airtel Limited, Plot No. 16, Udyog Vihar, Phase IV, Gurugram - 122015, Haryana, India. Tel: +91-124-4248655, e-mail: 121@in.airtel.com,
website: www.airtel.in
Corporate Identity Number : L74899HR1995PLC095967 Bharti Airtel Limited,Infocity Campus,6th Floor,E-13/1,Chandaka Industrial
Estate,Chandrasekharpur,Bhubaneswar-751024,Odisha.
Ship To State Code : 21 GST registration no : 21AAACB2894G1ZZ under Category TELECOMMUNICATION SERVICE PAN : AAACB2894G
HSN : 998412 Fixed Telephony Service , 998433 On-line video content , 996812 Courier Services , 997317 Leasing or rental services concerning
telecommunications equipment with or without operator , 9983 Support services , 998716 Maintenance and repair services of telecommunication equipment and
apparatus , 999799 Other Services n.e.c

Page 2 of 2
DTH MONTHLY STATEMENT
Soubhagya . DTH Account ID: 3058530874
Natapada , . Total Amount:
Number of connections: 1
. -₹ 693.65
Jajapur, Orissa 755019 Statement Date: 12 Mar 2024
Due Date:
Statement Period: 11 Feb 2024 to 10 Mar 2024
Phone number: 7077070380 22 Mar 2024

Previous Dues Payments Adjustments Charges for this Month Total Amount Amount after
due date (22 Mar)

₹ 0.00 - ₹ 856.00 - ₹ 0.00 + ₹ 162.35 = -₹ 693.65 -₹ 693.65

This Month's Summary

Services Connections Plan/Pack Charges Other Charges Total

DTH- 3058530874 1 ₹ 137.59 ₹ 0.00 ₹ 137.59

Taxes (GST) - - - ₹ 24.77

Charges this month’s - - - ₹ 162.35

Previous Dues - - - ₹ 0.00

Payments - - - -₹ 856.00

Adjustments - - - -₹ 0.00

TOTAL ₹ -693.65

Total: Minus Six Hundred Ninety Three Rupees And Sixty Five Paise Only

How to pay?

Online: Airtel stores: UPI:

Airtel Thanks App or Store Locator Scan the QR Code to pay your bill
www.airtel.in/pay (www.airtel.in/store) instantly
TAX INVOICE • 3058530874
Original copy for recipient provided by Bharti Telemedia Ltd.

Billing Details

Soubhagya .
Natapada , . Bill Number FD2421I000177197
.
Jajapur, Orissa 755019 Bill Period 11 Feb 2024 to 10 Mar 2024

Contact Number 7077070380 Bill Date 12 Mar 2024

Due Date 22 Mar 2024

Place of Supply Orissa

State Code 21

Credit Limit ₹ 2000.00

Security Deposit ₹ 0.00

Monthly Rental

DTH ID Description Duration Monthly Charges Net Charges Total

3058530874 Airtel Black 350 26 Feb - 10 Mar ₹ 350.00 ₹ 137.59 ₹ 137.59

Tax Details

HSN / SAC Code Taxable value CGST SGST/UTGST Total Tax

Rate Amount Rate Amount

998466 ₹ 137.59 9.0 % ₹ 12.38 9.0 % ₹ 12.38 ₹ 24.77

Charges For This month incl. tax (A) ₹ 162.35

Previous Dues (B) ₹ 0.00

Payments

Description Date Amount

Advance Payment (PayU) 22 Feb 2024 -₹ 856.00

Total Payments (C) ₹ -856.00

TAX INVOICE • 3058530874
Original copy for recipient provided by Bharti Telemedia Ltd.

Total Adjustments (D) ₹ 0.00

Amount Payable (A+B+C+D) -₹ 693.65

Total: Minus Six Hundred Ninety Three Rupees And Sixty Five Paise Only (Inc. Taxes)

For Bharti Telemedia Limited

Ravi Negi, DGM

Payment Modes: Pay online using debit/credit card, netbanking, eWallets on Airtel App or on https://www.airtel.in/digitaltv-recharge. You can also
visit an Airtel Store to pay using cash/cheque/credit/debit cards or activate Auto pay options from bank account (NACH) or Credit card account (SI)
Contact Information: For Queries/ Complaints: Call 1800-103-6065 (tollfree) or Airtel users can also call on 12150 | Email: digitaltv@airtel.com. For
Nodal desk details: 9937238464; dthnodal.or@airtel.com; address: Bharti Airtel Ltd ,6th Floor,Plot No E-13/1,Industrial
Estate,Chandaka(Infocity)Chandrashekharpur,Bhubaneswar Orisa-751024. Complaint / SR Status: https://www.airtel.in/airtelpresence
Other Information: Tariff Plan: Charges for the plan would depend on the price of the bouquet and ala-carte channels that customer has adopted for.
NCF would apply as per the government regulations. T&C apply | No fee is charged for migrating to any plan | Disconnection: For permanent
disconnection, balance in the account will be refunded within 15 days.| Billing disagreements should be reported within 2months of bill receipt. Post
this period no claim shall be entertained. As per the Government directive, effective 1-July-17, existing service tax of 15% has been replaced with
18% GST. Whether tax is payable on Reverse Charge Basis - "NO".
Registered Office: Bharti Telemedia Ltd., Bharti Crescent, 1, Nelson Mandela Road, Vasant Kunj, Phase – II, New Delhi DL, 110070 IN. Tel: +91-124-
4222222 Fax: +91-124- 4243252, e-mail: digitaltv@airtel.com, website: https://www.airtel.in/digital-tv
Corporate Identity Number: U92200DL2006PLC156075 State Code: 21 GST registration no.: 21AADCB0147R1ZR Under Category
TELECOMMUNICATION SERVICE Plot no - E 13/1, Basement floor, Infocity, Chandaka Indl Estate, Chandrase kharpur,Patia Chandrasekharpur,Khurda,
Orissa - 751024 PAN: AADCB0147R HSN: 998466 Home programme distribution services
*DTH Account Balance Shows:
- adjustment of Other Charges that are over and above the Monthly Rental.
- balance amount in case your DTH usage is lesser than your Monthly Rental.
YOUR CHARGES IN DETAILS • 3058530874
Original copy for recipient provided by Bharti Telemedia Ltd.

Usage Details
DTH ID Content/VAS/NCF Duration Monthly Charges Usage Charges Total

3058530874-001 Odia Premium Family HD 1M-SBHB 26 Feb - 10 Mar ₹ 336.30 ₹ 162.35

₹ 162.35
3058530874-001 NCF pack Rs.65-BLACK 26 Feb - 10 Mar ₹ 0.00 ₹ 0.00

Total Charges (incl. Taxes) ₹ 162.35