Black Monthly Statement

GAURAV SETHI Total Amount Payable: Due Date:

Registered Email: ₹1,192.98 28 Dec 2023
deepak85.sethi@gmail.com
Registered Telephone Number (RTN):
9999949970

Your Plan: Pay via

Airtel Black 998 Plan
Airtel Thanks App
Airtel Black ID Number of connections
10101016369870 3 www.airtel.in/pay

Statement Date Statement Period Scan and pay via any UPI apps
18 Dec 2023 17 Nov 2023 - 16 Dec 2023 Powered by

Last bill amount Payment made Credits This Month's Charges Total Amount Amount after
due date (28 Dec)

₹1,188.26 - ₹1,188.26 - ₹0.00 + ₹1,192.98 = ₹1,192.98 ₹1,428.98

This Month's Summary (Amounts in ₹)

Services Connections Plan/Pack Charges Other Charges Total

Airtel Black Plan - 10101016369870 3 998.00 13.00 1,011.00

Taxes - - - 181.98

This month's charges 1,192.98

Last bill amount - - - 1,188.26

Payment made - - - - 1,188.26

TOTAL ₹1,192.98

Total: One Thousand One Hundred Ninety Two Rupees And Ninety Eight Paise Only

Changes This Month

Services Details Charges Tax 18% Amount

Other Charges

Mobile: 9953210099 ISD Usage ₹13.00 ₹2.34 ₹15.34

Total ₹13.00 ₹2.34 ₹15.34

Detailed break-up of above charges can be found in bill

Bills & Payments Summary

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

Dec'23 1,188.26 -1,188.26 0.00 1,192.98 1,192.98

Nov'23 2,355.28 -2,355.28 0.00 1,188.26 1,188.26

Oct'23 1,177.64 0.00 0.00 1,177.64 2,355.28

Sep'23 1,177.64 -1,177.64 0.00 1,177.64 1,177.64

All above values are inclusive of tax

FIXEDLINE AND BROADBAND SERVICES
Original Copy for Recipient provided by Bharti Airtel Limited- Tax Invoice
Fixedline number : 01244707339 / Broadband ID : 012441026187_dsl

Billing Address

Mr GAURAV SETHI
901 ROYAL PALH APPT PLOT NO-6 SEC-56 . . Gurgaon
Haryana, HT2406I004468430 7034134173
122011 Ship To State Code : 06 Place of Supply : Haryana
Email id : grv.369@gmail.com
PhoneNo:9999949970

Account

Account No 7034134173 Bill NO HT2406I004468430

PAN NO. EDKPS4529F Bill Date 18 Dec 2023
Due date 28 Dec 2023
GST No 06EDKPS4529F2Z8
Credit limit 2400.00
Bill Period 17 Nov 2023 to 16 Dec 2023
Security deposit 0.00

Amount after due

Previous Dues Payments Credits This month's charges Total Amount
date(28Dec)

` 535.72 - ` 535.72 - ` 0.00 + ` 535.72 = ` 535.72 ` 653.72

This Month's Charges Charges( ` )

Rental Charges 454.00

Taxes 81.72

Total Amount ` 535.72

Total:Five Hundred Thirty Five Rupees and Seventy Two Paise Only

Detailed breakup of these charges can be found on next page

For Bharti Airtel Limited

Vasim Unissa S, IRN Code: 21ae55a60423b70b88fccaaca27d1711ab15ab99829398655e553bdbc2efdf04

Head - Experience Operations (VP)

Page 1 of 2
 Relationship No : 7034134173

YOUR CHARGES IN DETAIL

Rentals
Description From date To date Rental Net charges Total(`)
Plan Details
454.00
Scheme Charges @ ` 500 17/11/2023 16/12/2023 500.00 454.00

Tax Details
CGST SGST/UTGST
HSN Taxable Value Total Tax Total(`)
Rate Amount Rate Amount
998412 454.00 9% 40.86 9% 40.86 81.72 81.72

This month's charges 535.72

Payments and refunds-details

Description Date Amount Total(`)
payment via airtel pay (upi-apbl) 10-Dec-2023 -535.72 -535.72

Bill Plan Details : Airtel-Xstream Fiber + Postpaid 500 UL COMBO Plan

Rental: ` 500 Quota: Unlimited *Speed: 40 Mbps
Tariff Details
Local STD Intra Circle STD Inter Circle ISD
Voice - Call Rates
(Rs/sec) (Rs/sec) (Rs/sec) (Rs/sec)
to airtel fixedline 0.00/60 0/60 0/60
to other fixedline 0.00/60 0/60 0/60 for country
to airtel mobile 0.00/60 0/60
specific rates
to other mobile 0.00/60 0/60
to fixedline CUG 0.00/60 0/60 0/60 visit www.airtel.in
to WLL 0.00/60 0/60 0/60
*Post consumption of Unlimited quota, the speed would be revised to 1 Mbps as per Fair Usage Policy | 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), 011-44444121(for Non-Airtel number, call charges apply) | Complaints: Call
198 (toll free for Airtel), 011-44444198(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. Anoop Verma, 0180-4600150; appellate.haryana@in.airtel.com; address: Bharti
Airtel Limited, Plot No 41 & 42, Industrial Park , Sector 2,Growth Center, Saha, Distt Ambala , Haryana
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"
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 Ltd, Plot No- 16, Airtel Center, Udyog Vihar, Phase -IV, Gurgaon, Haryana
-122015
Ship To State Code : 6 GST registration no : 06AAACB2894G1ZR 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
MOBILE SERVICES
Original Copy for Recipient provided by Bharti Airtel Limited- Tax Invoice
1-4739944346321

Billing Address

Mr. DEEPAK SETHI

901 Royal Palm Apartments GH-6 Gurgaon
Gurgaon Sector 56 122011
Haryana BM2406I004885226 1-4739944346321
Email: deepak85.sethi@gmail.com
PhoneNo: 9953210099 Ship To State Code : 06 Place of Supply : Haryana

Account

Account No 1-4739944346321 Bill NO BM2406I004885226

Bill Period 17 Nov 2023-16 Dec 2023 Adjustment 0.00
Bill Date 18 Dec 2023
Due date 28 Dec 2023
Credit limit 3500
Security deposit 0.0

Amount after due

Previous Dues Payments Credits This Month's Charges Total Amount
date(28Dec)

` 652.54 - ` 652.54 - ` 0.00 + ` 657.26 = ` 657.26 ` 775.26

This Month's Charges Charges (` )

Rental Charges 544.00

Usage 13.00

Taxes 100.26

Total Amount ` 657.26

Total:Six Hundred Fifty Seven Rupees and Twenty Six Paise Only

Detailed breakup of these charges can be found on next page

Send payment to
1-4739944346321.POST@mairtel

For Bharti Airtel Limited

Scan & pay via any UPI Apps

Vasim Unissa S, Powered by

Head - Experience Operations (VP)

Page 1 of 4
 Relationship number 1-4739944346321

SUMMARY OF THIS MONTH CHARGES

Account summary
Account no. Airtel number Monthly rentals Usage One time charges Total
1-4739944346321 9953210099 544.00 13.00 0.00 557.00
1-4743217486158 9810918233 0.00 0.00 0.00 0.00
Total 544.00 13.00 0.00 557.00

Tax Details
CGST SGST/UTGST
HSN Taxable Value Total Tax Total(`)
Rate Amount Rate Amount
998413 557.00 9% 50.13 9% 50.13 100.26 100.26

This month's charges 657.26

Payment Details
Description Date Total Total(`)
Payment via Airtel Pay (UPI-APBL) 10-Dec-2023 -652.54 -652.54

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(tollfree) | Complaints: Call 198(tollfree) | Email: 121@airtel.com | NDNC
Registration: Call 1909 (Activation time: 7days) | Complaint / SR Status: www.airtel.in/airtelpresence . Appellate Desk: Mr. Manish
Kumar;9958444865;appellate.del@in.airtel.com ;Bharti Airtel Limited, Plot No. 16, Udyog Vihar, Phase - IV, Gurgaon - 122015
Call 1930 for cyber-crime fraud reporting.
Charges - 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) | 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. | The credit limit is not applicable on usage done in international roaming. | 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 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 Ltd, Plot No- 16, Airtel Center, Udyog Vihar, Phase -IV, Gurugram,
Haryana -122015
State Code: 06 GST registration no.: 06AAACB2894G1ZR under Category TELECOMMUNICATION SERVICE PAN: AAACB2894G
HSN: 998599 Other support services 998433 On-line video content 996812 Courier Services 997317 Leasing or rental services concerning
telecommunications equipment with or without operator 998413 Mobile Telecommunication Service 9983 Support services 998716
Maintenance and repair services of telecommunication equipment and apparatus 999799 Other Services n.e.c

Page 2 of 4
 Relationship number 1-4739944346321
Airtel mobile number 9953210099
YOUR CHARGES IN DETAIL - 9953210099

Monthly rentals
Description From date To dateRental Amount Total(`)
Plan Name
544.00
infinity family 599_homes_pkg_37497 17/11/2023 16/12/2023599.00 544.00

Usage - (17-Nov-2023 to 16-Dec-2023)

Description Total usage Usage above eligibility Amount Total(`)
ISD Calls
to saarc 1 1 13.00
13.00
Internet Usage(MB) Amount
mobile internet 266956* With in Quota 0.00
*Pulses to MB conversion = (no of pulse * 10) / 1024, here charging is done per 10 KB.
Internet charges may vary due to usage in multiple data bands (2g/3g/4g/5g).

This month's charges 557.00

Tariff after plan benefits

Call rates Local( ` ) STD(` ) SMS rates Local( ` ) National( ` )
to airtel mobile 00/min 00/min local/national 0.1/msg 0.1/msg

to other mobile 00/min 00/min national roaming 0.25/msg 0.38/msg

international 5/msg 5/msg
to landline 00/min 00/min
to airtel cug 00/min 00/min
video call 00/sec 00/sec Data conversion : 1MB =1,024KB ; 1GB=1,024MB/1,048,576KB
For Roaming, ISD and other plans/tariff, visit www.airtel.in

Page 3 of 4
 Relationship number 1-4743217486158
Airtel mobile number 9810918233
YOUR CHARGES IN DETAIL - 9810918233

Monthly rentals
Total(`)
Description From date To dateRental Amount
0.00

This month's charges 0.00

Tariff after plan benefits

Call rates Local( ` ) STD(` ) SMS rates Local( ` ) National( ` )
to airtel mobile 00/min 00/min local/national 0.1/msg 0.1/msg

to other mobile 00/min 00/min national roaming 0.25/msg 0.38/msg

international 5/msg 5/msg
to landline 00/min 00/min
to airtel cug 00/min 00/min
video call 00/sec 00/sec Data conversion : 1MB =1,024KB ; 1GB=1,024MB/1,048,576KB
For Roaming, ISD and other plans/tariff, visit www.airtel.in

Page 4 of 4