Black Monthly Statement

Shivam Nishad Total Amount Payable: Due Date:

Registered Email: ₹500.02 4 Jul 2024
shivamnishad802@gmail.com
Registered Telephone Number (RTN):
7376749018

Your Plan: Pay via

Airtel Black 399 Plan
Airtel Thanks App
Airtel Black ID Number of connections
10101019187802 2 www.airtel.in/pay

Statement Date Statement Period Scan and pay via any UPI apps
24 Jun 2024 23 May 2024 - 22 Jun 2024 Powered by

Last bill amount Payment made Credits This Month's Charges Total Amount Amount after
due date (4 Jul)

₹473.18 - ₹473.18 - ₹0.00 + ₹500.02 = ₹500.02 ₹600.02

This Month's Summary (Amounts in ₹)

Services Connections Plan/Pack Charges Other Charges Total

Airtel Black 399 Plan - 10101019187802 2 458.0 24.74 482.74

Plan Discount - - - 59.00

Revised Charges - - - 423.74

Taxes - - - 76.28

This month's charges 500.02

TOTAL ₹500.02

Total: Five Hundred Rupees And Two Paise Only

Changes This Month

Services Details Charges Tax 18% Amount

Other Charges

DTH: 3058790828-001 Airtel Darshan channel added on 28 May 2024 ₹22.74 ₹4.10 ₹26.84

Total ₹22.74 ₹4.10 ₹26.84

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)

Jun'24 473.18 -473.18 0.00 500.02 500.02

May'24 473.03 -473.03 0.00 473.18 473.18

Apr'24 276.47 -276.47 0.00 473.03 473.03

Mar'24 0.00 -1,501.18 0.00 1,777.65 276.47

All above values are inclusive of tax

FIXEDLINE AND BROADBAND SERVICES
Original Copy for Recipient provided by Bharti Airtel Limited- Tax Invoice
Fixedline number : 05224645251 / Broadband ID : 052217967742_wifi

Billing Address

Shivam Nishad
Ho No 638/98,Avadh Vihar,Lucknow Model School,Indra
Nagar,,Lucknow,Uttar P radesh,226016 Lucknow HT2509I002873553 20016180098
Uttar Pradesh, Ship To State Code : 09 Place of Supply : Uttar Pradesh
226016
Email id : shivamnishad802@gmail.com
PhoneNo:7376749018

Account

Account No 20016180098 Bill NO HT2509I002873553

Bill Period 23 May 2024 to 22 Jun 2024 Bill Date 24 Jun 2024
Due date 04 Jul 2024
Credit limit 1500.00
Security deposit 0.00

Amount after due

Last bill amount Payment made Credits This month's charges Total Amount
date(04Jul)

` 233.64 - ` 233.64 - ` 0.00 + ` 233.64 = ` 233.64 ` 233.64

This Month's Charges Charges( ` )

Rental Charges 198.00

Taxes 35.64

Total Amount ` 233.64

Total:Two Hundred Thirty Three Rupees and Sixty Four Paise Only

Detailed breakup of these charges can be found on next page

Send payment to
20016180098.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 : 20016180098

YOUR CHARGES IN DETAIL

Rentals
Description From date To date Rental Discount Net charges Total(`)
Plan Details
198.00
Scheme Charges @ ` 198 23/05/2024 22/06/2024 198.00 0.00 198.00

Tax Details
CGST SGST/UTGST
HSN Taxable Value Total Tax Total(`)
Rate Amount Rate Amount
998412 198.00 9% 17.82 9% 17.82 35.64 35.64

This month's charges 233.64

Payments and refunds-details

Description Date Amount Total(`)
payment via airtel pay (coupon redemption-referrer) 24-May-2024 -148.13
-233.64
payment via airtel pay (upi-axis) 24-May-2024 -85.51

Bill Plan Details : 198 Bundle Plan 10 Mbps

Rental: ` 198 Quota: Unlimited *Speed: 10 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 2 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), 0522-4444121(for Non-Airtel number, call charges apply) | Complaints: Call 198 (toll free for Airtel),
0522-4444198(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. Navneet Shukla, 0522-4600150; appellate.upeast@in.airtel.com; address: Bharti Airtel Limited, TCG 7/7, Vibhuti Khand, Gomti Nagar, Lucknow
- 226010
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 Ltd, TCG- 7/7, Vibhuti Khand, Gomti Nagar, Lucknow, UP - 226010
Ship To State Code : 9 GST registration no : 09AAACB2894G1ZL 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
Shivam . DTH Account ID: 3058790828
638/98 . . Total Amount:
Number of connections: 1
₹ 266.38
Lucknow, Uttar Pradesh 226016 Statement Date: 24 Jun 2024
Due Date:
Statement Period: 23 May 2024 to 22 Jun 2024
Phone number: 7376749018 04 Jul 2024

Previous Dues Payments Adjustments Charges for this Month Total Amount Amount after
due date (04 Jul)

₹ 239.54 - ₹ 239.54 - ₹ 0.00 + ₹ 266.38 = ₹ 266.38 ₹ 366.38

This Month's Summary

Services Connections Plan/Pack Charges Other Charges Total

DTH- 3058790828 1 ₹ 201.00 ₹ 24.74 ₹ 225.74

Taxes (GST) - - - ₹ 40.64

Charges this month’s - - - ₹ 266.38

Previous Dues - - - ₹ 239.54

Payments - - - -₹ 239.54

Adjustments - - - -₹ 0.00

TOTAL ₹ 266.38

Total: Two Hundred Sixty Six Rupees And Thirty Eight Paise Only

Changes This Month

Services Details Total

Other Charges

DTH - 3058790828-001 Airtel Darshan channel added on 28 May 2024 ₹ 26.84

Above charges are inclusive of taxes

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 • 3058790828
Original copy for recipient provided by Bharti Telemedia Ltd.

Billing Details

Shivam .
638/98 . . Bill Number DT2509I000554654

Lucknow, Uttar Pradesh 226016 Bill Period 23 May 2024 to 22 Jun 2024

Contact Number 7376749018 Bill Date 24 Jun 2024

Due Date 04 Jul 2024

Place of Supply Uttar Pradesh

State Code 09

Security Deposit ₹ 0.00

Monthly Rental
DTH ID Description Duration Monthly Charges Net Charges Total

3058790828 Airtel Black 260 23 May - 22 Jun ₹ 260.00 ₹ 201.00 ₹ 201.00

Other Charges
DTH ID Description Duration Monthly Charges Net Charges Total

3058790828 Addtional Usage 23 May - 22 Jun ₹ 29.11 ₹ 24.74 ₹ 24.74

Tax Details

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

Rate Amount Rate Amount

998466 ₹ 225.74 9.0 % ₹ 20.32 9.0 % ₹ 20.32 ₹ 40.64

Charges For This month incl. tax (A) ₹ 266.38

Previous Dues (B) ₹ 239.54

Payments

Description Date Amount

Payment via Airtel Pay (UPI-Axis) 24 May 2024 -₹ 87.67

Payment via Airtel Pay (Coupon Redemption- 24 May 2024 -₹ 151.87

Referrer)

Total Payments (C) ₹ -239.54

TAX INVOICE • 3058790828
Original copy for recipient provided by Bharti Telemedia Ltd.

Total Adjustments (D) ₹ 0.00

Amount Payable (A+B+C+D) ₹ 266.38

Total: Two Hundred Sixty Six Rupees And Thirty Eight 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: 0522-4414761; dthnodal.up@airtel.com; address: Bharti Telemedia Limited , Airtel Center, Airtel Tower, Rani Laxmi Bai
Marg, Hazratganj, Lucknow- 226001. 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: 09 GST registration no.: 09AADCB0147R1ZD Under Category
TELECOMMUNICATION SERVICE TCG- 7/7, Vibhuti Khand, Gomti Nagar, Lucknow, UP - 226010 PAN: AADCB0147R HSN: 998466 Home
programme distribution services
YOUR CHARGES IN DETAILS • 3058790828
Original copy for recipient provided by Bharti Telemedia Ltd.

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

3058790828-001 NCF pack Rs.85-BLACK_SD 23 May - 22 Jun ₹ 82.02 ₹ 65.68

3058790828-001 Aaj Tak HD 23 May - 22 Jun ₹ 2.36 ₹ 2.36

₹ 266.38
3058790828-001 Hindi Family Kids Sports 1M-SBHB 23 May - 22 Jun ₹ 214.16 ₹ 171.50

3058790828-001 Airtel Darshan 28 May - 22 Jun ₹ 31.99 ₹ 26.84

Total Charges (incl. Taxes) ₹ 266.38