Black Monthly Statement

Sushil Kumar Gahlot Total Amount Payable: Due Date:

Registered Email: ₹1,310.98 22 Dec 2024
sushilgahlotdba@gmail.com
Registered Telephone Number (RTN):
9818246118

Your Plan: Pay via

Airtel Black 1099 Plan
Airtel Thanks App
Airtel Black ID Number of connections
10101014377190 2 www.airtel.in/pay

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

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

₹1,310.98 - ₹1,310.98 - ₹0.00 + ₹1,310.98 = ₹1,310.98 ₹1,528.98

This Month's Summary (Amounts in ₹)

Services Connections Plan/Pack Charges Other Charges Total

Airtel Black 1099 Plan - 10101014377190 2 1349.0 12.00 1,361.00

Plan Discount - - - 250.00

Revised Charges - - - 1,111.00

Taxes - - - 199.98

This month's charges 1,310.98

TOTAL ₹1,310.98

Total: One Thousand Three Hundred Ten Rupees And Ninety Eight Paise Only

Bills & Payments Summary

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

Dec'24 1,310.98 -1,310.98 0.00 1,310.98 1,310.98

Nov'24 1,310.98 -1,310.98 0.00 1,310.98 1,310.98

Oct'24 1,310.98 -1,310.98 0.00 1,310.98 1,310.98

Sep'24 1,310.98 -1,310.98 0.00 1,310.98 1,310.98

All above values are inclusive of tax

FIXEDLINE AND Wi-Fi SERVICES
Original Copy for Recipient provided by Bharti Airtel Limited- Tax Invoice
Fixedline number : 01204257197 / Wi-Fi ID : 012012073119_dsl

Billing Address

Sushil Kumar Gahlot

Flat No 404 Tower D,Ace City,,Sector 1 Gr Noida West,,Noida,Uttar
Pradesh, 201306 Noida HF2509I002273719 20004167428
Uttar Pradesh, Ship To State Code : 09 Place of Supply : Uttar Pradesh
201306
Email id : sushilgahlotdba@gmail.com
PhoneNo:9818246118

Account

Account No 20004167428 Bill NO HF2509I002273719

Bill Period 11 Nov 2024 to 10 Dec 2024 Bill Date 12 Dec 2024
Due date 22 Dec 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(22Dec)

` 960.52 - ` 960.52 - ` 0.00 + ` 960.52 = ` 960.52 ` 1078.52

This Month's Charges Charges( ` )

Rental Charges 814.00

Taxes 146.52

Total Amount ` 960.52

Total:Nine Hundred Sixty Rupees and Fifty Two Paise Only

Detailed breakup of these charges can be found on next page

Send payment to
20004167428.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 : 20004167428

YOUR CHARGES IN DETAIL

Rentals
Description From date To date Rental Discount Net charges Total(`)
Plan Details
814.00
Scheme Charges @ ` 999 11/11/2024 10/12/2024 999.00 185.00 814.00

Tax Details
CGST SGST/UTGST
HSN Taxable Value Total Tax Total(`)
Rate Amount Rate Amount
998412 814.00 9% 73.26 9% 73.26 146.52 146.52

This month's charges 960.52

Payments and refunds-details

Description Date Amount Total(`)
payment via airtel pay (upi-apbl) 22-Nov-2024 -960.52 -960.52

Bill Plan Details : 999 WiFi_200Mbps

Rental: ` 999.00 Quota: Unlimited *Speed: 200 Mbps
( 999.00 Rental includes Rs.749 towards Wi-Fi & 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), 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: Ms. Riju Suji, 0121-4600150; appellate.upwest@in.airtel.com; address: Bharti Airtel Limited, B38/C1, Sector 57, Noida- 201301 Uttar Pradesh
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 Wi-Fi router is Airtel's property & may be reclaimed if the customer discontinues Airtel's Wi-Fi 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
Sushil Gahlot DTH Account ID: 3000884455
Flat No. 405 Tower D, Ace City ,Sector 1 GH Gr Number of connections: 1
Noida West,,Noida,Uttar Prad , esh, 201306 Noida Total Amount:
. Statement Date: 12 Dec 2024
₹ 350.46
Statement Period: 11 Nov 2024 to 10
Noida, Uttar Pradesh 201306 Dec 2024 Due Date:
Email Address: sushilgahlotdba@gmail.com 22 Dec 2024
Phone number: 9818246118

Last Bill Last Credit Charges for this Month Total Amount Amount after due date
Amount (A) Payments (B) (C) (D) (A-B-C+D) (22 Dec)

₹ 350.46 - ₹ 350.46 - ₹ 0.00 + ₹ 350.46 = ₹ 350.46 ₹ 450.46

This Month's Summary

Services Charges Tax Net Charges

1. Airtel Black Plan (Including NCF) ₹ 285.00 ₹ 51.30 ₹ 336.30

2. Additional Channels ₹ 12.00 ₹ 2.16 ₹ 14.16

Total Charges ₹ 297.00 ₹ 53.46 ₹ 350.46

Previous Dues ₹ 0.00

Payable Amount ₹ 350.46

Total: Three Hundred Fifty Rupees And Forty Six Paise Only
TAX INVOICE • 3000884455
Original copy for recipient provided by Bharti Telemedia Ltd.

Billing Details

Sushil Gahlot
Flat No. 405 Tower D, Ace City ,Sector 1 GH Gr Noida Bill Number DT2509I002200761
West,,Noida,Uttar Prad , esh, 201306 Noida .
Bill Period 11 Nov 2024 to 10 Dec 2024
Noida, Uttar Pradesh 201306 Bill Date 12 Dec 2024
Email Address sushilgahlotdba@gmail.com Due Date 22 Dec 2024
Contact Number 9818246118 Place of Supply Uttar Pradesh

State Code 09

Security Deposit ₹ 0.00

Monthly Rental

DTH ID Description Duration Monthly Discount Net Charges

Charges

3000884455-001 CNN 11 Nov - 10 Dec ₹ 2.00 ₹ 2.00

3000884455-001 Disney Channel 11 Nov - 10 Dec ₹ 10.00 ₹ 10.00

3000884455-001 NCF pack Rs.72-BLACK 11 Nov - 10 Dec ₹ 62.00 ₹ 11.51 ₹ 50.49

3000884455-001 Hindi Family Kids Sports HD 11 Nov - 10 Dec ₹ 288.00 ₹ 53.49 ₹ 234.51
1M-BLACK

Taxable Value – HSN/SAC 998466 (A) ₹ 362.00 ₹ 65.00 ₹ 297.00

State GST @9% (B) ₹ 26.73

Central GST @9% (C) ₹ 26.73

Charges for Bill period (A+B+C) ₹ 350.46

Scan & pay via any UPI Apps

Powered by

For Bharti Telemedia Limited

Ravi Negi, DGM

TAX INVOICE • 3000884455
Original copy for recipient provided by Bharti Telemedia Ltd.

Payments

Description Date Amount

Payment via Airtel Pay (UPI-APBL) 22 Nov 2024 -₹ 350.46

Total Payments ₹ -350.46

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