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Proforma T 
Non Financial Statement for Internet Service 
I . Basic Information Sheet 
Information as of (date) 
1.1  List of services/products provided including Value added services 
1.2 License 
No. 
1.3 License 
Date 
1.4 
Service Area licensed 
1.5 License 
Period 
1.6 
Date of Commencement of service 
1.7 
Company incorporation details 
1.8 
Related companies in the telecom sector 
In case there is a change in information as compared to previous year, please highlight 
the same. 
II .  Tariff / Revenue  
2.1 Details of tariff schemes applicable during the year 
2.1.1  Please provide a copy of the tariff schemes detailing tariff elements 
including new connection charges, deposits, rentals, advance rentals, 
installation costs, call charges, Leased Circuit charges, etc.  
2.1.2  Please Also, mention the duration of the above scheme.  
2.1.3  provide details of the discounting policies, if any.  
2.2 Service wise number of subscribers 
2.2.1  PSTN Dial Up  
2.2.2  ISDN Dial Up  
2.2.3 DSL   
2.2.4 Cable  
2.2.5 Wireless 
2.2.6  Leased Circuit Copper 
2.2.7  Leased Circuit Fiber 
2.2.8 Cyber 
Cafes  
2.2.9 Others 
2.3 Income through Cyber Cafes: 




  

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