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Short Code Allocation Online Form PDF

This document is an application form for organizations in Bangladesh to apply for a short code. It requests information such as the applicant's name and organization, contact details, intended use of the short code, and supporting documents needed for the application. The applicant must declare that the information provided is true and correct, and that they understand the short code could be cancelled if any information is found to be incorrect.

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Alliance Properties Ltd.
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163 views3 pages

Short Code Allocation Online Form PDF

This document is an application form for organizations in Bangladesh to apply for a short code. It requests information such as the applicant's name and organization, contact details, intended use of the short code, and supporting documents needed for the application. The applicant must declare that the information provided is true and correct, and that they understand the short code could be cancelled if any information is found to be incorrect.

Uploaded by

Alliance Properties Ltd.
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

Bangladesh Telecommunication Regulatory Commission

IEB Bhaban, Ramna, Dhaka-1000.

Short Code Application Form

1. Name of the Organization: …………………………………………………

2. Name and Designation of Applicant:

3. Postal Address

………………………………………………………………………............

………………………………………………………………………............

4. Registered office address (if different from 3)

………………………………………………………………………………

………………………………………………………………………………

5. Contact Person

Name: ……………………………………………………………………....

Telephone/Cellphone number: ……………………………………………...

Fax number: …………………………………………...................................

E-mail address (for all official correspondence): …………………..............

6. Intended Category (A/B/C/D/E, as per allocation procedure): ………….…

7. Description of the intended use of code (including qualitative and


quantitative characteristics of the service)

………………………………………………………………………………

………………………………………………………………………………
………………………………………………………………………………

………………………………………………………………………………

8. Estimated starting date of service

………………………………………………………………………………

9. Type of Service (Voice/ IVR/ SMS):

………………………………………………………………………………
.

10. Application should be submitted along with a letterhead-pad along with


this form and following supporting documents:

a) Service detail;
b) Updated Trade License;
c) Institutional TIN Certificate;
d) Updated Income TAX Clearance Certificate;
e) VAT Registration Certificate;
f) Network and Connectivity Diagram;
g) Memorandum of Article of Association;
h) Certificate of Incorporation;
i) License/ Permission copy of service from concern authority;
j) TVAS enlistment certificate for Telecommunication Value Added Service
k) For government organizations, vetting/authorizations from parent
authority (for example: Departments should submit recommendation letter
from concerned ministry/Division, Administrative/Execution branches of
government departments should apply through Headquarter/Central
Divisions etc)

11. Did your organization applied before for short code: (Yes/No)
Declaration:

1. I certify that the information/documents provided in this application are


true and correct and I undertake to comply with the terms and conditions
stated in the short code allocation procedure.

2. I understand that if at any time any information furnished for obtaining


short code is found incorrect then the code if granted on the basis of such
application shall be cancelled and shall be liable for action as per
Bangladesh Telecommunication Regulation Act, 2010.

Signature of authorized person

………………………………………………………….

Name: …..……………………………………................

Position: . ..………………………………………………

Date & Place……………………………………………..

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