Black Monthly Statement

S Ratheesh Total Amount Payable: Due Date:

Registered Email: ₹1,085.95 16 Jan 2025
ratheesh.coolhot3@[Link]
Registered Telephone Number (RTN):
9791782605

Your Plan: Pay via

Airtel Black 1099 Plan
Airtel Thanks App
Airtel Black ID Number of connections
10101016501174 2 [Link]/pay

Statement Date Statement Period Scan and pay via any UPI apps
6 Jan 2025 5 Dec 2024 - 4 Jan 2025 Powered by

Last bill amount Payment made Credits This Month's Charges Total Amount Amount after
due date (16 Jan)

₹1,296.82 - ₹1,296.82 - ₹0.00 + ₹1,085.95 = ₹1,085.95 ₹1,303.95

This Month's Summary (Amounts in ₹)

Services Connections Plan/Pack Charges Other Charges Total

Airtel Black 1099 Plan - 10101016501174 2 1074.81 0.00 1,074.81

Plan Discount - - - 154.52

Revised Charges - - - 920.29

Taxes - - - 165.66

This month's charges 1,085.95

TOTAL ₹1,085.95

Total: One Thousand Eighty Five Rupees And Ninety Five Paise Only

Changes This Month

Services Details Charges Tax 18% Amount

Plan Change

Wi-Fi : 0465214859870_wifi Bill plan changed on 19 Dec 2024 ₹700.93 ₹48.72 ₹749.65

Total ₹700.93 ₹48.72 ₹749.65

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)

Jan'25 1,296.82 -1,296.82 0.00 1,085.95 1,085.95

Dec'24 1,296.82 -1,296.82 0.00 1,296.82 1,296.82

Nov'24 1,296.82 -1,296.82 0.00 1,296.82 1,296.82

Oct'24 1,296.82 -1,296.82 0.00 1,296.82 1,296.82

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 : 04652453965 / Wi-Fi ID : 0465214859870_wifi

Billing Address

S Ratheesh
83,Holly Cross Nager 2nd Street,,Nagercoil,,Nagercoil,Tamil
Nadu,629001 Nagercoil HF2533I002168966 20009720690
Tamil Nadu, Ship To State Code : 33 Place of Supply : Tamil Nadu
629001
Email id : ratheesh.coolhot3@[Link]
PhoneNo:9791782605

Account

Account No 20009720690 Bill NO HF2533I002168966

Bill Period 05 Dec 2024 to 04 Jan 2025 Bill Date 06 Jan 2025
Due date 16 Jan 2025
Credit limit 3000.00
Security deposit 0.00

Amount after due

Last bill amount Payment made Credits This month's charges Total Amount
date(16Jan)

` 960.52 - ` 960.52 - ` 0.00 + ` 749.65 = ` 749.65 ` 867.65

This Month's Charges Charges( ` )

Rental Charges 635.29

Taxes 114.36

Total Amount ` 749.65

Total:Seven Hundred Forty Nine Rupees and Sixty Five Paise Only

Detailed breakup of these charges can be found on next page

Send payment to
[Link]@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 : 20009720690

YOUR CHARGES IN DETAIL

Rentals
Description From date To date Rental Discount Net charges Total(`)
Plan Details
Scheme Charges @ ` 999 05/12/2024 19/12/2024 451.16 86.44 364.72 635.29
Scheme Charges @ ` 499 19/12/2024 04/01/2025 273.65 3.08 270.57

Tax Details
CGST SGST/UTGST
HSN Taxable Value Total Tax Total(`)
Rate Amount Rate Amount
998412 635.29 9% 57.18 9% 57.18 114.36 114.36

This month's charges 749.65

Payments and refunds-details

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

Bill Plan Details : 499 WiFi_40Mbps

Rental: ` 499.00 Quota: Unlimited *Speed: 40 Mbps
( 499.00 Rental includes Rs.349 towards Wi-Fi & Fixed Line Plan and Rs.150 towards Platform Services )

Voice - call rates: Unlimited local and STD calls

ISD - call rates: for country specific rates visit [Link]

*Post consumption of Unlimited quota, the speed would be revised to 2 Mbps

For information on other plans, visit [Link]/broadband

Payment Modes - Pay online using debit/credit card, netbanking on My Airtel App, [Link], 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), 044-44444121(for Non-Airtel number, call charges apply) | Complaints: Call 198 (toll free for Airtel),
044-44444198(for Non-Airtel number, call charges apply) | NDNC Registration: Call 1909 (Activation time: 7 days) | Complaint/SR Status: [Link]/help. |
Appellate Desk: Mr. V Praveen Sekar, 044-42039583; [Link]@[Link]; address: Bharti Airtel Limited, No 42/147 & 44/146 Santhome High Road &
Rosary Church road, Mylapore Chennai 600004
Call 1930 for cyber-crime fraud reporting.
Corporate Coordinator Contact Information - For queries and complaints: Call 1800102002 | Email: Esupport@[Link]
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 [Link]/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@[Link],
website: [Link]
Corporate Identity Number : L74899HR1995PLC095967 Bharti Airtel Ltd, 101, Oceanic Towers, Santhome High Road, Santhome, Chennai, Tamil Nadu- 600028
Ship To State Code : 33 GST registration no : 33AAACB2894G1ZU 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
Ratheesh kumar DTH Account ID: 3050967222
83 holly corrss nager kurusady . kovil Number of connections: 1 Total Amount:
Nagercoil, Tamil Nadu 629001 Statement Date: 06 Jan 2025 ₹ 336.30
Statement Period: 05 Dec 2024 to 04 Jan
Email Address: Due Date:
2025
ratheesh.coolhot3@[Link] 16 Jan 2025
Phone number: 9791782605

Last Bill Last Credit Charges for this Month Total Amount Amount after due date
Amount (A) Payments (B) (C) (D) (A-B-C+D) (16 Jan)

₹ 336.30 - ₹ 336.30 - ₹ 0.00 + ₹ 336.30 = ₹ 336.30 ₹ 436.30

This Month's Summary

Services Charges Tax Net Charges

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

Total Charges ₹ 285.00 ₹ 51.30 ₹ 336.30

Previous Dues ₹ 0.00

Payable Amount ₹ 336.30

Total: Three Hundred Thirty Six Rupees And Thirty Paise Only
TAX INVOICE • 3050967222
Original copy for recipient provided by Bharti Telemedia Ltd.

Billing Details

Ratheesh kumar
83 holly corrss nager kurusady . kovil Bill Number DP2533I000206243

Nagercoil, Tamil Nadu 629001 Bill Period 05 Dec 2024 to 04 Jan 2025

Email Address ratheesh.coolhot3@[Link] Bill Date 06 Jan 2025

Contact Number 9791782605 Due Date 16 Jan 2025

Place of Supply Tamil Nadu

State Code 33

Security Deposit ₹ 0.00

Monthly Rental

DTH ID Description Duration Monthly Discount Net Charges

Charges

3050967222-001 Tamil Premium Family HD 1M- 05 Dec - 04 Jan ₹ 330.50 ₹ 61.38 ₹ 269.12
HB

3050967222-001 NCF pack Rs.53-BLACK 05 Dec - 04 Jan ₹ 19.50 ₹ 3.62 ₹ 15.88

Taxable Value – HSN/SAC 998466 (A) ₹ 350.00 ₹ 65.00 ₹ 285.00

State GST @9% (B) ₹ 25.65

Central GST @9% (C) ₹ 25.65

Charges for Bill period (A+B+C) ₹ 336.30

Scan & pay via any UPI Apps

Powered by

For Bharti Telemedia Limited

Ravi Negi, DGM

TAX INVOICE • 3050967222
Original copy for recipient provided by Bharti Telemedia Ltd.

Payments

Description Date Amount

Payment via Airtel Pay (UPI-APBL) 22 Dec 2024 -₹ 336.30

Total Payments ₹ -336.30

Payment Modes: Pay online using debit/credit card, netbanking on My Airtel App, [Link] 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). For Nodal desk details: 044-42102783; [Link]@[Link];
address: Bharti Telemedia Limited,6th floor, Bacon IT Park, Vanket Narayana Road, T Nagar Chennai, 600017. Complaint / SR Status:
[Link]
Call 1930 for cyber-crime fraud reporting
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 | For permanent disconnection,
security deposit will be refunded within 60days. Else, interest will be paid @10%p.a.| 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: 121@[Link], website: [Link]
Corporate Identity Number: U92200DL2006PLC156075 State Code: 33 GST registration no.: 33AADCB0147R2ZL Under Category
TELECOMMUNICATION SERVICE Door No.42/147,44/146, Santhome High Road, Rosary Church Road, Mylapore, Chennai, Tamil Nadu, 600004
PAN: AADCB0147R HSN: 998466 Home programme distribution services