Black Monthly Statement

Vishwajeet Vijayrao Dalvi Total Amount Payable: Due Date:

Registered Email: ₹1,299.18 16 Dec 2023
[email protected]
Registered Telephone Number (RTN):
7022223221

Your Plan: Pay via

Airtel Black 1098 Plan
Airtel Thanks App
Airtel Black ID Number of connections
10101015564148 2 www.airtel.in/pay

Statement Date Statement Period Scan and pay via any UPI apps
6 Dec 2023 5 Nov 2023 - 4 Dec 2023 Powered by

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

₹2,591.28 - ₹2,591.28 - ₹0.00 + ₹1,299.18 = ₹1,299.18 ₹1,535.18

This Month's Summary (Amounts in ₹)

Services Connections Plan/Pack Charges Other Charges Total

Airtel Black Plan - 10101015564148 2 1,098.00 3.00 1,101.00

Taxes - - - 198.18

This month's charges 1,299.18

Last bill amount - - - 2,591.28

Payment made - - - - 2,591.28

TOTAL ₹1,299.18

Total: One Thousand Two Hundred Ninety Nine Rupees And Eighteen Paise Only

Changes This Month

Services Details Charges Tax 18% Amount

Other Charges

Mobile: 7349512321 SMS usage ₹3.00 ₹0.54 ₹3.54

Total ₹3.00 ₹0.54 ₹3.54

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)

Dec'23 2,591.28 -2,591.28 0.00 1,299.18 1,299.18

Nov'23 1,295.64 0.00 0.00 1,295.64 2,591.28

Oct'23 1,295.64 -1,295.64 0.00 1,295.64 1,295.64

Sep'23 1,295.64 -1,295.64 0.00 1,295.64 1,295.64

All above values are inclusive of tax

FIXEDLINE AND BROADBAND SERVICES
Original Copy for Recipient provided by Bharti Airtel Limited- Tax Invoice
Fixedline number : 08042155089 / Broadband ID : 08013662169_dsl

Billing Address

Vishwajeet Vijayrao Dalvi

Flat No -501 Simran Eestasy,Apartment,Vijaya Bank
Layout,Devarcknahalli,,B angalore,Karnataka,560076 Bangalore HT2429I006013038 20007356920
Karnataka, Ship To State Code : 29 Place of Supply : Karnataka
560076
Email id : [email protected]
PhoneNo:7022223221

Account

Account No 20007356920 Bill NO HT2429I006013038

Bill Period 05 Nov 2023 to 04 Dec 2023 Bill Date 06 Dec 2023
Due date 16 Dec 2023
Credit limit 2400.00
Security deposit 0.00

Amount after due

Previous Dues Payments Credits This month's charges Total Amount
date(16Dec)

` 1595.36 - ` 1595.36 - ` 0.00 + ` 797.68 = ` 797.68 ` 915.68

This Month's Charges Charges( ` )

Rental Charges 676.00

Taxes 121.68

Total Amount ` 797.68

Total:Seven Hundred Ninety Seven Rupees and Sixty Eight Paise Only

Detailed breakup of these charges can be found on next page

Send payment to
20007356920.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 : 20007356920

YOUR CHARGES IN DETAIL

Rentals
Description From date To date Rental Net charges Total(`)
Plan Details
676.00
Scheme Charges @ ` 799 05/11/2023 04/12/2023 799.00 676.00

Tax Details
CGST SGST/UTGST
HSN Taxable Value Total Tax Total(`)
Rate Amount Rate Amount
998412 676.00 9% 60.84 9% 60.84 121.68 121.68

This month's charges 797.68

Payments and refunds-details

Description Date Amount Total(`)
payment via airtel pay (upi-apbl) 06-Nov-2023 -1595.36 -1595.36

Bill Plan Details : Airtel-UL-Xstream Basic 799 Unlimited GB (100Mbps/1024Kbps) COMBO Plan
Rental: ` 799.00 Quota: Unlimited *Speed: 100 Mbps
( 799.00 Rental includes Rs.649 towards Broadband & Fixed Line Plan and Rs.150 towards Platform Services )
Tariff Details
Local STD Intra Circle STD Inter Circle ISD
Voice - Call Rates
(Rs/sec) (Rs/sec) (Rs/sec) (Rs/sec)
to airtel fixedline 0.6/60 0.75/60 0.75/60
to other fixedline 0.6/60 0.75/60 0.75/60 for country
to airtel mobile 0.6/60 0.75/60 0.75/60
specific rates
to other mobile 0.6/60 0.75/60 0.75/60
to fixedline CUG 0.6/60 0.75/60 0.75/60 visit www.airtel.in
to WLL 0.6/60 0.75/60 0.75/60
*Post consumption of Unlimited quota, the speed would be revised to 1 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), 080-44444121(for Non-Airtel number, call charges apply) | Complaints: Call
198 (toll free for Airtel), 080-44444198(for Non-Airtel number, call charges apply) | NDNC Registration: Call 1909 (Activation time: 7 days) |
Complaint/SR Status: www.airtel.in/help. | Appellate Desk: Mr. Saumil Agrawal, 080-41115201; [email protected]; address:
Bharti Airtel Limited, 55, Divyasree Towers, Bannerghatta Road, Bangalore - 560029
Call 1930 for cyber-crime fraud reporting.
Corporate Coordinator Contact Information - For queries and complaints: Call 1800102002 | Email: [email protected]
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"
Registered Office : Bharti Airtel Limited, Plot No. 16, Udyog Vihar, Phase IV, Gurugram - 122015, Haryana, India. Tel: +91-124-4248655, e-mail:
[email protected], website: www.airtel.in
Corporate Identity Number : L74899HR1995PLC095967 Bharti Airtel Ltd, 55, DIVYASREE TOWER, BANNER GHATTA ROAD, BTM LAYOUT,
BENGALURU, KARNATAKA- 560029
Ship To State Code : 29 GST registration no : 29AAACB2894G1ZJ 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
MOBILE SERVICES
Original Copy for Recipient provided by Bharti Airtel Limited- Tax Invoice
1-4446287062723

Billing Address

Mr. Vishwajeet Vijayrao Dalvi

Simran Ecstasy Flat No 501 Vijaya Bank Layout Bilekahalli
Bengaluru Urban
Bangalore 560076 BM2429I011577546 1-4446287062723
Karnataka
Email: [email protected] Ship To State Code : 29 Place of Supply : Karnataka
PhoneNo: 7349512321

Account

Account No 1-4446287062723 Bill NO BM2429I011577546

Bill Period 05 Nov 2023-04 Dec 2023 Adjustment 0.00
Bill Date 06 Dec 2023
Due date 16 Dec 2023
Credit limit 3500
Security deposit 0.0

Amount after due

Previous Dues Payments Credits This Month's Charges Total Amount
date(16Dec)

` 995.92 - ` 995.92 - ` 0.00 + ` 501.50 = ` 501.50 ` 619.50

This Month's Charges Charges (` )

Rental Charges 422.00

Usage 3.00

Taxes 76.50

Total Amount ` 501.50

Total:Five Hundred One Rupees and Fifty Paise Only

Detailed breakup of these charges can be found on next page

Send payment to
1-4446287062723.POST@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 number 1-4446287062723
Airtel mobile number 7349512321
YOUR CHARGES IN DETAIL

Monthly rentals
Description From date To dateRental Amount Total(`)
Plan Name
422.00
infinity family 499 homes_pkg_35148 05/11/2023 04/12/2023499.00 422.00

Usage - (05-Nov-2023 to 04-Dec-2023)

Description Total usage Usage above eligibility Amount Total(`)
National Roaming
sms - local 8 1 3.00
3.00
Internet Usage(MB) Amount
mobile internet 3078177* With in Quota 0.00
*Pulses to MB conversion = (no of pulse * 10) / 1024, here charging is done per 10 KB.
Internet charges may vary due to usage in multiple data bands (2g/3g/4g/5g).

Tax Details
CGST SGST/UTGST
HSN Taxable Value Total Tax Total(`)
Rate Amount Rate Amount
998413 425.00 9% 38.25 9% 38.25 76.50 76.50

This month's charges 501.50

Payment Details
Description Date Total Total(`)
Payment via Airtel Pay (UPI-APBL) 06-Nov-2023 -995.92 -995.92

Tariff Details
Call rates Local(`) STD(`) SMS rates Local(`) National(`)
to airtel mobile 00/min 00/min local/national 0.1/msg 0.1/msg

to other mobile 00/min 00/min national roaming 0.25/msg 0.38/msg

international 5/msg 5/msg
to landline 00/min 00/min
to airtel cug 00/min 00/min
video call 00/sec 00/sec Data conversion : 1MB =1,024KB ; 1GB=1,024MB/1,048,576KB
For Roaming, ISD and other plans/tariff, visit www.airtel.in

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(tollfree) | Complaints: Call 198(tollfree) | Email: [email protected] | NDNC
Registration: Call 1909 (Activation time: 7days) | Complaint / SR Status: www.airtel.in/airtelpresence . Appellate Desk: Mr. Saumil
Agrawal;9972544865;[email protected] ;Bharti Airtel Limited, No 55, divyashree towers , Bannerghatta Road Bangalore - 560029
Call 1930 for cyber-crime fraud reporting.
Charges - 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) | 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. | The credit limit is not applicable on usage done in international roaming. | 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 Airtel Limited, Plot No. 16, Udyog Vihar, Phase IV, Gurugram - 122015, Haryana, India. Tel: +91-124-4248655, e-
mail: [email protected], website: www.airtel.in
Corporate Identity Number: L74899HR1995PLC095967 Bharti Airtel Ltd, 55, DIVYASREE TOWER, BANNER GHATTA ROAD, BTM LAYOUT,
BENGALURU, KARNATAKA- 560029
State Code: 29 GST registration no.: 29AAACB2894G1ZJ under Category TELECOMMUNICATION SERVICE PAN: AAACB2894G
HSN: 998599 Other support services 998433 On-line video content 996812 Courier Services 997317 Leasing or rental services concerning
telecommunications equipment with or without operator 998413 Mobile Telecommunication Service 9983 Support services 998716
Maintenance and repair services of telecommunication equipment and apparatus 999799 Other Services n.e.c

Page 2 of 2