Black Monthly Statement

Chandra Mohan Tripathy Total Amount Payable: Due Date:

Registered Email: ₹271.83 19 Aug 2025
[email protected]
Registered Telephone Number (RTN):
7750989477

Your Plan: Pay via

Airtel Black New 899 IPTV Entertainment Plan
Airtel Thanks App
Airtel Black ID Number of connections
10101025323164 2 www.airtel.in/pay

Statement Date Statement Period Scan and pay via any UPI apps
9 Aug 2025 8 Jul 2025 - 7 Aug 2025 Powered by

Last bill amount Payment made Credits This Month's Charges Total Amount Amount after
due date (19 Aug)

-₹788.99 - ₹0.00 - ₹0.00 + ₹1,060.82 = ₹271.83 ₹371.83

This Month's Summary (Amounts in ₹)

Services Connections Plan/Pack Charges Other Charges Total

Airtel Black New 899 IPTV Entertainment Plan -

10101025323164 2 1148.0 0.00 1,148.00

Plan Discount - - - 249.00

Revised Charges - - - 899.00

Taxes - - - 161.82

This month's charges 1,060.82

Balance due - - - -788.99

TOTAL ₹271.83

Total: Two Hundred Seventy One Rupees And Eighty Three Paise Only

Bills & Payments Summary

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

Aug'25 -788.99 0.00 0.00 1,060.82 271.83

Jul'25 -1,849.81 0.00 0.00 1,060.82 -788.99

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 : 06652451365 / Wi-Fi ID : 0665224242960_wifi

Billing Address

Chandra Mohan Tripathy

08,Balangir, Odisha 767001, India,Sri Ram
Automobiles,Rugudipada,Balangir, Balangir,Orissa,767001 Balangir HF2621I000597090 20028636045
Orissa, Ship To State Code : 21 Place of Supply : Orissa
767001
Email id : [email protected]
PhoneNo:7750989477

Account

Account No 20028636045 Bill NO HF2621I000597090

Bill Period 08 Jul 2025 to 07 Aug 2025 Bill Date 09 Aug 2025
Due date 16 Aug 2025
Credit limit 2500.00
Security deposit 0.00

Amount after due

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

` -538.41 - ` 0.00 - ` 0.00 + ` 724.52 = ` 186.11 ` 186.11

This Month's Charges Charges( ` )

Rental Charges 614.00

Taxes 110.52

Total Amount ` 724.52

Total:Seven Hundred Twenty Four Rupees and Fifty Two Paise Only

Detailed breakup of these charges can be found on next page

Send payment to
20028636045.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 : 20028636045

YOUR CHARGES IN DETAIL

Rentals
Description From date To date Rental Discount Net charges Total(`)
Plan Details
614.00
Scheme Charges @ ` 798 08/07/2025 07/08/2025 798.00 184.00 614.00

Tax Details
CGST SGST/UTGST
HSN Taxable Value Total Tax Total(`)
Rate Amount Rate Amount
998412 614.00 9% 55.26 9% 55.26 110.52 110.52

This month's charges 724.52

Bill Plan Details : 798 WiFi+DTH 100Mbps

Rental: ` 798 Quota: Unlimited *Speed: 100 Mbps
Tariff Details
Local STD Intra Circle STD Inter Circle ISD
Voice - Call Rates
(Rs/sec) (Rs/sec) (Rs/sec) (Rs/sec)
to airtel fixedline 0.00/60 0/60 0/60
to other fixedline 0.00/60 0/60 0/60 for country
to airtel mobile 0.00/60 0/60
specific rates
to other mobile 0.00/60 0/60
to fixedline CUG 0.00/60 0/60 0/60 visit www.airtel.in
to WLL 0.00/60 0/60 0/60
*Post consumption of Unlimited quota, the speed would be revised to 2 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), 033-40016676(for Non-Airtel number, call charges apply) | Complaints: Call 198 (toll free for Airtel),
033-40016676(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.Gunjan Agarwal, 033-40016676; [email protected]; address: Bharti Airtel Limited, Infocity Campus, 6th Floor, E-13/1, Chandaka
Industrial Estate, Chandrasekharpur, Bhubaneswar-751024, Odisha
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". 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: [email protected],
website: www.airtel.in
Corporate Identity Number : L74899HR1995PLC095967 Bharti Airtel Limited,Infocity Campus,6th Floor,E-13/1,Chandaka Industrial
Estate,Chandrasekharpur,Bhubaneswar-751024,Odisha.
Ship To State Code : 21 GST registration no : 21AAACB2894G1ZZ 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
Digital TV MONTHLY STATEMENT
Chandra Tripathy Digital TV Account ID: 3068846934
08, Balangir, Odisha 767001, India, Rugudipada, , Number of connections: 1
Sri Ram Automobiles , BALANGIR, Balangir , Total Amount:
Orissa, Statement Date: 09 Aug 2025 ₹ 85.72
. Statement Period: 08 Jul 2025 to 07
Balangir, Orissa 767001 Due Date:
Aug 2025
19 Aug 2025
Phone number: 7750989477

Last Bill Last Credit Charges for this Month Total Amount Amount after due date
Amount (A) Payments (B) (C) (D) (A-B-C+D) (19 Aug)

-₹ 250.58 - ₹ 0.00 - ₹ 0.00 + ₹ 336.30 = ₹ 85.72 ₹ 185.72

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

Balance Dues -₹ 250.58

Payable Amount ₹ 85.72

Total: Eighty Five Rupees And Seventy Two Paise Only

TAX INVOICE • 3068846934
Original copy for recipient provided by Bharti Airtel Limited

Billing Details

Chandra Tripathy
08, Balangir, Odisha 767001, India, Rugudipada, , Sri Ram Bill Number IA2621I000063874
Automobiles , BALANGIR, Balangir , Orissa,
. Bill Period 08 Jul 2025 to 07 Aug 2025
Balangir, Orissa 767001 Bill Date 09 Aug 2025
Contact Number 7750989477 Due Date 19 Aug 2025

Place of Supply Orissa

State Code 21

Security Deposit ₹ 0.00

Monthly Rental

Digital TV ID Description Duration Monthly Discount Net Charges

Charges

3068846934-001 NCF 146PRNT 08 Jul - 07 Aug ₹ 16.00 ₹ 2.97 ₹ 13.03

3068846934-001 Black Odia Ultimate Plus HD 08 Jul - 07 Aug ₹ 334.00 ₹ 62.03 ₹ 271.97

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 Airtel Limited

Vasim Unissa S,
Head - Experience Operations (VP)
TAX INVOICE • 3068846934
Original copy for recipient provided by Bharti Airtel Limited

Payment Modes: Pay online using debit/credit card, netbanking on My Airtel App, https://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), 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: 033-40016676;
[email protected]; address: Infocity Campus, 6th Floor, E-13/1, Chandaka Industrial Estate, Chandrasekharpur, Bhubaneswar-
751024, Odisha. Complaint / SR Status: https://www.airtel.in/airtelpresence
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 Airtel Limited Airtel Centre, Plot No. 16, Udyog Vihar, Phase IV, Gurugram – 122015, Haryana, India e-mail:
[email protected], website: https://www.airtel.in
Corporate Identity Number: L74899HR1995PLC095967 State Code: 21 GST registration no.: 21AAACB2894G1ZZ Under Category
TELECOMMUNICATION SERVICE Plot no - E 13/1, Basement floor, Infocity, Chandaka Indl Estate, Chandrase kharpur,Patia
Chandrasekharpur,Khurda, Orissa - 751024 PAN: AAACB2894G HSN: 998466 Home programme distribution services