E. DOCUMENTS TO BE ENCLOSED 1. Following documents duly verified and certified by the company secretary/ statutory auditors/one of the Directors /Public notary with name, designation and seal is required to be enclosed along with the application form. Please tick ‘Yes’ or ‘No’. (A) Mandatory documents Memorandum & Articles of Association Yes No Certificate of Incorporation issued by Registrar of Companies Yes No Authorisation to the Authorized Signatory : (a)Resolution of The Board of Directors OR (b) Power of Attorney duly notorised authorising the signatory with attested signature. Yes Yes No No (B) Optional documents(To be submitted if it differs from (A) List of Present Directors of the company with Name, Address Yes No Present shareholding pattern of the company (indicating Indian Equity & Foreign Equity) Yes No ( C) Documents required for Sharing of infrastructure/Work from Home Vendor Certificate for logical partitioning in the EPABX being shared in case of option 2 of item C3. Yes No Undertaking that the Bank Guarantee of Rs. 50 Lakhs in the prescribed format would be submitted at the time of signing the agreement (In case of option 1 of item C3.) Yes No Undertaking that the Bank Guarantee of Rs. One Crore in the prescribed format would be submitted at the time of signing the agreement. (In case of option 2 of item C3.) Yes No Undertaking that the Bank Guarantee of Rs. One Crore in the prescribed format would be submitted at the time of signing the agreement. (In case of option of Work from Home as per Item D.) Yes No (D) Processing Fees(DD of Rs. 1000/- for each OSP centre) Yes No (E) Network diagram - the OSP must clearly mention in the diagram whether it is using Sharing of Infrastructure or Centralised EPABX architecture or the CUG facility. Any change in the network is also required to be intimated immediately by the OSP without any delay. Yes No
Designated Authority: DDG/Head of TERM,.................................. (Name of the TERM Cell ) DD to be drawn in favour of CAO o/o CCA (.......) Sl.No. TERM Cell Address Circle/ Jurisdiction CCA (i) (ii) (iii) (iv) (v) 1 Ahmedabad 1st Floor, P&T Administrative Building, Khanpur, Ahmedabad-380001 Ahmedabad Gujrat 2 Andaman & Nicobar , 1st Floor, , Near Head Post Office, Port Blair, A&N - 744101 Andaman & Nicobar Andaman and Nicobar 3 Andhra Pradesh D-11,Telcom Officer's Complex, , Mogalrajpuram, - 520 010 (AP) Andhra Pradesh excluding Andhra Pradesh 4 9th Floor, O/o CGMT, BSNL, Assam, Pan Bazar, Guwahati, Pin-781001 Assam 5 II Floor, Aminity Block, Palace Road, Bangalore-560001 Karnataka 6 7th Floor, Telephone Bhawan, R Block, - 800001 7 Chennai 3rd Floor, Kellys Telephone Exchange, 22 Kellys Road, Chennai Metro and Tamil Nadu 8 Chhattisgarh 2nd Floor, CTO Building, Jaistambh Chowk, Raipur Chhattisgarh Chhattisgarh 9 5/6th Floor, MTNL TE Building, Nehru Place, New Delhi – 19 including , Noida, , Gurgaon 10 1st Floor, P&T Administrative Building, Khanpur, Ahmedabad-380001 excluding Ahmedabad 11 Haryana 3rd Floor, CGMT BSNL Office Building, 107, The Mall, Ambala Cantt Haryana Haryana 12 Himachal Hari Niwas, Khalini, Simla, HP-171002 Himachal Himachal
Pradesh Pradesh Pradesh 13 2nd Floor, Kavadiguda Telephone Exchange, Hyderabad-3 . Andhra Pradesh 14 Jaipur Ground Floor, Sanchar Bhawan Jhalana Institiutional Area Jaipur Rajasthan 15 Jammu & Kashmir 4th Floor, Technical Block, Telephone Xge Building, Trikuta Nagar, Rail Head Complex, Jammu. Jammu & Kashmir Jammu & Kashmir 16 Jharkhand 2nd Floor, ARTTC Building, BSNL, (Near Jumar River), Hazaribagh Road, P.O. Neori, Ranchi- 835217 Jharkhand Jharkhand 17 Karnataka Ground Floor, Sanchar Complex, WMS Compound, 47th Cross, 9th Main, 5th Block, Jaya Nagar, Bangalore-5600041 Karnataka excluding Karnataka 18 Kerala O/o the DDG(TERM), Kerala, DoT, BSNL Telecom Store Depot., Gandhi Nagar, Ernakulam 682020 Kerala and Lakhadweep Kerala 19 Kolkata QA Bhawan, Block- EP & GP, Kolkata- 700091 Kolkata Metro Kolkata 20 5/464-465, Viram Khand-V, Gomti Nagar, Lucknow UP(East) 21 Madhya Pradesh Doordarshan Bhawan, Room No.222, II Floor, Hoshangabad Road, Madhya Pradesh Madhya Pradesh 22 2nd Floor Khamla Telephone Exch. Khamla Nagpur-440025 excluding Pune and Mumbai 23 Mumbai 5th Floor, Technical wing, Saki Vihar Telephone Exchange, Andheri (East), Mumbai- 400072 Mumbai Metro 24 North East-I III Floor, , Shillong-793001 North East-I (Tripura, Meghalaya, Mizoram ) North East-I 25 North East-II Behind , Dimapur - 797112 North East-II (Arunachal Pradesh, Manipur, Nagaland ) North East-II
26 Orissa 4th Floor, Doorsanchar Bhawan, Bhubaneswar-22, Orissa Orissa Orissa 27 Pune Compound, Behind GPO, church Road,Camp,Pune-411001, Maharashtra Pune 28 1st Floor , , Sector-70, Mohali, Chandigarh-160071 Punjab including 29 Rajasthan Ground Floor, Sanchar Bhawan, Jhalana Institutional Area, Rajasthan excluding Jaipur Rajasthan 30 Tamilnadu 5th FL, Telecom Building, Park Road- II, Coimbatore- 641043 Tamilnadu excluding Chennai and Pondichery Tamil Nadu 31 Uttar Pradesh (East) 5/464-465,Viram Khand-5,Gomti Nagar, Lucknow UP(East) excluding UP(East) 32 Uttar Pradesh (West) 1st Floor Brahmpuri Tele. Exch. Meerut (U.P.)- 250002 UP (W) excluding Uttaranchal UP (West) 33 Uttarakhand 1st floor, BSNL Telephone Exchange, 197 Rajpur Road, Dehradun , Uttaranchal-248001 Uttarakhand Uttarakhand 34 82,,II Floor, Near Convergence Hall, Kolkata-700019