TATA SKY / SUBSCRIBER COPY

INSTALLATION WORK ORDER PVR UPGRADE WORK ORDER FIELD REPAIR WORK ORDER RELOCATION WORK ORDER
ASC WORKORDER REGULAR CORRPORATE

Service Provider's Address : Work Order Number : 1-7295589710

Tata Sky Ltd (E2.303 ) Engineer Name & ID Code :
RAJESH TIME CENTRE Ramji D05975
First Subscription Second Multi Room Third Multi Room Fourth Multi Room
Time In : Time Out :
Subscriber ID : 1045682851 Title :
Date of Purchase : 04/03/2007
Subscriber Name : Bharat Lal Dhruv
FIRST NAME LAST NAME Date&Time of Request: 04/08/2010,14:32:20

Billing & Installation Address : VIP: N ODU: Y MDU Code:

, Planned Start Date and Time: Planned End Date and Time:
Risda Villege 04/08/2010,14:32:17 04/08/2010,14:32:17
Dealer Name :
Thana , Balodabazar
1-17MD56O
Location / Landmark : Account Type: Residential
Account SubType: Regular
City / State : Baloda Bazar , Chhattisgarh Work Order Type : Field Repair
Pin Code : 493332 Work Order Sub Type : Service Repair
STD Code Home Phone Number :

Registered Mobile Number (RMN) 09009813755

(The mobile number stated herein by you shall be your (RMN) as more specifically defined in the subscription contract)

Which of the above would you like to name as Your Registered Telephone Number ? Home RMN

(Registered Telephone No is the landline or Registered Mobile No. that you call from in order to be recognized by Our Helpline)

Email ID:
Digicomp™ Details Serial No. VC No. Location Asset Type Warranty
Faulty Asset Details
Digicomp™ 1 * P 256357111835 000067284471 Standard Base Warranty Serial No 256357111835
Digicomp™ 2
VC No 000067284471
Digicomp™ 3
Digicomp™ 4 Special Instructions
Loaner STB/ Swap .

Work Order Description :

digicomp replaced by ramji

<<02/08/10>><<2:33Pm>><<Gulshan>>call the customer and fix appoinment of service visit on t

ommorrow morning....
Package Details Super Value Kids Special 2
Installation Type &Charges
STD Installation (Rs.1000) NON STD Installation [Type 1(Rs.1100) Type 2 (Rs.1200) ] Premium Installation(Rs.1500) MDU Installation
Subscriber's Observations and Comments :To be filled by the Subscriber
How do you find Tata Sky installation? Satisfied Dissatisfied if Dissatisfied please state the reason below
Any damages to your property or missing belongings No Yes If yes, please specify
Declaration
I have agreed for the Installation/PVR upgrade/Field Repair/Relocation as per the details mentioned above. I agree that an amount of Rs._________can be debited to my
Tata Sky account towards Standard/Non-Standard/Premium Installation Charge or Service charge as explained by the Tata Sky Engineer.I confirm that the above product
has been installed to my satisfaction and is fully operational.I also accept all the terms and conditions and understand that I am now responsible for the Digicomp / The
job has been carried out to my satisfaction. I certify that the materials used are correct, as stated and payment will be made as per the request.

Recharge process explained to customer

(This must be signed only by You /Your Authorized Representative) Subscriber Signature Date:............................
See Terms and Conditions
Signature Box
I confirm that I have read and understood the "Tata Sky Subscription Contract" and hereby agree to abide
by all the Terms and Conditions contained therein, together with the Warranty terms and conditions as
contained in the User Guide.
(This must be signed only by You / Your Authorized Representative) Subscriber Signature Date:............................
Multi Dwelling Unit (MDU) Consent (applicable to apartment building residents)
As a subscriber of the Tata Sky Satellite Television service,
I confirm my consent for obtaining the service through an MDU arrangement.
(This must be signed only by You / Your Authorized Representative) Subscriber Signature Date:............................
For Transfer of Ownership Only
I,................................................(name of transferee) state and confirm that I have lawfully obtained the set-top box bearing number...........................................................from
....................................(name of transferor), a TataSky subscriber having subscriber ID No. ............................, (name of transferor) has no objection to transferring the set top
box to my name and if there is any claim made by .................................(name of transferor) in this respect. I, ..............................shall be solely liable and I indemnify TataSky
against such claim. I,....................................................further state that..................................(name of transferor) has no objection to his current TataSky subscription account
balance transferred as required to my account.

(This must be signed only by You / Your Authorized Representative) Subscriber Signature Date:............................
Regd. Off. : 3rd Floor, Bombay Dyeing A. O. Bldg., Pandurang Budhkar Marg, Worli, Mumbai - 400 025.

Report Generated for sp500479 on 8/6/2010