form

AFFIDAVIT
Specimen of the Affidavit to be submitted by the subscriber as proof of identity

I _________________________________S/O,D/O,W/o__________________________________________
resident of ________________________________________________________________________________
do hereby solemnly affirm and declare as under:

1.That I am at present residing at _____________________________________________

2.That I am applying for a new telephone connection with MTNL for my residence /office at ___________________________________________________________________________________________

3.That telephone is for my bonafide use.

(Deponent)

Verification

Verified this on ________________________day_________________________of 2002,that the above contents of this Affidavit are true and correct and nothing has been concealed therefrom.

(Deponent)

(To be attested by Notary Public with Notarial Stamps)