Application for Network Access

Application form for access to the network for distribution of a television channel

(Refer sub-regulation (16) of the regulation 10)

Declaration

I/We, , on behalf of , hereby declare that:

  1. All information provided in this application is true and accurate to the best of my/our knowledge.
  2. I/We undertake to comply with all applicable regulations, orders, and directions issued by the Telecom Regulatory Authority of India (TRAI).
  3. I/We understand that any false information or suppression of material facts may lead to rejection of this application or cancellation of access, if granted.
  4. I/We agree to provide any additional information or documents as may be required by the distributor or TRAI.
  5. I/We authorize the distributor to verify the information provided in this application.

Date:

Place:

Signature of Applicant

Name: ________________________

Designation: ________________________

Company Seal/Stamp