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Reliance Jio Tower Installation Online

Registration Form
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Please Put Your Signature

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1. NAME OF THE CANDIDATE:

FIRST NAME:
MIDDLE NAME:
LAST NAME:
2. FATHER’S/HUSBAND’S NAME:

3. CATEGORY: GENERAL[ ] SC[ ] ST[ ] OBC[ ]

4. GENDER: MALE[ ] FEMALE[ ]

5. DATE OF BIRTH: / /

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Call Us: +91 8140818059
 Mail Us: help@jiotoweronline.info
Call Us: +91 8140818059

6. PERMANENT ADDRESS:

DISTRICT STATE
PIN CODE
7. MOBILE NO.: EMAIL

8. TOWER LOCATION DETAILS:

LANDLORD NAME:
FULL ADDRESS

DISTRIC STATE PIN

SPACE FOR TOWER
9. BANK DETAILS:
BANK NAME
ACCOUNT HOLDER NAME
ACCOUNT NO
IFSC
FOR OFFICE USE ONLY
RECEIVED BY: CHECKED BY:
FOR DISPATCHED BY: EXECUTIVE ID NO.:
CONSIGNMENT NO.: SHIPPING DATE:
I HEREBY DECLARE THAT ALL THE STATEMENTS MADE BY ME IN THE REGISTRATION FORM AND INFORMATION SHEETS ARE TRUE AND COMLPLETE TO THE BEST OF MY
KNOWLADGE AND BELEIF AND NOTHING HAS BEEN CONCEALED AND SUPPRESSED.

APPLICANT SIGNATURE DATE PLACE

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 Mail Us: help@jiotoweronline.info
Call Us: +91 8140818059
Dear customer,
As per our telephonic discussion as I told make payment Rs 14,300/-
after confirmation. So, please fill your Registration form correctly.

Registration Process
1. Print your registration form which is send on your email id.
2. Fill up the form correctly with BLUE/BLACK Pen in Capital letter.
3. Id proof of land owner and land document.
4. At last scan all document and send on same email id.

Note:- Personal Document:-

A. Voter id card, Pan Card, Aadhar Card
B. Bank Statement of last three Month Updated and Front Page.
C. Any one educational certificate.
D. Permanent Residential proof or Electricity Last Bill .

Regards,
JIOTOWERONLINE.INFO
RELIANCE JIO INFOCOMM LIMITED
rd
3 FLOOR,B WING FORTUNE BUILDIND
BHARAT NAGAR, BANDRA-KURLA COMPLEX,
MUMBAI (400051),

Mail Us: help@jiotoweronline.info

Call Us: +91 8140818059