Customer Application Form

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Customer Application Form Guild Digital Network Pvt Ltd., DECLARATION OF GDN PACKAGES DETAILS CUSTOMER DETAILS 1 STATUS OF SUBSCRIBER INDIVIDUAL / GROUP CAF NO 2 NAME 3 INSTALLATION ADDRESS 4 MOBILE NO 5 BOX TYPE SD HD 6 STB NUMBER A-LA-CARTE DETAILS 8 BASE PACKAGE DETAILS BASIC PACKAGE NO OF FREE CHANNELS PRICE GDN FTA 230 130.00 PACKAGE DETAILS NO OF GDN PACKAGE NAMES CHANNELS DETAILS CH P SUN TV - K TV - SUN MUSIC - SUN NEWS - ADITHYA - SUN LIFE - CHUTTI - VIJAY - VIJAY SUPER - STAR SPORTS TAMIL - STAR SPORTS 2 - STAR SPORTS 3 - STAR SPORTS FIRST- 20 GDN BASIC-(Rs.80) NGC-NGC WILD-ZEE TAMIL PACK-COLORS TAMIL - NEWS18 TN - THE HISTORY - FYI TV 18 - NICK - SONIC - NICK JR - VH1 - NEWS18 URDU - CNN NEWS18 - MEGA TV - MEGA MUSIQ - MEGA 24 + FTA SUN TV - K TV - SUN MUSIC - SUN NEWS - ADITHYA - SUN LIFE - CHUTTI - VIJAY - VIJAY SUPER - STAR SPORTS TAMIL - STAR SPORTS 2 - STAR SPORTS 3 - STAR SPORTS FIRST- NGC-NGC WILD-ZEE TAMIL PACK-COLORS TAMIL - NEWS18 TN - THE HISTORY - FYI TV 18 - NICK - SONIC - NICK JR - VH1 - NEWS18 URDU - CNN NEWS18 -DISCOVERY - ANIMEL 62 GDN KURINJI-(Rs.10) PLANET - TLC - DISCOVERY KIDS - DISCOVERY TAMIL -RAJ TV - RAJ MUSIX - RAJ DIGITAL PLUS - RAJ NEWS -MEGA TV - MEGA MUSIQ - MEGA 24 -JAYA TV-JAYA PLUS - JAYA MAX MUSIC - J MOVIES - CN - POGO - HBO - WB - CNN - TRAVEL XP TAMIL,TRAVEL XP HD - TIMES NOW-ET NOW-ZOOM-MOVIES NOW-ROMEDY NOW-MIRROR NOW-MNX + FTA SUN TV-KTV - SUN NEWS- SUN MUSIC - ADITHYA - SUN LIFE -CHUTTI- VIJAY TV - VIJAY SUPER - STAR SPORTS TAMIL - STAR SPORTS 2 -STAR SPORTS , STAR SPORTS FIRST , NGC - NGC WILD-ZEE TAMIL PACK - NEWS 18 TN- COLOURS TAMIL - NICK - HISTRY-SONIC - CNN NEWS 18 - VH-1 - FYI TV- NICK JR-NEWS18URDU-DISCOVERY - ANIMEL PLANET - TLC - 65 GDN MULLAI-(Rs.140) DISCOVERY KIDS - DISCOVERY TAMIL-BINDASS - DISNEY - DISNEY JR - DISNEY XD - HUNGAMA -CN - POGO - HBO - WB - CNN-RAJ TV - RAJ MUSIX - RAJ DIGITAL PLUS - RAJ NEWS-MEGA TV - MEGA MUSIQ - MEGA 24-TRAVEL XP TAMIL - TRAVEL XP HD-TIMES NOW-ET NOW-ZOOM-MOVIES NOW-ROMEDY NOW-MIRROR NOW-MNX-SONY SIX- SONY PIX - SONY TEN 1 - SONY YAY! - SONY BBC EARTH + FTA LCO NAME DATE LCO SIGNATURE SIGNATURE RETAIL PACKAGE DETAILS STAR VIJAY TAMIL PACK SUN GROUP TAMIL SL.NO NAME OF THE CHANNEL RATE DRP PACK NAME SL.NO NAME OF THE CHANNEL RATE DRP PACK NAME 1 VIJAY TV Rs. 14.16 1 SUN TV Rs. 22.42 2 VIJAY SUPER Rs. 1.18 2 K TV Rs. 22.42 3 NGC Rs. 1.18 3 SUN LIFE Rs. 10.62 SUN GROUP □ 4 NAT GEO WILD Rs. 0.12 STAR VIJAY 4 SUN NEWS Rs. 1.18 Rs. 47.20 Rs. 29.50 □ TAMIL 5 STAR SPORTS 1 TAMIL Rs. 20.06 TAMIL PACK 5 SUN MUSIC Rs. 7.08 6 STAR SPORTS 2 Rs. 5.90 6 ADHITHYA Rs. 10.62 7 Star sports 3 Rs. 1.18 7 CHUTTI Rs. 7.08 8 STAR SPORTS FIRST Rs. 1.18 COLORS TAMIL BUDGET PACK STAR VIJAY MALAYALAM PACK SL.NO NAME OF THE CHANNEL RATE DRP PACK NAME SL.NO NAME OF THE CHANNEL RATE DRP PACK NAME 1 COLORS TAMIL Rs. 3.54 1 STAR SPORTS 1 Rs. 22.42 2 NEWS 18 TAMIL Rs. 0.12 2 STAR SPORTS 2 Rs. 5.90 3 HISTORY TV 18 Rs. 3.54 3 Star sports 3 Rs. 1.18 4 NICK Rs. 7.08 COLORS □ 4 STAR SPORTS FIRST Rs. 0.12 STAR VIJAY 5 SONIC NICKELODEON Rs. 2.36 TAMIL □ Rs. 9.44 5 NGC Rs. 1.18 Rs. 46.02 MALAYALAM 6 CNN NEWS 18 Rs. 0.59 BUDGET 6 NAT GEO WILD Rs. 0.12 PACK 7 VH1 Rs. 1.18 PACK 7 ASIANET MOVIES Rs. 14.16 8 NICK JUNIOR Rs. 1.18 8 ASIANET PLUS Rs. 5.90 9 NEWS 18 URUDU Rs. 0.12 9 ASIANET Rs. 22.42 10 FYI TV 18 Rs. 0.30 STAR VIJAY TELUGU PACK TURNER PACK SL.NO NAME OF THE CHANNEL RATE DRP PACK NAME SL.NO NAME OF THE CHANNEL RATE DRP PACK NAME 1 MAA TV Rs. 14.16 1 POGO Rs. 5.02 2 MAA MUSIX Rs. 1.18 2 CARTOON NETWORK Rs. 5.02 TURNER □ 3 MAA MOVIES Rs. 11.80 3 CNN Rs. 0.59 Rs. 11.80 PACK 4 MAA GOLD Rs. 2.36 4 HBO Rs. 11.80 5 NGC Rs. 1.18 STAR VIJAY □ 5 WB Rs. 1.18 Rs. 46.02 6 NAT GEO WILD Rs. 0.12 TELUGU PACK RAJ ALL CHANNELS 7 STAR SPORTS 1 TELUGU Rs. 22.42 SL.NO NAME OF THE CHANNEL RATE DRP PACK NAME 8 STAR SPORTS 2 Rs. 5.90 1 RAJ TV Rs. 3.54 9 Star sports 3 Rs. 1.18 2 RAJ NEWS Rs. 0.30 RAJ ALL □ Rs. 5.77 10 STAR SPORTS FIRST Rs. 0.12 3 RAJ MUSIX Rs. 1.18 CHANNELS STAR VIJAY HINDI PACK 4 RAJ DIGITAL PLUS Rs. 1.77 SL.NO NAME OF THE CHANNEL RATE DRP PACK NAME JAYA TV GROUP 1 STAR PLUS Rs. 14.16 SL.NO NAME OF THE CHANNEL RATE DRP PACK NAME 2 STAR BHARATH Rs. 11.80 1 JAYA MAX Rs. 4.43 3 MOVIES OK Rs. 1.18 2 J MOVIE Rs. 2.66 JAYA TV □ Rs. 12.39 4 STAR UTSAV Rs. 1.18 3 JAYA TV HD Rs. 7.08 GROUP 5 STAR GOLD Rs. 9.44 □ 4 JAYA PLUS Rs. 2.65 6 STAR SPORTS 1 HINDI Rs. 22.42 STAR VIJAY DISCOVERY PACK 1 Rs. 57.82 7 STAR SPORTS 2 Rs. 5.90 HINDI PACK SL.NO NAME OF THE CHANNEL RATE DRP PACK NAME 8 Star sports 3 Rs. 1.18 1 DISCOVERY TAMIL Rs. 4.72 9 STAR SPORTS FIRST Rs. 0.12 2 DISCOVERY Rs. 4.72 Discovery □ Rs. 7.08 10 NGC Rs. 1.18 3 ANIMAL PLANET Rs. 2.36 group SD 11 NAT GEO WILD Rs. 0.12 4 DISCOVERY SCIENCE Rs. 1.18 12 STAR UTSAV MOVIES Rs. 1.18 ZEE TAMIL PACK DISCOVERY GROUP SD SL.NO NAME OF THE CHANNEL RATE DRP PACK NAME SL.NO NAME OF THE CHANNEL RATE DRP PACK NAME 1 ZEE TAMIL Rs. 11.80 1 DISCOVERY TAMIL Rs. 4.72 2 ZEE ACTION Rs. 1.18 2 DISCOVERY Rs. 4.72 3 ZEE NEWS Rs. 0.12 3 ANIMAL PLANET Rs. 2.36 4 ZEE HINDUSTAN Rs. 0.12 ZEE TAMIL □ 4 DISCOVERY SCIENCE Rs. 1.18 Rs. 11.80 DISCOVERY 5 LIVING FOODS Rs. 1.18 PACK 5 DISCOVERY TURBO Rs. 1.18 Rs. 9.44 □ GROUP SD 6 WION Rs. 1.18 6 TLC Rs. 2.36 7 ZEE ETC BOLLYWOOD Rs. 0.12 7 D SPORT Rs. 4.72 8 ZEE KERALAM Rs. 0.12 8 DISCOVERY KIDS Rs. 3.54 ZEE SUPER TAMIL PACK 9 DISCOVERY JEET Rs. 1.18 SL.NO NAME OF THE CHANNEL RATE DRP PACK NAME 1 Zee Tv Rs. 14.16 DISNEY PACK 2 Zee Action Rs. 1.18 SL.NO NAME OF THE CHANNEL RATE DRP PACK NAME 3 Zee News Rs. 0.12 1 DISNEY XD Rs. 3.54 4 Zee Hindustan Rs. 0.12 ZEE SUPER □ 2 HUNGAMMA Rs. 1.18 5 Living Foodz Rs. 1.18 Rs. 23.60 PACK TAMIL 3 DISNEY JUNIOR Rs. 3.54 6 Zee ETC Rs. 0.12 SD 4 DISNEY CHANNEL Rs. 9.44 Rs. 11.80 DISNEY PACK □ 7 WION Rs. 1.18 8 Zee Tamil Rs. 11.80 9 Zee Keralam Rs. 0.12 TIMES GROUP ALL SD SONY SPORTS PACK SL.NO NAME OF THE CHANNEL RATE DRP PACK NAME SL.NO NAME OF THE CHANNEL RATE DRP PACK NAME 1 TIMES NOW Rs. 3.54 1 SONY SIX Rs. 17.70 2 MIRROR NOW Rs. 2.36 2 SONY ESPN Rs. 5.90 3 ET NOW Rs. 3.54 □ 3 SONY TEN 2 Rs. 17.70 TIMES GROUP SONY 4 MOVIES NOW Rs. 11.80 Rs. 15.34 4 SONY TEN 3 Rs. 20.06 □ ALL SD Rs. 55.46 SPORTS 5 MNX Rs. 7.08 5 SONY TEN 1 Rs. 22.42 PACK 6 ROMEDY NOW Rs. 7.08 6 AXN Rs. 5.90 7 ZOOM Rs. 0.59 7 SONY PIX Rs. 11.80 MEGA TV PACK 8 SONY BBC EARTH Rs. 4.72 SL.NO NAME OF THE CHANNEL RATE DRP PACK NAME SONY HINDI PACK 1 MEGA TV Rs. 3.54 SL.NO NAME OF THE CHANNEL RATE DRP PACK NAME MEGA TV □ 2 MEGA MUSIQ Rs. 2.36 Rs. 4.25 1 SONY YAY Rs. 2.36 PACK 3 MEGA 24 Rs. 1.18 2 SAB TV Rs. 14.16 SONY MINI SPORTS PACK 3 SONY PAL Rs. 1.18 □ SL.NO NAME OF THE CHANNEL RATE DRP PACK NAME 4 SET MAX Rs. 14.16 SONY HINDI Rs. 43.66 1 SONY YAY Rs. 2.36 5 SONY Rs. 22.42 PACK 2 SONY BBC EARTH Rs. 4.72 SONY MINI □ 6 SONY WAH Rs. 1.18 Rs. 22.42 3 SONY TEN 1 Rs. 22.42 SPORTS PACK 7 SONY MAX 2 Rs. 1.18 4 SONY SIX Rs. 17.70 8 SONY MIX Rs. 1.18 SONY ENGLISH PACK TRAVEL XP PACK SL.NO NAME OF THE CHANNEL RATE DRP PACK NAME SL.NO NAME OF THE CHANNEL RATE DRP PACK NAME 1 SONY BBC EARTH Rs. 4.72 1 TRAVEL XP TAMIL Rs. 1.77 □ SONY MINI □ TRAVEL XP 2 AXN Rs.
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