MTNL Mumbai Selfcare

Leased Circuit Registration

Only for feasibility check.

For commercials.

For feasibility and Commercials.

For Leased Circuit Booking.

Subscriber Name: *

Email Id *

Mobile No *

Type of Circuit: *

Media Requirement: *

Speed: *

Installation Address of A-end:

Name: *

House/ Shop/ Room No. *

Floor No. *

Building Name *

Landmark

State: *

City: *

Pincode: *

Latitude

Longitude

Contact No *

Nearest MTNL Tel No

A-end Exchange

MLLN End A *

Installation Address of B-end:

Name: *

House No/ Shop No/ Room No. *

Floor No. *

Building Name *

Landmark

State: *

City: *

Pincode: *

Latitude

Longitude

Contact No *

Nearest MTNL Tel No

B-end Exchange

MLLN End B *

Billing Address:

Name: *

House No/ Shop No/ Room No. *

Floor No. *

Building Name *

Landmark

State: *

City: *

Pincode: *

GST No *

PAN No *

Registration remarks: