New Internet Broadband

Fields marked with an * are required

Please fill in your details below with all the required documents and correct information. Contact 1600 for further information.

Please ensure that the fields marked in asterisk(*) are filled,ticked or chosen.

1. Modem is required.

2. Installation charge of Nu.2,500 is applicable.

3. Rental charge Nu.300 is applicable

(Please bring along a photocopy of one of the following relevant documents:)

Citizenship Identity Card/Trade License or Authorization Letter from Office:

For Non-National: Please submit a surety letter from your agency in Bhutan.

Note for Postpaid Broadband Application:

Surety form has to be filled in separately by a guarantor of the payment/dues. [Note: For office connection, a formal letter applying for postpaid will be required which will be taken as the surety]

I hereby declare that I have read and fully understood the terms and conditions (mentioned overleaf) and have accepted the same for the subscription of broadband Internet service. I also hereby declare that the information provided by me is correct to the best of my knowledge and will adhere to the terms and conditions and fully bear the consequences deemed appropriate by the service provider in case of non- compliance to any terms and conditions.

I HAVE SIGNED BELOW ONLY AFTER HAVING RECEIVED WELCOME PACK FOR BROADBAND INTERNET THAT CONTAINS INFORMATION ESSENTIAL TO HELP ME PROPERLY USE, SECURE, CONTROL AND MANAGE MY BROADBAND ACCOUNT.