Cover Letter and Inspection Pro Forma from the Customer's Indian based Entity

Verizon Communications India Private Limited

Unit No. 305, 3rd Floor, Aero City, Asset No. 7,
Worldmark 3, Indira Gandhi International Airport,
New Delhi -110037, India.

Email: nodalofficer@verizon.com (please send completed form to this email address)

TO WHOM IT MAY CONCERN

We refer to the Order entered into between Verizon and Enter Customer Name from Order. Pursuant to the Order, Verizon will be providing network services in India (Services).

As the beneficiary of the Services in India we now provide the attached Inspection Pro Forma signed and completed as far as we are able.

We also attach or will provide on request a duly signed and verified Network Connectivity Diagram for the Services.

We understand that we are permitted to employ encryption up to 40 bit key length in RSA algorithm. However, if we employ encryption higher than this limit, we have obtained or will obtain approval from relevant telecom authority and have or will deposit the encryption key, split in two parts with such telecom authority.

We will cooperate with and provide to Verizon all such information, records and other relevant materials, access to the location of Services, access to equipment and software directly or indirectly connected to or interfacing with Verizon Facilities as may be reasonably required for Verizon to comply with local requirements including its License terms and conditions and/or applicable laws in India.

We understand that the completion of the Inspection Pro Forma and receipt of the relevant documentation is a critical annual compliance activity for Verizon in accordance with its Licence terms and applicable laws.

Agreed for and on behalf of:

ENTER CUSTOMER'S INDIAN BASED ENTITY DETAILS

By its authorized signatory

Name: Click here to enter text.

Title: Click here to enter text.

Ver 0320240952025

INSPECTION PRO FORMA – CUSTOMER/END USER DETAILS

Serial NumberInformation RequiredDetails/Response
1Verizon Entity on OrderVerizon Communications India Private Limited
2Corporate Identification Number (CIN) (CIN of the Customer's Indian based recipient of the Service)
Registered Name
Registered Office Address
Corporate Identification Number(CIN)
Registered Name
Registered Office Address
3Customer/User Authorised Signatory
(Details of the Authorised Signatory of the Customer's Indian based recipient of the Service)
(Name, designation and Mob No)
Customer/User Authorised Signatory Name
Designation and Mob No
4Customer/User Operational Contact Person
(Details of the Authorised Operational Contact of the Customer's Indian based recipient of the Service)
(Name, designation and Mob No)
Customer/User Operational Contact Person
Designation and Mob No
5Nature of business of the Customer/User
(Details of the business of the Customer's Indian based recipient of the Service)
Nature of business of the Customer/User
6ServiceEthernet Dedicated E-Line
Ethernet Switched E-LAN / Virtual Private LAN Service
Ethernet Switched E-Line / Ethernet Virtual Private Line

INSPECTION PRO FORMA – TECHNICAL/CIRCUIT DETAILS

Private IP
Wavelength Services Solution
Other Point to Point Services

TECHNICAL/CIRCUIT DETAILS

For each Circuit the following information is required:

  • Circuit ID
  • i. Installation Address
  • ii. Terminating point (equipment name)
  • iii. Bandwidth
  • iv. Activation Date
  • v. Type of Technology
  • vi. Last Mile Provider Name
  • vii. Last Mile Technology (fibre/copper/RF along with SACFA)
  • viii. Managed by Verizon/Customer?
  • ix. Usage (What the customer is using the circuit for? a. Data only; b. Voice only; c. Both data and voice)
  • x. Other Equipment details on the circuit (L3 switches, Access switches - Model Nos)
Serial NumberCircuit IDCircuit ID Details/Response
7Circuit ID (to be completed by Verizon if not known to Customer)i. Installation Address
ii. Terminating point (equipment name)
iii. Bandwidth
iv. Activation Date
v. Type of Technology
vi. Last Mile Provider Name
8Circuit ID (to be completed by Verizon if not known to Customer)i. Installation Address
ii. Terminating point (equipment name)
iii. Bandwidth
iv. Activation Date
v. Type of Technology
vi. Last Mile Provider Name
vii. Last Mile Technology (fibre/copper/RF along with SACFA)
viii. Managed by Verizon/Customer?
ix. Usage (What the customer is using the circuit for?) a. Data only; b. Voice only; c. Both data and voice
x. Other Equipment details on the circuit (L3 switches, Access switches - Model Nos)

Ver 0320240952025

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