Dwan Supports Pvt. Ltd.

Divans Tower, Karimpatta Cross Road, Pallimukku, Kochi - 682 016.
Tel. No : 0484 718 0697 | ISP Customer Care : +91 9946 933 384 | Mail : support@dwan.co.in | Web : www.dwan.co.in
ISP No. 821-86/2014 - DS. 16.07.2014 | CIN: U64204KL2013PTC035146 | GST No : 32AAECD8904F1ZX

Customer Application Form

Self signed Photograph


Contact Details


Service Requirements

1. Telephone

I hereby declare that information given above is true to the best of my knowledge and I will abide by the prevailing Telegraph Act/ Rules framed thereunder & Tariffs as amended from the time to time. I am not a defaulter on account of non-payment of bills for any telecom services provided by any service provider

2. Internet

Declaration : (Franchisee to be filled.): I am activating the internet connection after verification of the details in the CAF with complete supporting documents. I have seen the customer, original documents, Photographs & Signature is verified by me and correct.