Version 0102

Page 1
Bill Period: 05/10/2015 - 04/11/2015

Inv No: BR030411151018612982

Acc No:

9553813

MR S JALANTHIRAN
NO 84,
COLLEGE STREET,
COLOMBO 13
01300

Dialog Axiata PLC (PQ 38)

475, Union Place, Colombo 02.
T +94 (0) 77 7 678 678
F +94 (0) 77 7 678 697
+94 (0) 11 7 678 697
E service@dialog.lk

ACCOUNT SUMMARY
PREVIOUS MONTH :

05/10/2015

Brought Forward
Payments

DIALOG NUMBER

INVOICE DATE : 04/11/2015

790.45
0.00

Monthly Services
International Roaming
Total Usage Charges
Misc. Charges
Contract Charges
Discounts / Surcharges
Government Taxes and Levies
Other Serv (non taxable)

790.45

Total Bill Amount November

1025.19

Total Due

1815.64

773432135

Payment due date:

350.00
0.00
22.55
0.00
0.00
0.00
102.64
550.00

25/11/2015

Pay Now

Please note that all credit and debit notes are now displayed under Misc. Charges. Please ensure that you settle the amount shown as
Total Due on the bill when making payment. Thank you.

Please submit this Payment form (tear off portion) when settling your monthly bill.

Payment slip

Date

Account No:

9553813

Invoice No: BR030411151018612982

Bill Period: 05/10/2015 - 04/11/2015

2015

Amount Rs.

1815.64

Late payment levy

per month

2%

Name of Bank / Credit Card

/
Bank Branch / Exp. Date of Credit Card

Cheque / Credit Card Number

Signature
"Cheque payments are subject to realization and all dishonored cheques will be levied Rs. 250/- per cheque as banking charges. "

Page 2
Inv No: BR030411151018612982 Bill Period: 05/10/2015 - 04/11/2015 Acc No: 9553813

DIALOG NUMBER : 773432135

CHARGES FOR
MONTHLY AND ONE TIME CHARGES

AMOUNT

MONTHLY SERVICES
Monthly Rental

From 05/11/2015 To 04/12/2015

300.00

PRBT Service Rental

From 05/11/2015 To 04/12/2015

50.00

TOTAL SERVICE CHARGES

350.00

USAGE CHARGES
Outgoing Dialog to Non Dialog

UPTO 04/11/2015

17.55

Local Short Message Service

UPTO 04/11/2015

5.00

TOTAL USAGE CHARGES

22.55

TOTAL TAXABLE CHARGES

372.55

GOVERNMENT TAX/LEVY
Other Government Levy

7.60

Telco Levy

95.04
TOTAL TAX

102.64

OTHER SERVICES (Non Taxable)

CR_TRAN

550.00
TOTAL OTHER CHARGES

DIALOG LOYALTY
TOTAL STAR POINTS AVAILABLE

115.35

NOTE : Dial #141# to check your up to date star points balance

550.00

Page 3
Inv No: BR030411151018612982 Bill Period: 05/10/2015 - 04/11/2015 Acc No: 9553813

Outgoing Dialog to Non Dialog

SEQ
1
2
3
4
5

DATE

TIME

PHONE_NO

07/10/2015
08/10/2015
10/10/2015
12/10/2015
17/10/2015

09:39:54
16:36:46
13:24:56
18:03:33
16:24:34

710105627
713480974
750503712
710105627
710105627

DUR(sec)
18
20
162
86
65

RATE

SERV

TOTAL

O
O
O
O
O

0.90
1.00
8.10
4.30
3.25
17.55

Other Service
SEQ
1
2
3
4

DATE

TIME

DETAILS

15/10/2015
17/10/2015
28/10/2015
04/11/2015

19:48:06
13:50:24
17:11:18
09:08:12

CR_TRAN
CR_TRAN
CR_TRAN
CR_TRAN

REF._NO
Reloaded:_776426754
Reloaded:_772144241
Reloaded:_772144241
Reloaded:_772144241

TOTAL
200.00
100.00
100.00
150.00
550.00