Please enable JavaScript in your browser to complete this form.CUSTOMER’S INFORMATIONTitle *LyonpoDashoLamDr.Mr.Ms.Name of the Customer *FirstMiddleLastAddress *B. SERVICE DETAILSTelephone service applied forOfficialResidentialBusinessLocation (where do you need the phone connection?) *Contact Number *Billing Address (where do you want your bills delivered?) *Facilities RequiredLocal onlySTDISDSERVICE CONNECTIONS APPLIED BY Bhutanese Bhutanese Non-Bhutanese For BhutanesePermanent AddressCitizenship ID No *Village *Gewog *Dzongkhag *House Number *Tharm No *Please attach a copy of your ID card * Click or drag files to this area to upload. You can upload up to 4 files. For Non- BhutanesePassport No/Work Permit *Country of Origin/Nationality *Address of Home Country *Email ID *Bhutanese surety's Name * Citizenship IDContact noPlease attach a copy of your Non-National ID card/Pasport Click or drag files to this area to upload. You can upload up to 3 files. For Private BusinessFor Private BusinessYesNoBusiness NameTrade license NoBusiness Type (for listing in yellow pages)List other phone Nos. connected in your name / business Name(Please attach a copy of your ID card and Trade license) * Click or drag files to this area to upload. You can upload up to 4 files. AgreeI declare that the information provided above is correct to the best of my knowledge and agree to abide by Bhutan Telecom's Terms and Conditions for the provision of Telecom Services. Submit Previous Article Previous Article Domain Forwarding Next Article Next Article BT Videos