Electronic Communications Act, 2005 (Act No. 36 of 2005)RegulationsCompliance Procedure Manual Regulations, 2011FormsForm 5 : Tariff Reporting Form |
FORM 5
TARIFF REPORTING FORM
(I-ECS, I-ECNS, C-ECS and C-ECNS I-BS)
This Form should be submitted in accordance with the Standard Terms and Conditions Regulations.
This Form should be submitted bi-annually in accordance with the Authority's Financial Year.
| 1. | Licence information |
Name of Licensee |
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Licence/s held |
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Registration or ID Number |
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Date submitted |
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Period under review |
| 2. | Tariffs (All data to be provided in 'Rand' value inclusive of VAT) |
| 2.1 | Prepaid Services - Mobile Voice |
RECORD OF PREPAID SERVICES PROVIDED AND ACTUAL SERVICES CHARGED DURING THE PREVIOUS SIX MONTHS
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<Insert name of period tariff plan>
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Service
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Month 1 |
Month 2 |
Month 3 |
Month 4 |
Month 5 |
Month 6 |
|
General |
Billing method (per second or per minute
|
||||||
Inclusive minutes (Value) and other benefits
|
|||||||
Mobile to Mobile voice calls
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On-net (peak)
|
||||||
On-net (off-peak)
|
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Off-net (peak)
|
|||||||
Off-net (off-peak)
|
|||||||
Mobile to fixed voice calls
|
Off-net (peak)
|
||||||
On-net (off-peak)
|
|||||||
VAS Calls
|
Peak
|
||||||
On-peak
|
|||||||
Mobile to Mobile video calls
|
On-net (peak)
|
||||||
On-net (off-peak)
|
|||||||
Off-net (peak)
|
|||||||
Off-net (off-peak)
|
|||||||
Mobile to fixed video calls
|
Off-net (peak)
|
||||||
Off-net (off-peak)
|
|||||||
Mobile to Mobile SMS
|
On-net (peak)
|
||||||
On-net (off-peak)
|
|||||||
Off-net (peak)
|
|||||||
Off-net (off-peak)
|
|||||||
Mobile to fixed SMS
|
On-net (peak)
|
||||||
On-net (off-peak)
|
|||||||
Off-net (peak)
|
|||||||
Off-net (off-peak)
|
|||||||
Mobile to Mobile MMS
|
On-net (peak) |
||||||
On-net (off-peak) |
|||||||
Off-net (peak) |
|||||||
Off-net (off-peak) |
|||||||
International mobile to mobile video calls
|
Voice calls (peak) <please specify country or country grouping> |
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Voice calls (off-peak) <please specify country or country grouping> |
|||||||
International mobile to fixed voice calls
|
Voice calls (peak) <please specify country or country grouping> |
||||||
Voice calls (off-peak) <please specify country or country grouping> |
|||||||
International mobile to mobile video calls
|
Video calls (peak) <please specify country or country grouping> |
||||||
Video calls (off-peak) <please specify country or country grouping> |
|||||||
International mobile to fixed video calls
|
Video calls (peak) <please specify country or country grouping> |
||||||
Video calls (off-peak) <please specify country or country grouping> |
|||||||
International mobile to mobile SMS
|
SMS (peak) <please specify country or country grouping> |
||||||
SMS (off-peak) <please specify country or country grouping> |
|||||||
International mobile to fixed SMS
|
SMS (peak) <please specify country or country grouping> |
||||||
SMS (off-peak) <please specify country or country grouping> |
|||||||
International mobile to mobile SMS
|
MMS (peak) <please specify country or country grouping> |
||||||
MMS (off-peak) <please specify country or country grouping> |
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| 2.2 | Postpaid Services - Mobile Voice |
RECORD OF POSTPAID SERVICES PROVIDED AND ACTUAL SERVICES CHARGED DURING THE PREVIOUS SIX MONTHS
|
|
<Insert name of period tariff plan>
|
|||||
Service
|
Month 1 |
Month 2 |
Month 3 |
Month 4 |
Month 5 |
Month 6 |
|
General
|
Billing method (per second or per minute)
|
||||||
Connection fee
|
|||||||
Call Line Identity Presentation fee
|
|||||||
Itemised Billing fee
|
|||||||
Fixed monthly charge
|
|||||||
Inclusive Minutes (Value) and other benefits
|
|||||||
Mobile to Mobile voice calls
|
On-net (peak)
|
||||||
On-net (off-peak)
|
|||||||
Off-net (peak)
|
|||||||
Off-net (off-peak)
|
|||||||
Mobile to fixed voice calls
|
Off-net (peak)
|
||||||
On-net (off-peak)
|
|||||||
VAS Calls
|
Peak
|
||||||
On-peak
|
|||||||
Mobile to Mobile video calls
|
On-net (peak)
|
||||||
On-net (off-peak)
|
|||||||
Off-net (peak)
|
|||||||
Off-net (off-peak)
|
|||||||
Mobile to fixed video calls
|
Off-net (peak)
|
||||||
Off-net (off-peak)
|
|||||||
Mobile to Mobile SMS
|
On-net (peak)
|
||||||
On-net (off-peak)
|
|||||||
Off-net (peak)
|
|||||||
Off-net (off-peak)
|
|||||||
Mobile to fixed SMS
|
On-net (peak)
|
||||||
On-net (off-peak)
|
|||||||
Off-net (peak)
|
|||||||
Off-net (off-peak)
|
|||||||
Mobile to Mobile MMS
|
On-net (peak) |
||||||
On-net (off-peak) |
|||||||
Off-net (peak) |
|||||||
Off-net (off-peak) |
|||||||
International mobile to mobile video calls
|
Voice calls (peak) <please specify country or country grouping> |
||||||
Voice calls (off-peak) <please specify country or country grouping> |
|||||||
International mobile to fixed voice calls
|
Voice calls (peak) <please specify country or country grouping> |
||||||
Voice calls (off-peak) <please specify country or country grouping> |
|||||||
International mobile to mobile video calls
|
Video calls (peak) <please specify country or country grouping> |
||||||
Video calls (off-peak) <please specify country or country grouping> |
|||||||
International mobile to fixed video calls
|
Video calls (peak) <please specify country or country grouping> |
||||||
Video calls (off-peak) <please specify country or country grouping> |
|||||||
International mobile to mobile SMS
|
SMS (peak) <please specify country or country grouping> |
||||||
SMS (off-peak) <please specify country or country grouping> |
|||||||
International mobile to fixed SMS
|
SMS (peak) <please specify country or country grouping> |
||||||
SMS (off-peak) <please specify country or country grouping> |
|||||||
International mobile to mobile SMS
|
MMS (peak) <please specify country or country grouping> |
||||||
MMS (off-peak) <please specify country or country grouping> |
|||||||
| 2.3 | Top-up Contract - Mobile Voice and Data |
|
|
<Insert name of period tariff plan>
|
|||||
Service
|
Month 1 |
Month 2 |
Month 3 |
Month 4 |
Month 5 |
Month 6 |
|
General
|
Billing method (per second or per minute)
|
||||||
Connection fee
|
|||||||
Call Line Identity Presentation fee
|
|||||||
Itemised Billing fee
|
|||||||
Fixed monthly charge
|
|||||||
Inclusive Minutes (Value) and other benefits
|
|||||||
Mobile to Mobile voice calls
|
On-net (peak)
|
||||||
On-net (off-peak)
|
|||||||
Off-net (peak)
|
|||||||
Off-net (off-peak)
|
|||||||
Mobile to fixed voice calls
|
Off-net (peak)
|
||||||
On-net (off-peak)
|
|||||||
VAS Calls
|
Peak
|
||||||
On-peak
|
|||||||
Mobile to Mobile video calls
|
On-net (peak)
|
||||||
On-net (off-peak)
|
|||||||
Off-net (peak)
|
|||||||
Off-net (off-peak)
|
|||||||
Mobile to fixed video calls
|
Off-net (peak)
|
||||||
Off-net (off-peak)
|
|||||||
Mobile to Mobile SMS
|
On-net (peak)
|
||||||
On-net (off-peak)
|
|||||||
Off-net (peak)
|
|||||||
Off-net (off-peak)
|
|||||||
Mobile to SMS
|
On-net (peak)
|
||||||
On-net (off-peak)
|
|||||||
Off-net (peak)
|
|||||||
Off-net (off-peak)
|
|||||||
Mobile to Mobile MMS
|
On-net (peak) |
||||||
On-net (off-peak) |
|||||||
Off-net (peak) |
|||||||
Off-net (off-peak) |
|||||||
Internet
|
Per MB (peak)
|
||||||
Per MB (off-peak)
|
|||||||
International mobile to mobile voice calls
|
Voice calls (peak) <please specify country or country grouping> |
||||||
Voice calls (off-peak) <please specify country or country grouping> |
|||||||
International mobile to fixed video calls
|
Video calls (peak) <please specify country or country grouping> |
||||||
Video calls (off-peak) <please specify country or country grouping> |
|||||||
International mobile to mobile voice calls
|
Voice calls (peak) <please specify country or country grouping> |
||||||
Voice calls (off-peak) <please specify country or country grouping> |
|||||||
International mobile to fixed video calls
|
Video calls (peak) <please specify country or country grouping> |
||||||
Video calls (off-peak) <please specify country or country grouping> |
|||||||
International mobile to mobile SMS
|
SMS (peak) <please specify country or country grouping> |
||||||
SMS (off-peak) <please specify country or country grouping> |
|||||||
International mobile to fixed SMS
|
SMS (peak) <please specify country or country grouping> |
||||||
SMS (off-peak) <please specify country or country grouping> |
|||||||
International mobile to mobile MMS
|
MMS (peak) <please specify country or country grouping> |
||||||
MMS (off-peak) <please specify country or country grouping> |
|||||||
| 2.4 | Prepaid and Postpaid Data |
RECORD OF DATA SERVICES PROVIDED AND ACTUAL SERVICES CHARGED DURING THE PREVIOUS SIX MONTHS
Prepaid or Postpaid
|
Line Rental Fee |
Bundle name |
Bundle size |
Monthly fixed charge |
In-bundle rate |
Out-of- Bundle rate |
|
||||||
|
| 2.5 | Fixed and VoIP Services |
|
|
<Insert name of period tariff plan>
|
|||||
Service
|
Month 1 |
Month 2 |
Month 3 |
Month 4 |
Month 5 |
Month 6 |
|
General
|
Billing method (per second or per minute)
|
||||||
Connection fee
|
|||||||
Call Line Identity Presentation fee
|
|||||||
Itemised Billing fee
|
|||||||
Weekly rental
|
|||||||
Monthly rental
|
|||||||
Annual rental
|
|||||||
Voicemail
|
|||||||
Inclusive minutes (Value) and other benefits
|
|||||||
Fixed to Mobile voice calls
|
Off-net (peak)
|
||||||
On-net (off-peak)
|
|||||||
VAS Calls
|
Peak
|
||||||
On-peak
|
|||||||
Fixed to Fixed video calls
|
On-net (peak)
|
||||||
On-net (off-peak)
|
|||||||
Off-net (peak)
|
|||||||
Off-net (off-peak)
|
|||||||
Fixed to Mobile voice calls
|
Off-net (peak)
|
||||||
Off-net (off-peak)
|
|||||||
Fixed to Fixed SMS
|
On-net (peak)
|
||||||
On-net (off-peak)
|
|||||||
Off-net (peak)
|
|||||||
Off-net (off-peak)
|
|||||||
Fixed to Mobile SMS
|
On-net (peak) |
||||||
On-net (off-peak) |
|||||||
Off-net (peak) |
|||||||
Off-net (off-peak) |
|||||||
Fixed to Fixed MMS
|
On-net (peak)
|
||||||
On-net (off-peak)
|
|||||||
Off-net (peak)
|
|||||||
Off-net (off-peak)
|
|||||||
Internet
|
Per MB (peak)
|
||||||
Per MB (off-peak)
|
|||||||
International fixed to fixed video calls
|
Video calls (peak) <please specify country or country grouping> |
||||||
Video calls (off-peak) <please specify country or country grouping> |
|||||||
International fixed to mobile voice calls
|
Voice calls (peak) <please specify country or country grouping> |
||||||
Voice calls (off-peak) <please specify country or country grouping> |
|||||||
International fixed to fixed video calls
|
Video calls (peak) <please specify country or country grouping> |
||||||
Video calls (off-peak) <please specify country or country grouping> |
|||||||
International fixed to mobile SMS
|
Voice calls (peak) <please specify country or country grouping> |
||||||
Voice calls (off-peak) <please specify country or country grouping> |
|||||||
International fixed to mobile video calls
|
Video calls (peak) <please specify country or country grouping> |
||||||
Video calls (off-peak) <please specify country or country grouping> |
|||||||
International fixed to fixed SMS |
SMS (peak) <please specify country or country grouping> |
||||||
SMS (off-peak) <please specify country or country grouping> |
|||||||
International fixed to mobile SMS |
MMS (peak) <please specify country or country grouping> |
||||||
MMS (off-peak) <please specify country or country grouping> |
|||||||
| 2.6 | Pay TV subscription tariff template |
|
Period |
Period |
Period |
Period |
Name of package
|
||||
Number of channels (attach a list and short description of the channels)
|
||||
Monthly subscription fee
|
||||
Connection fee
|
||||
Re-connection fee
|
||||
Fee per out-of-bundle channel(s)
|
| 3. | I, ......................................................................., in my capacity as ...............................................................hereby verify that the information provided is true and correct. |
4. Signature
Signature
|
|
|
|
Designation
|
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Date
|
|