AppendixB1

Submission Form for Filing of Tariff Information to
the Communications Authority

I. Particulars of licensee
Name of licensee / :
Licence Type / : / UCL / FCL / FTNS / MCL / SBO / Licence Number / :
II. Summary of Tariff
Name of Tariff (English) / :
Name of Tariff (Chinese) / :
Tariff Number / : / LBBBB-NNN-MMMYYYY-T (Please refer to Appendix B4 for details)
Publication Date / : / Effective Date / :
Date of Filing / : / Full text of tariff (Note) / : / pages
III. Details of the Tariff
A. Fixed Voice Service / B. Fixed Data / Broadband Service
1. Residential telephone / Fax service
2. Business telephone / Fax service
3. Lease lines for voice service / 1. Dial up / broadband Internet access service
2. Leased lines for data services connecting places within Hong Kong
C. Mobile Voice Service / D. Mobile Data / Broadband Service
1. Mobile Telephony Service / 1. Mobile Data Service
E. Mobile Television Service / F. External Telecommunications Service
1. Mobile TV Service / 1. External voice service
2. External data service (including International Private Leased Circuit (IPLC))
G. Interconnection Service / H. Other services
1. Fixed-Mobile Interconnection Charge
2. Fixed-Fixed Interconnection Charge
3. Mobile-Mobile Interconnection Charge
4. Interconnection charge for value-added service
5. Local Access Charge
6. Others (Please specify: ______) / 1. Video Service
2. Miscellaneous Service (Please specify:______)
3. Miscellaneous Charge (such as installation charge, termination charge, etc.) (Please specify:______)
4. Service Terms and Conditions
I. The tariff is submitted for
1. the first time
2. revision to existing tariff (Tariff No. LBBBB-NNN-MMMYYYY-T)
J. Links to Licensee’s Website
Hyperlink(s) of the Full Text of this Tariffed Service on Licensee’s Website
______
Hyperlink(s) of the Latest Offer(s) of the Tariffed Service on Licensee’s Website
______
IV. Contact person for this tariff publication
Name / :
Title / :
Contact numbers / :
Signature: / :
Date of submission: / :

Note: Please send the completed form and the tariff in format in Appendix B2/B3 of the tariff by email to

AppendixB2

Sample Format for Full Text of Tariff Information

For Filing to the Communications Authority

Tariff No.: [LBBBB-NNN-MMMYYYY-T]Published on [DD-MM-YYYY]

FIXED TELECOMMUNICATIONS NETWORK SERVICES LICENCE
FIXED / MOBILE / UNIFIED CARRIER LICENCE

SERVICES BASED OPERATOR LICENCE

TELECOMMUNICATIONS ORDINANCE (Chapter 106)

[Name of Licensee]

[Name of Tariff]
[Description of Tariff]
[Effective Date of Tariff]
[Revision History]

AppendixB3

Sample Format for Provision of Hyperlink(s)

For Filing to the Communications Authority

(for licensees required to publish tariffs on websites where Method B is opted)

Tariff No.: [LBBBB-NNN-MMMYYYY-T]Published on [DD-MM-YYYY]

FIXED / MOBILE / UNIFIED CARRIER LICENCE

SERVICES BASED OPERATOR LICENCE

TELECOMMUNICATIONS ORDINANCE (Chapter 106)

[Name of Licensee]

[Name of Tariff]
[Hyperlink(s) of Tariff on Licensee’s Website]
[Effective Date of Tariff]