Appendix B1 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 Publication Date Date of Filing : : : : : LBBBB-NNN-MMMYYYY-T (Please refer to Appendix B4 for details) Effective Date : Full text of tariff (Note) : pages III. Details of the Tariff A. Fixed Voice Service 1. 2. 3. B. Fixed Data / Broadband Service Residential telephone / Fax service Business telephone / Fax service Lease lines for voice service 1. 2. C. Mobile Voice Service 1. D. Mobile Data / Broadband Service Mobile Telephony Service 1. E. Mobile Television Service 1. 4. 5. 6. Mobile Data Service F. External Telecommunications Service Mobile TV Service 1. 2. G. Interconnection Service 1. 2. 3. Dial up / broadband Internet access service Leased lines for data services connecting places within Hong Kong External voice service External data service (including International Private Leased Circuit (IPLC)) H. Other services Fixed-Mobile Interconnection Charge Fixed-Fixed Interconnection Charge Mobile-Mobile Interconnection Charge Interconnection charge for value-added service Local Access Charge Others (Please specify: ___________) 1. 2. Video Service 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. 2. the first time 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 tariff-info@ofca.gov.hk Appendix B2 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] Appendix B3 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]