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Enterprise SIM Application Form

This document appears to be an enterprise application form containing personal information like name, nationality, company details, contact information, credit card details, and terms and conditions for mobile services. The applicant is applying for a new mobile number, an iPhone device, and mobile service plans.

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Mohamed Medhat
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356 views2 pages

Enterprise SIM Application Form

This document appears to be an enterprise application form containing personal information like name, nationality, company details, contact information, credit card details, and terms and conditions for mobile services. The applicant is applying for a new mobile number, an iPhone device, and mobile service plans.

Uploaded by

Mohamed Medhat
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

Enterprise Application Form

Fill out your personal information


Name (as in passport): Mustafa Al Jaber
Jaebr Nationality: Emirates
Company name: Al Obaida Transport LLC Employee ID: 0000
Email ID: [email protected] Alternative phone number: +971551627820
Office address: Office 117, Schon Business Park, JebelAli DIP, Dubai, Dubai P.O. Box: 31254

Preffered language: Arabic


-------------- English

New SIM Exsting SIM (Number) --- --- --- --- --- --- --- --- --- ---
-------------------------------------

Auto payment by credit card/debit card (mandatory only when international roaming is activated)
Credit card/debit card type: Visa
-------- MasterCard
-------------------

Credit card/debit card number --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- Expiry date: / /
DD MM YYYY

I agree by signing below that I have ordered the services and that I accept the Terms and Conditions shown on this form.

Signature: Date: 21 / 12
08 / 2018
DD MM YYYY

For du use only


Copy of Emirates ID Salary slip
Copy of Employee ID

MSISDN: 971503736530
971551627820 SIM serial number: 899710311877
8997103318108027781 IMEI number: 357299095365430

Terms and conditions:


Tier 1

service.
mydata.du.ae

For� our� detailed� terms� and� conditions, please� visit� du.ae/terms-and-conditions.

Emirates Id Document validated with EIDA


Service Device no. Quantity Activation charges (AED) Monthly charges (AED)

New BMP 100 National 971551627820 1 0 100

Sim Card 8997103318108027781


89971033 1 0 0
COM-HS-APP-376 - Apple iPhone XS Max 256GB Gold 357299095365430 1 0 0

Withhold directory listing Yes 1 0 0


380

All charges are exclusive of VAT. Emirates Id Document validated with EIDA
Terms and Conditions apply.

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