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Student Broadband Package Application Form

Student Information

Name Mr saeed urrehman

Registration # 2007-z-44759

Mobile # 03324600184

Home Phone # 427990044

Email Address saeed7dec@yahoo.com

Customer Type Student

NIC # 35401-9067417-1

Package Information

Broadband Phone # 427990044

City Lahore

Package 1 MB

University Information

University Name Virtual University Lahore

Department MBA

University City Lahore

University Contact Number 427310312

Date Of Enrolment 28-SEP-2009

Date of Completion 30-SEP-2011

University Verification

Name of Registrar/Dean/Principal/faculty .............................................

Signature & Stamp .............................................

Signature of Student .............................................

For PTCL Use only

Login Choice 1 ptcl

Login Choice 2 ...............................

Login Choice 3 ...............................

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