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Student Broadband Package Application Form

Student Information

Name Mr Hamad Hassan

Registration # CIIT/FA07/-BET-049/ISB

Mobile # 3328323119

Home Phone # 533514244

Email Address hamadgol@gmail.com

Customer Type Student

NIC # 34201-8130941-9

Package Information

Broadband Phone # 533514244

City Gujrat

Package 1 MB

University Information

University Name Comsats IT

Department Department of Electrical Engineering

University City Islamabad

University Contact Number 518318471

Date Of Enrolment 01-AUG-2007

Date of Completion 31-AUG-2011

University Verification

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

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

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

For PTCL Use only

Login Choice 1 hamadgol

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

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

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