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Student Broadband Package Application Form

Student Information

Name Mr anees gul

Registration # 55-BBA/pc/2007

Mobile # 03329104145

Home Phone # 91New Connection

Email Address numl@LIVE.COM

Customer Type Student

NIC # 15402-1496264-7

Package Information

Broadband Phone # 91New Connection

City Peshawar

Package 1 MB

University Information

University Name NUML-Psh Campus

Department managment sciences

University City Peshawar

University Contact Number 919218381

Date Of Enrolment 01-AUG-2007

Date of Completion 01-AUG-2011

University Verification

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

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

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

For PTCL Use only

Login Choice 1 ...............................

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

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

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