Student PDF

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Student Broadband Package Application Form

Student Information

Name Mr Inam Butt

Registration # 10-MS-AMD-04

Mobile # 03158111986

Home Phone # 514832557

Email Address inam_mughal20@hotmail.com

Customer Type Student

NIC # 37405-7615358-9

Package Information

Broadband Phone # 514832557

City Rawalpindi

Package 1 MB

University Information

University Name University Of Engineering and Technology Taxi

Department Mechanical

University City Taxila

University Contact Number 71

Date Of Enrolment 12-SEP-2010

Date of Completion 10-SEP-2012

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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