Pakistan Mobile Communication (Pvt.) Ltd.

JAZZ LOAD REQUEST DSR Efics ID #

Subject:

Region Central - II
Must enter your region

SG-1160

Master Sim# JAZZ LOAD REQUEST

0303-8343230

Master Jazz# to whom the Jazz load will be transfer

Sir, You are requested to please issue the following stock with mentioned detail.

DSR Name:

Imran Sadiq

Mode of Payment
Amount Deposit:
CASH - 1

184,300
6-Aug-11

DS# /Net Banking# PMCL Bank Name DS# /Net Banking# PMCL Bank Name Deposit Slip # (If Any) Bank Name Branch City Deposit Slip # (If Any) Bank Name Branch City Deposit Slip # (If Any) Bank Name Bank City

Deposit Date Amount Deposit:

CASH - 2

Deposit Date Cheque #

CHEQUE - 1

Cheque Date Cheque Amount Cheque #

CHEQUE - 2

Cheque Date Cheque Amount Pay Order #

PAY ORDER

Pay Order Date Pay Order Amount

Amount to deposited Commission Amount to be transferred

UNITS
JAZZ LOAD

19

184,300

5,700 5,700

190,000

TOTAL VALUE

184,300

190,000

Undertaking by DSR
This is to certify that the above mentioned statement / information is correct to the best of my knowledge and I will stand full responsible in case of any wrong information.

Thanks & Regards,

06-Aug-11
Name & Signature (DSR / Authorized person) Date

DSR SG 1160
Stamp of DSR outlet.

Please issue the tangible & intangible stock as certified by the DSR Person:

FOR PMCL OFFICIAL USE ONLY INITIALIZE & FINANILIZED SIGNATURE TRACKING#