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Student Broadband Package Application Form

Student Information
Name

Mr Arslan Arif

Registration #

Fa08-BEE-047

Mobile #

03328303120

Home Phone #

533607438

Email Address

arslanarif@hotmail.com

Customer Type

Student

NIC #

34201-3544434-7

Package Information
Broadband Phone #

533607438

City

Gujrat

Package

1 MB

University Information
University Name

Comsat Institute of I.T Abbotabad

Department

Electronics

University City

Abbotabad

University Contact Number

992383591

Date Of Enrolment

18-AUG-2008

Date of Completion

20-AUG-2012

University Verification
Name of Registrar/Dean/Principal/faculty

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Signature & Stamp

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

For PTCL Use only


Login Choice 1

Arslan

Login Choice 2

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Login Choice 3

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