Cleaning/Correction of Mobile Sim Record

UNDERTAKING

By Complainant:

I Mr. /Ms ____________________________________________________

S/O, D/O _____________________________________________________
Resident of ___________________________________________________
do hereby solemnly that following SIMs/connections are in my use:-

A: _____________________ G: _____________________
B: _____________________ H: _____________________
C: _____________________ I: _____________________
D: _____________________ J: _____________________
E: _____________________ K: _____________________
F: _____________________ L: _____________________

Please block any other number(s) issued / registered against my NIC/CNIC number
forthwith and oblige.

Signature of the complainant: _____________________

Thumbs impression of the complainant: _____________________

Date of Complaint: _____________________

(To be filled by Mobile Company)

By M/s _____________________ Complaint Ref #: _____________________

M/s_____________________ do herby undertake that it shall regularize/block all mobile

number(s) issued against above mentioned NIC/CNIC, other then above mentioned
mobile numbers, within 45 days of this application / complaint and will update its
database accordingly.

Customer Service Center Representative Name _____________________

Customer Service Center Representative ID _____________________

Customer Service Center Representative Sign _____________________

Note: Documents to Checked / Attached.

A: - SMS received from 668 seen on complainant mobile phone. Y/N

B: - Original NIC/CNIC seen (incase of family member, then for both Y / N

intended and original complainant).

C: - NIC/CNIC copy obtained and attached with this form. Y/N