DATE: TIME:

THIS SECTION TO BE COMPLETED BY CUSTOMER

CUSTOMER/BUSINESS NAME:

I.D NR. / BUSINESS REGISTRATION:

NAME OF PERSON REQUESTING FORWARDING:

POSITION WITHIN THE COMPANY

ALATERNATIVE CONTACT NUMBER:

CUSTOMER'S FAX OR E-MAIL ADDRESS

COPY OF IDENTITY DOCUMENT TO BE FAXED OR E-MAILED WITH THIS REQUEST FORM TO VALIDATE REQUEST

FAULTY NUMBER/S NUMBER TO BE FORWARDED TO

1.

2.

3.

4.

THIS SECTION TO BE COMPLETED BY AGENT; SIGNED BY CUSTOMER; VERIFIED & ACTIVATED BY COACH
Agent Coach
Stipulated Verification Check to eliminate Fraudulent Requests Y N Y N
1) IS THE OWNER OR AUTHORISED PERSON REQUESTING THE FAULT FORWARD?
2) DID YOU DIAL THE FAULTY NUMBER FOR VERIFICATION?
3) IS THE IDENTIFICATION OR REGISTRATION CORRECT?
4) IS THE FAULT LOGGED ON THE RELEVANT SYSTEM?
5) IS IT A BULK FAULT? Bulk Fault Ref :
6) FAULT REFERENCE NUMBER? Ref :
7) IS THERE AN ORDER FOR FORWARD CALL? Order No :
8) IS THE CUSTOMER AWARE OF THE COST?
9) HAS CALL ANSWER BEEN OFFERED AS AN ALTERNATIVE?
10) ARE THE DETAILS OF THE DIVERT NUMBER CORRECT?
12) DID YOU CHECK T-AGENT FOR BLOCK CALL?
13) CONFIRMED & VERIFIED DIVERT WITH CUSTOMER AFTER ACTIVATION?
14) NAME OF PERSON WHO CONFIRMED DIVERT RECORDED?
15) CUSTOMER ADVISED TO DIAL #21# TO DEACTIVATE OR HOW TO RETAIN SERVICE?
AGENT : I confirm that verification check to eliminate fraudulent requests was done
COMPLETED BY AGENT NAME:

SIGNATURE:

SALARY REFERENCE NUMBER:

COACH : I confirm that verification check to eliminate fraudulent requests was done
ACTIVATED BY COACH NAME:

SALARY REFERENCE:

DATE:

SIGNATURE:
CUSTOMER DECLARATION
I __________________________________ agree that I am fully aware of the *costs involved in having the above line/s

Fault Forwarded. ___________________________

*The person making a call to a telephone service, which is in ForwardCall mode, pays the normal cost of the call toSIGNATURE
the particular telephone number,
whilst the renter of the telephone service in ForwardCall mode is responsible for the diversion cost (i.e. the cost of the call to the new destination
number).
Please immediately fax/e-mail the signed form, with copy of ID to the Generic Call Centre fax no: 088 012 680
8387, or e-mail to: NorthIN@telkom.co.za