Date……………………

To
Fastway Transmission Pvt Ltd.
Grand Walk Mall,5th Floor,
Opp Gurdev Hospital
Ferozpur Road,
Ludhiana.

Subject:-Request for subscription Activation/De-Activation/Message.

Request No……………….

Please Activate/De-Activate/Message the subscription of FW Digital as per detail given.

S.NO STB NO VC NO SAF NO CONTACT NO

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( If De-Activation please specify the reason………………………………………………………..

I hereby confirm that all dues/issues has been resolved.

Signature of BM
LCO Name ……………………………………………

LCO Mob-NO………………………………………….
…………………………….
Signature of LCO…………………………………..

Account Code………………………………………..

Checked By………………………………………….. Authorised Signatory

Processed By……………………………………….. …………………………….