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EvDO Services Order Form

Pakistan Telecommunication Company Ltd

CUSTOMER INFORMATION

Title (Mr, Mrs., M/S) C CNIC/Passport/NTN

Customer/ Company
Name

Address

MOBILE # DIGISKILLS Cell


REG.ID

Designation Email
Authorize Signature & Stamp

SERVICE INFORMATION Date:

Customer Type Package Type

Private Prepaid

Studend
Student
NON-PSTN
Government

Package Name Quantity

Amount Received MDN

RS.

Customer Signature & Stamp

CUSTOMER PORTION

Customer / Company Name ____________________________________


MDN ________________________ DATE __________________
Amount Received _Rs._________________________ Authorize Signature & Stamp

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