Application For The Provision Of Cellular Services

ΔϠϘϨΘϤϟ΍ϒΗ΍ϮϬϟ΍ΕΎϣΪΧϲϓϙ΍ήΘη΍ΐϠσΝΫϮϤϧ

.
Approval Number: 27/6/2012/7898
ΔϳήγΔϘϴΛϭ
Contract No. A30072944
Contract Date 04/12/2022
.
Assigned Phone No. 00172635 ϱϮϠΨϟ΍ϒΗΎϬϟ΍Ϣϗέ
Tel. 0797900900 Fax. P.O.Box 940821 Amman 11194 Jordan
0798510620

6XEVFULEHU'HWDLOV ϙήΘθϤϟ΍ΕΎϣϮϠόϣ
Including ˯Ύϐϟ·ϊϣ 3HUVRQ$XWKRUL]HGLQ 1DPHϙήΘθϤϟ΍Ϣγ΍
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ϪϧέΎϤΤϟ΍ΪϬϓϢϴϫ΍ήΑ΍ΪϤΣ΍ $XWKRUL]HG3HUVRQνϮϔϤϟ΍Ϣγ΍
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=LS&RGHϱΪϳήΒϟ΍ΰϣήϟ΍ ΕϼϳΪόΘϟ΍˯΍ήΟΎΑνϮϔϤϟ΍
Jordan &RXQWU\ΔϟϭΪϟ΍ Civil Id ,'7\SHΔϳϮϬϟ΍ωϮϧ

0792006877 2IILFH7HOϞϤόϟ΍ϒΗΎϫ 00000 $GGUHVVϥ΍ϮϨόϟ΍

. $GGUHVV 00000 32%R[Ώι

. $GGUHVV ϝ΍ωϼΗΔόϣΎΠϟ΍˯΍Ϯϟ &LW\ΔϨϳΪϤϟ΍ $UHDΔϘτϨϤϟ΍

2OG0RELOH1XPEHUϖΑΎγϞϘϨΘϣϢϗέ )D[ϲϠϤδϛΎϓ 0792006882 7HOϒΗΎϫ
+DQGVHW:DUUDQW\ΔϟΎϔϛϊϣίΎϬΠϟ΍ 2IILFH$GGUHVVϞϴϤόϟ΍ϥ΍ϮϨϋ

Email 'HOLYHU\0HWKRG Business Man 3URIHVVLRQΔϨϬϤϟ΍

. (PDLO 3KRQH7\SHίΎϬΠϟ΍ωϮϧ

. &LYLO5HJLVWUDWLRQ3ODFH . &LYLO5HJLVWUDWLRQ1R 2000675505 1DWLRQDO1XPEHUϲϨσϮϟ΍Ϣϗήϟ΍

Subscription Charges Amount Tax

National Deposit 0.000 0
Sim Type: Normal
Int'l Deposite 0.000 0
Package Plan: Zain Fiber Silver 250Mbps Connection Fee 0 0
2 Years Monthly Fee 0.000 0.000
Other 0 0
VAS:
Package Price 30 4.8
Web Hosting

Domain Hosting

Email Mail Box

IP Address
VoIP -4.800 + 4.800

CPE TOTAL 0.000

Others

New x Zain Network ID:

TCC RV NO. : Short Code:

Source of Sale: Shop Rep. Area of Sale: Zain City Mall Sales Rep: Eman Omar Saad AL
kaabneh
Dealer:
ϚϨΑϊϣϞϣΎόΘϳ
ΓΪϤϟ ωήϓ
Credit Control:
Customer No. : 24627101
Customer Admin:
IMSI 0 I, the undersigned certify that all the ΔΤϴΤλΓΩέ΍Ϯϟ΍ΕΎϣϮϠόϤϟ΍ϥ΃ήϗ΃ϩΎϧΩ΃ϊϗϮϤϟ΍Ύϧ΃
information I provided are true and Ε΃ήϗϲϨϧ΄Αήϗ΃ΎϤϛˬΎϬϨϣΪϛ΄Θϟ΍ϲϓϖΤϟ΍Δϛήθϟ΍ϲτϋ΃ϭ
SIM Number: 8996201 accurate, and I have read and ΔϴϔϠΨϟ΍ΔΤϔμϟ΍ϰϠϋΔΟέΪϤϟ΍ϡΎϜΣϷ΍ϭρϭήθϟ΍ϊϴϤΟ
approved all the terms and ΎϬΗΎϳϮΘΤϣϰϠϋΖϘϓ΍ϭϭΐϠτϟ΍΍άϬϟ
Customer Care (Filing): conditions on the back of this
application form.
{ENSGN#35,6#EURONOVATE#841}

Page 1 of Contract No. A30072944

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ΔϠϘϨΘϤϟ΍ϒΗ΍ϮϬϟ΍ΕΎϣΪΨϟΔϴϧΩέϷ΍Δϛήθϟ΍ϝϭϷ΍ϖϳήϔϟ΍
ϦϳίΏΪόΑΎϤϴϓΎϬϴϟ΍έΎθϳϭϥΎϤϋΏιͿ΍ΪΒϋϚϠϤϟ΍ωέΎηϦϣΎΜϟ΍έ΍ϭΪϟ΍ˬϥΎϤϋΎϬϧ΍ϮϨϋϭ
( 00172635 ϱϮϠΨϟ΍ϒΗΎϬϟ΍Ϣϗέˬ 24627101 ΏΎδΤϟ΍Ϣϗέ ϪϧέΎϤΤϟ΍ΪϬϓϢϴϫ΍ήΑ΍ΪϤΣ΍Ϊϴδϟ΍ ϲϧΎΜϟ΍ϖϳήϔϟ΍
ϙήΘθϤϟ΍ΏΪόΑΎϤϴϓϪϴϟ΍έΎθϳϭ  A30072944 ϙ΍ήΘηϻ΍ΪϘϋϢϗέˬ
έΎόγϻ΍ϭ΃ϭϙ΍ήΘηϻ΍ΔϤϴϗϰϠϋϢμΧϭ΃ϭΔϴ΋΍ήθϟ΍Ϣ΋ΎδϘϟ΍ϭ΃ϭΕΎϣϮμΨϟ΍ϦϣΓΩΎϔΘγϻΎΑΐϏήϳϙήΘθϤϟ΍ϥ΍ΚϴΣϭ
ΖϧήΘϧϻ΍ΓΰϬΟϷΔπϔΨϤϟ΍έΎόγϻ΍ϭ΃ϭΔϳϮϠΨϟ΍ΓΰϬΟϸϟΔπϔΨϤϟ΍

( =DLQ)LEHU6LOYHU0ESV<HDUV νήόϟΎΑϙ΍ήΘηϻΎΑϙήΘθϤϟ΍ϡΰΘϠϳϻϭ΃ϲϠϳΎϤΑϙήΘθϤϟ΍ϡΰΘϠϳϪϴϠϋϭ
ϙ΍ήΘηϻ΍ΔϤϴϗϰϠϋϢμΧϭ΃ϭΔϴ΋΍ήθϟ΍Ϣ΋ΎδϘϟ΍ϭ΃ϭΕΎϣϮμΨϟ΍ϦϣΓΩΎϔΘγϻ΍ϞΑΎϘϣΎΜϟΎΛΪϨΒϟ΍ϲϓϩΎϧΩ΍ΓΩΪΤϤϟ΍ΓΪϤϠϟϚϟΫϭˬ
ΖϧήΘϧϻ΍ΓΰϬΟϷΔπϔΨϤϟ΍έΎόγϻ΍ϭ΃ϭΔϳϮϠΨϟ΍ΓΰϬΟϸϟΔπϔΨϤϟ΍έΎόγϻ΍ϭ΃ϭ

( =DLQ)LEHU6LOYHU0ESV<HDUV νήόϟΎΑϙ΍ήΘηϻΎΑϙήΘθϤϟ΍ϡΰΘϠϳΪϘόϟ΍΍άϫϡΎϜΣ΍ΐΟϮϤΑΎϴϧΎΛ
Δϴ΋΍ήηϢ΋Ύδϗϭ΃ϭΔπϔΨϣέΎόγ΄ΑΖϧήΘϧ΍ΓΰϬΟ΍ϭ΍ϭΔπϔΨϣέΎόγ΄ΑΔϳϮϠΧΓΰϬΟ΍ϞΑΎϘϣ ήϬη 24 ΓΪϤϟˬ
ϙ΍ήΘηϻ΍ΔϤϴϗϰϠϋϢμΧϭ΃ϭ

ΔϠλ΍ϮΘϣήϬη 24 ΓΪϤϟϭΪϘόϟ΍΍άϫΦϳέΎΗϦϣϙήΘθϤϟ΍ϡ΍ΰΘϟ΍΃ΪΒϳ˱ΎΜϟΎΛ
ϡ΍ΰΘϟϹ΍ΓήΘϓϦϤοϦϣήΒΘόΗϻΔϴϧΎΠϤϟ΍ήϬηϷ΍ϩάϫϥΈϓΔϴϧΎΠϣήϬη΍ϲϧΎΜϟ΍ϖϳήϔϟ΍΢ϨϤΑϝϭϻ΍ϖϳήϔϟ΍ϡΎϗϝΎΣϲϓϪϧΎΑϲϧΎΜϟ΍ϖϳήϔϟ΍ήϘϳ
ϦϴόϤΘΠϣΔϴϧΎΠϤϟ΍ήϬηϷ΍ΓήΘϓϭϡ΍ΰΘϟϹ΍ΓΪϣΓήΘϓϲϫΪϘόϟ΍ΓήΘϓήΒΘόΗϭˬϩϼϋ΍ΔϨϴΒϤϟ΍ϡ΍ΰΘϟϹ΍ΓΪϣϞϣΎϜΑ˱ΎϣΰΘϠϣϲϧΎΜϟ΍ϖϳήϔϟ΍ϰϘΒϳϭ

ϩΎϧΩ΍ϝϭΪΠϟ΍ϲϓΩΪΤϤϟ΍ϙ΍ήΘηϻ΍ΔϤϴϘΑϭϙ΍ήΘηϻ΍ωϮϨΑϪϣ΍ΰΘϟ΍ΓΪϣΔϠϴσϙήΘθϤϟ΍ϡΰΘϠϳ˱ΎόΑ΍έ
έΎϨϳΩϙ΍ήΘηϻ΍ΔϤϴϗ ϙ΍ήΘηϻ΍ωϮϧ ϱϮϠΨϟ΍ςΨϟ΍Ϣϗέ
6XEVFULSWLRQDPRXQW-2' 6XEVFULSWLRQW\SH 0RELOH1XPEHU
30 Zain Fiber Silver 250Mbps 2 Years 00172635

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ˬ˱ΎϳήμΣϦϳίΔϛήηΔϜΒηϰϠϋϻ΍ϞϤόΗϻϩΎϧΩ΍ϝϭΪΠϟ΍ϲϓΓΩΪΤϤϟ΍ΖϧήΘϧϻ΍ΓΰϬΟ΍ϭ΃ϭΔϳϮϠΨϟ΍ΓΰϬΟϻ΍ϥ΍ϦϴϘϳήϔϟ΍ϦϴΑϪϴϠϋϖϔΘϤϟ΍Ϧϣ΃
ϩΎϧΩ΍ΓΩΪΤϤϟ΍ϡ΍ΰΘϟϻ΍ΓΪϤΑϙήΘθϤϟ΍ϡΰΘϠϳϭΎϤϛ
ϙ΍ήΘηϻ΍ωϮϧ ϡ΍ΰΘϟϻ΍ϩΪϣ ίΎϬΠϠϟϞδϠδΘϤϟ΍Ϣϗήϟ΍ ΔϤϴδϘϟ΍?ίΎϬΠϟ΍ωϮϧ ϱϮϠΨϟ΍ςΨϟ΍Ϣϗέ
3DFNDJHW\SH &RPPLWPHQW3HULRG +DQGVHWVVHULDO 6XEVLG\7\SH 0RELOH1R
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Zain Fiber Silver 24 00172635
250Mbps 2 Years

˱ΎγΩΎγ
ΓΰϬΟϸϟΔπϔΨϤϟ΍έΎόγϻ΍ϭ΃ϭϙ΍ήΘηϻ΍ΔϤϴϗϰϠϋϢμΨϟ΍ϭ΃ϭΔϴ΋΍ήθϟ΍Ϣ΋ΎδϘϟ΍ϭ΃ϭΕΎϣϮμΨϟ΍ϥ΍ϦϴϘϳήϔϟ΍ϦϴΑϪϴϠϋϖϔΘϤϟ΍ϭϡϮϠόϤϟ΍Ϧϣ
ΪϘϓϪϴϠϋϭϩϼϋ΍˱ΎϴϧΎΛΪϨΒϟ΍ϲϓ΢οϮϣϮϫΎϣΐδΣϦϳίΔϛήηϊϣϙήΘθϤϟ΍ϙ΍ήΘη΍ΓΪϤΑ˱ΎϣΪϋϭ˱ΩϮΟϭρϭήθϣΖϧήΘϧϻ΍ΓΰϬΟ΍ϭ΃ϭΔϳϮϠΨϟ΍
ϩϼϋ΍˱ΎΜϟΎΛΪϨΒϟ΍ϲϓΔϨϴΒϤϟ΍ΓΪϤϠϟϭήϴϴϐΗϱ΍ϥϭΪΑϪϛ΍ήΘη΍ϰϠϋ˯ΎϘΑϻ΍ϰϠϋϙήΘθϤϟ΍ϖϓ΍ϭ

ΎϬϨϣ˯ΰΟϱ΍ϭ΍ΔϘΤΘδϤϟ΍ήϴΗ΍Ϯϔϟ΍ϊϓΪΑϝϼΧϹ΍ήμΣϥϭΩϚϟΫϞϤθϳϭϙ΍ήΘηϻ΍ΪϘϋΐΟϮϤΑϪΗΎϣ΍ΰΘϟ΍Ϧϣϱ΄ΑϙήΘθϤϟ΍ϝϼΧ΍ΔϟΎΣϲϓ
ϕήϓϭ΃ϭϪϟΔϣΪϘϤϟ΍ΕΎϣϮμΨϟ΍ϕήϓΔϛήθϠϟϊϓΪϳϥ΍ϪϴϠϋΐΟϮΘϴϓϪϔϗϭϭ΍ϭϪϛ΍ήΘη΍˯ΎϐϟΈΑϪϣΎϴϗΔϟΎΣϲϓϚϟάϛϭΓΩΪΤϤϟ΍ΕΎϗϭϷ΍ϲϓ
ΔϴϟΎΘϟ΍ΔϟΩΎόϤϟ΍ΐδΣΖϧήΘϧ΍ΓΰϬΟ΍ΔϳϮϠΨϟ΍ΓΰϬΟϻ΍έΎόγ΍

ϡ΍ΰΘϟϻ΍ΓΪϣϦϣΔϴϘΒΘϤϟ΍ΔϳήϬθϟ΍ΕΎϛ΍ήΘηϻ΍ϢϴϗωϮϤΠϣϦϣΔΒδϧϱϭΎδΗ˯ΎϬϧϻ΍ϡϮγέ

ϡΰΘϠϳϙήΘθϤϟ΍ϥΈϓ˱ϻϭΰϧϞϗ΍ωϮϧϰϟ·ϙ΍ήΘηϻ΍ΞϣΎϧήΑωϮϧήϴϴϐΗϲϓϙήΘθϤϟ΍ΔΒϏέΔϟΎΣϲϓϭϪϧ΍ϦϴϘϳήϔϟ΍ϦϴΑϪϴϠϋϖϔΘϤϟ΍Ϧϣ˱ΎόΑΎγ

ΔϴϟΎΘϟ΍ΔϟΩΎόϤϟ΍ΐδΣΖϧήΘϧϻ΍ΓΰϬΟ΍ΓΰϬΟϻ΍ήόγϭ΃ϭΕΎϣϮμΨϟ΍ϲϓϕήϔϟ΍ϦϋΔϛήθϟ΍ξϳϮόΘΑ
ϡ΍ΰΘϟϻ΍ΓΪϣϦϣΔϴϘΒΘϤϟ΍ΔϳήϬθϟ΍ΕΎϛ΍ήΘηϻ΍ϢϴϗωϮϤΠϣϦϣΔΒδϧϱϭΎδΗϙ΍ήΘηϻ΍ωϮϧήϴϐΗϡϮγέ

ΪϘϋΐΟϮϤΑϪΗΎϣ΍ΰΘϟ΍Ϧϣ˱΍˯ΰΟώϟΎΒϤϟ΍ϩάϫ΢ΒμΗΚϴΤΑΪϘόϟ΍΍άϫΐΟϮϤΑϪϴϠϋΔΒΗήΘϣΕΎϗϭήϓΔϳ΃ϞϴμΤΘΑΔϛήθϟ΍ϙήΘθϤϟ΍νϮϔϳ˱ΎϨϣΎΛ
ΎϬΑΔϘϠόΘϤϟ΍ϡΎϜΣϻ΍ϭρϭήθϟ΍ΔϓΎϜϟϊπΨΗϭΎϬόϣϞμΤΗϭϙ΍ήΘηϻ΍
ΔϤϴϗΩΪΤΗϭϡ΍ΰΘϟϻ΍ΓΪϣϡΎϤΗ΍ϞΒϗΔϣΪΧϭ΃ϭςΨϟ΍˯ΎϬϧ΍ϡϮγέΎϬϴϓΎϤΑϙ΍ήΘηϻ΍΍άϫϰϠϋΔΒΗήΘϤϟ΍ϡϮγήϟ΍ΔϓΎϛϊϓΪΑϙήΘθϤϟ΍ΪϬόΘϳ˱ΎόγΎΗ
ΔϴϟΎΘϟ΍ΔϟΩΎόϤϟ΍ΐδΣ˯ΎϬϧϻ΍ϡϮγέ
ϡ΍ΰΘϟϻ΍ΓΪϣϦϣΔϴϘΒΘϤϟ΍ΔϳήϬθϟ΍ΕΎϛ΍ήΘηϻ΍ϢϴϗωϮϤΠϣϦϣΔΒδϧϱϭΎδΗ˯ΎϬϧϻ΍ϡϮγέ

ΪϘόϟ΍΍άϫήϴδϔΗϝϮΣω΍ΰϧϱ΍ϲϓ˱΍ήμΣϥΎϤϋϢϛΎΤϣκΘΨΗϭϪΒΟϮϤΑϪϣΎϜΣ΍ήδϔΗϭϲϧΩέϷ΍ϥϮϧΎϘϠϟΪϘόϟ΍΍άϫϡΎϜΣ΍ϊπΨΗ˱΍ήηΎϋ
ϪϘϴΒτΗϭ
ΎϬΒΟϮϤΑϞϤόϠϟΔΨδϧϖϳήϓϞϛΪϴΑϦϴΘΨδϧϰϠϋΕέήΣΪϨΒϟ΍΍άϫΎϬϴϓΎϤΑΩϮϨΑήθϋϯΪΣ΍ΪϘόϟ΍΍άϫΩϮϨΑήθϋϯΪΣ΍

{ENSGN#35,6#EURONOVATE#811} Ϣγϻ΍
{ENSGN#35,6#EURONOVATE#812} ΦϳέΎΘϟ΍
{ENSGN#35,6#EURONOVATE#813} ϊϴϗϮΘϟ΍