Authorization Form EBU

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authorization letter

‫ﺧﻄﺎب ﺗﻔﻮﻳﺾ‬
1. organization details ‫ اﻟﻤﻨﺸﺄة‬/‫ ﺑﻴﺎﻧﺎت اﻟﺸﺮﻛﺔ‬.1
organization name: :‫ اﻟﻤﻨﺸﺄة‬/‫اﺳﻢ اﻟﺸﺮﻛﺔ‬
CR#: :‫رﻗﻢ اﻟﺴﺠﻞ اﻟﺘﺠﺎري‬

2. organization representative details ‫ اﻟﻤﻨﺸﺄة‬/‫ ﺑﻴﺎﻧﺎت ﻣﻤﺜﻞ اﻟﺸﺮﻛﺔ‬.2


We, the organization, whose particulars appears in paragraph (i), do hereby authorize :‫( أﻋﻼه ﻧﻔﻮض ﻣﻤﺜﻠﻨﺎ ﺑﺎﻟﺒﻴﺎﻧﺎت اﻟﺘﺎﻟﻴﺔ ﺗﺴﻠﻴﻤﻜﻢ ﻫﺬا اﻟﺨﻄﺎب‬1) ‫ اﻟﻤﻨﺸﺄة اﻟﻤﻮﺿﺤﺔ ﺑﻴﺎﻧﺎﺗﻬﺎ ﻓﻲ اﻟﻔﻘﺮة‬/‫ﻧﺤﻦ اﻟﺸﺮﻛﺔ‬
our employee, whom the particulars stated hereunder, to deliver this letter. ‫ﻧﺘﺴﻤﻴﻨﺒﺘﻨﺴﻴﺒﺘﻴﻨﻤﺲ ﻣﻨﺴﻴﺘﺒﻤﻨﺴﻴﺒﺖ ﻳﺴﻤﻦ ﻣﺘﻨﺴﻴﺒﻨﻤﺴﻴﺘﻦﺒ‬
name: :‫اﻻﺳﻢ‬
nationality: :‫اﻟﺠﻨﺴﻴﺔ‬
ID type: :‫ﻧﻮع اﻟﺒﻄﺎﻗﺔ‬
ID #: :‫رﻗﻢ اﻟﻬﻮﻳﺔ‬
expiry date: :‫ﺗﺎرﻳﺦ اﻻﻧﺘﻬﺎء‬
mobile#: :‫رﻗﻢ اﻟﺠﻮال‬

3. authorized person's details ‫ ﺑﻴﺎﻧﺎت اﻷﺷﺨﺎص اﻟﻤﻔﻮﺿﻴﻦ‬.3


authorized person 1 1 ‫ﺑﻴﺎن اﻟﻤﻔﻮض‬
name: ID #: :‫رﻗﻢ اﻟﻬﻮﻳﺔ‬ :‫اﻻﺳﻢ‬
email: mobile#: :‫رﻗﻢ اﻟﺠﻮال‬ :‫اﻟﺒﺮﻳﺪ اﻹﻟﻜﺘﺮوﻧﻲ‬
signature: :‫اﻟﺘﻮﻗﻴﻊ‬
authorities: Authorize person for stc business portal stc business ‫ﻣﻔﻮض ﻣﻮﻗﻊ‬ :‫اﻟﺼﻼﺣﻴﺎت‬
must be authenticated by the chamber of commerce (for companies only) (‫ﻳﺘﻄﻠﺐ ﺗﺼﺪﻳﻖ اﻟﻐﺮﻓﺔ اﻟﺘﺠﺎرﻳﺔ )ﻟﻠﺸﺮﻛﺎت ﻓﻘﻂ‬
■ Approve signature. Period from: to: :‫وﺣﺘﻰ ﺗﺎرﻳﺦ‬ :‫ﺗﻮﻗﻴﻊ ﻣﻌﺘﻤﺪ ﻟﻠﻔﺘﺮة اﻟﺰﻣﻨﻴﺔ ﻣﻦ ﺗﺎرﻳﺦ‬
Authorize person for pin code feature through call centers 909 909 ‫ﻣﻔﻮض ﻟﺨﺎﺻﻴﺔ اﻟﺮﻣﺰ اﻟﺨﺎص ﻣﻦ ﺧﻼل ﻣﺮﻛﺰ اﻟﻤﺒﻴﻌﺎت اﻟﻬﺎﺗﻔﻴﺔ‬
Authorize person of SIM fingerprint verification ‫ﻣﻔﻮض ﺗﻮﺛﻴﻖ ﺷﺮاﺋﺢ اﻻﺗﺼﺎل ﺑﺎﻟﺒﺼﻤﺔ‬
authorized person 2 (optional in case of more than one authorized person) (‫ )اﺧﺘﻴﺎري ﻓﻲ ﺣﺎل وﺟﻮد أﻛﺜﺮ ﻣﻦ ﻣﻔﻮض‬2 ‫ﺑﻴﺎﻧﺎت اﻟﻤﻔﻮض‬
name: ID#: :‫رﻗﻢ اﻟﻬﻮﻳﺔ‬ :‫اﻻﺳﻢ‬
email: mobile#: :‫رﻗﻢ اﻟﺠﻮال‬ :‫اﻟﺒﺮﻳﺪ اﻹﻟﻜﺘﺮوﻧﻲ‬
signature: :‫اﻟﺘﻮﻗﻴﻊ‬
authorities: Approve signature. Period from: to:
:‫وﺣﺘﻰ ﺗﺎرﻳﺦ‬ :‫ﺗﻮﻗﻴﻊ ﻣﻌﺘﻤﺪ ﻟﻠﻔﺘﺮة اﻟﺰﻣﻨﻴﺔ ﻣﻦ ﺗﺎرﻳﺦ‬ :‫اﻟﺼﻼﺣﻴﺎت‬
Authorize person for pin code feature through call centers 909
909 ‫ﻣﻔﻮض ﻟﺨﺎﺻﻴﺔ اﻟﺮﻣﺰ اﻟﺨﺎص ﻣﻦ ﺧﻼل ﻣﺮﻛﺰ اﻟﻤﺒﻴﻌﺎت اﻟﻬﺎﺗﻔﻴﺔ‬
Authorize person of SIM fingerprint verification
‫ﻣﻔﻮض ﺗﻮﺛﻴﻖ ﺷﺮاﺋﺢ اﻻﺗﺼﺎل ﺑﺎﻟﺒﺼﻤﺔ‬
authorized person 3 (optional in case of more than one authorized person) (‫ )اﺧﺘﻴﺎري ﻓﻲ ﺣﺎل وﺟﻮد أﻛﺜﺮ ﻣﻦ ﻣﻔﻮض‬3 ‫ﺑﻴﺎﻧﺎت اﻟﻤﻔﻮض‬
name: ID#: :‫رﻗﻢ اﻟﻬﻮﻳﺔ‬ :‫اﻻﺳﻢ‬
email: mobile#: :‫رﻗﻢ اﻟﺠﻮال‬ :‫اﻟﺒﺮﻳﺪ اﻹﻟﻜﺘﺮوﻧﻲ‬
signature: :‫اﻟﺘﻮﻗﻴﻊ‬
authorities: Approve signature. Period from sfdsdfsdfs to: :‫وﺣﺘﻰ ﺗﺎرﻳﺦ‬ :‫ﺗﻮﻗﻴﻊ ﻣﻌﺘﻤﺪ ﻟﻠﻔﺘﺮة اﻟﺰﻣﻨﻴﺔ ﻣﻦ ﺗﺎرﻳﺦ‬ :‫اﻟﺼﻼﺣﻴﺎت‬
Authorize person for pin code feature through call centers 909 909 ‫ﻣﻔﻮض ﻟﺨﺎﺻﻴﺔ اﻟﺮﻣﺰ اﻟﺨﺎص ﻣﻦ ﺧﻼل ﻣﺮﻛﺰ اﻟﻤﺒﻴﻌﺎت اﻟﻬﺎﺗﻔﻴﺔ‬
Authorize person of SIM fingerprint verification ‫ﻣﻔﻮض ﺗﻮﺛﻴﻖ ﺷﺮاﺋﺢ اﻻﺗﺼﺎل ﺑﺎﻟﺒﺼﻤﺔ‬

4. acknowledgement ‫ إﻗﺮار‬.4
We........................................................................................ organization do hereby authorized Mr.\Ms. whose details ‫ اﻟﺴﺎدة اﻟﻤﺬﻛﻮر ﺑﻴﺎﻧﺎﺗﻪ أﻋﻼه‬/‫ اﻟﺴﻴﺪ‬.........................................................................................:‫ ﻣﻨﺸﺄة‬/‫ﻓﻮﺿﻨﺎ ﻧﺤﻦ ﺷﺮﻛﺔ‬
stated hereinabove, to act in our name and behalf in signing documents, applications, contracts and ‫ﻟﻴﻨﻮب ﻋﻨﺎ وﻳﺘﺼﺮف ﺑﺎﺳﻤﻨﺎ ﻓﻲ اﻟﺘﻮﻗﻴﻊ ﻋﻠﻰ ﺟﻤﻴﻊ اﻷوراق واﻟﻄﻠﺒﺎت واﻟﻌﻘﻮد واﻻﺗﻔﺎﻗﻴﺎت وﻣﺒﺎﺷﺮة ﺟﻤﻴﻊ اﻟﺘﺼﺮﻓﺎت اﻟﺘﻲ‬
agreements, and to initiate all actions which the conclusion of contracts and transaction with stc ‫ ﻋﻠﻰ أن ﻳﻘﺘﺼﺮ ﻓﻲ ﻫﺬا اﻟﺘﻔﻮﻳﺾ ﻓﻲ ﺣﺪود اﻟﺼﻼﺣﻴﺎت اﻟﻤﺨﺘﺎرة‬stc ‫ﻳﺴﺘﻠﺰﻣﻬﺎ إﺑﺮام اﻟﻤﻌﺎﻣﻼت واﻟﺘﻌﺎﻗﺪات ﻣﻊ ﺷﺮﻛﺔ‬
require, provided that this authorization should be limited to authorities elected for each of the :‫ﻟﻜﻞ ﻣﻦ اﻟﻤﻔﻮﺿﻴﻦ أﻋﻼه وﻃﺒﻘﺎً ﻟﻠﺘﻌﺮﻳﻔﺎت اﻵﺗﻴﺔ‬
authorized persons. specified hereinabove, and according to the following definitions: stc business ‫اﻟﺸﺨﺺ اﻟﻤﻔﻮض ﻟﻤﻮﻗﻊ‬
authorize person for stc business portal
،‫ وﺗﻐﻴﻴﺮ اﻟﺤﺪ اﻻﺋﺘﻤﺎﻧﻲ‬،‫ اﻟﻤﻨﺸﺄة ﻓﻲ اﺳﺘﻌﺮاض اﻟﻔﻮاﺗﻴﺮ وﺳﺪادﻫﺎ‬/‫ﻫﻮ اﻟﺸﺨﺺ اﻟﻤﻔﻮض ﺑﺎﻟﺘﺼﺮف ﻧﻴﺎﺑﺔ ﻋﻦ اﻟﺸﺮﻛﺔ‬
He is the person authorized to act on behalf of the organization in reviewing and payment of bills,
changing the credit limit, activation, \modification\ deactivation of services, applying for the ‫ واﻻﺷﺘﺮاك ﻓﻲ ﻗﻄﺎف أﻋﻤﺎل واﺳﺘﺒﺪال اﻟﻨﻘﺎط‬،‫ وﻃﻠﺐ ﺗﺄﺳﻴﺲ ﺧﺪﻣﺎت ﺟﺪﻳﺪة‬.‫ إﻟﻐﺎء اﻟﺨﺪﻣﺎت‬/‫ ﺗﻌﺪﻳﻞ‬/‫وﺗﻔﻌﻴﻞ‬
establishment of new services, as well as subscribing to qitaf business and redemption of the collected ‫ وﺟﻤﻴﻊ اﻟﺼﻼﺣﻴﺎت‬،‫ ورﺑﻂ ﺷﺮاﺋﺢ اﻻﺗﺼﺎل ﺑﺄرﻗﺎم ﻫﻮﻳﺎت اﻟﻤﺴﺘﺨﺪﻣﻴﻦ اﻟﻨﻬﺎﺋﻴﻴﻦ‬،‫ وإرﺳﺎل اﻟﺒﺮﻗﻴﺔ اﻹﻟﻜﺘﺮوﻧﻴﺔ‬،‫ﺑﺎﻟﻤﻜﺎﻓﺂت‬
points, sending e-telegraph. SIMs assignment to end users ids and all authorities and services available .‫ واﻟﻘﻨﻮات واﻷﺟﻬﺰة واﻟﺘﻄﺒﻴﻘﺎت اﻹﻟﻜﺘﺮوﻧﻴﺔ‬stc Business ‫واﻟﺨﺪﻣﺎت اﻟﻤﺘﻮﻓﺮة ﻓﻲ ﻣﻮﻗﻊ‬
in stc business portal, channels, devices and electronic applications. ‫اﻟﺘﻮﻗﻴﻊ اﻟﻤﻌﺘﻤﺪ‬
approved signature ‫ وإﻧﻬﺎء ﻛﺎﻓﺔ‬stc ‫ اﻟﻤﻨﺸﺄة ﻓﻲ ﻃﻠﺐ اﻟﺨﺪﻣﺎت وﻣﺘﺎﺑﻌﺘﻬﺎ وﻣﺮاﺟﻌﺔ ﺷﺮﻛﺔ‬/‫ﻫﻮ اﻟﺘﻮﻗﻴﻊ اﻟﻤﻌﺘﻤﺪ ﻟﻠﺸﺨﺺ اﻟﻤﻤﺜﻞ ﻟﻠﺸﺮﻛﺔ‬
It is the approved signature of the authorized person who acts on behalf of the organization in the .‫اﻹﺟﺮاءات اﻟﻼزﻣﺔ‬
service application and follow up with stc to complete all necessary procedures required. 909 ‫اﻟﺸﺨﺺ اﻟﻤﻔﻮض ﻟﺨﺎﺻﻴﺔ اﻟﺮﻣﺰ اﻟﺨﺎص ﻣﻦ ﺧﻼل ﻣﺮﻛﺰ اﻟﻤﺒﻴﻌﺎت اﻟﻬﺎﺗﻔﻴﺔ‬
authorized person pin code feature through call centers 909 ‫ اﻟﻤﻨﺸﺄة وذﻟﻚ ﻟﺘﻔﻌﻴﻞ ﺧﺎﺻﻴﺔ اﻟﺮﻣﺰ اﻟﺨﺎص وﻃﻠﺐ اﻟﺨﺪﻣﺎت اﻟﻤﺴﺘﻘﺒﻠﻴﺔ ﻣﻦ ﺧﻼل‬/‫ﻫﻮ اﻟﺸﺨﺺ اﻟﻤﻔﻮض ﻋﻦ اﻟﺸﺮﻛﺔ‬
He is the authorized person acting on behalf of the organization to activate the pin code and request 909 ‫ﻣﺮﻛﺰ اﻟﻤﺒﻴﻌﺎت اﻟﻬﺎﺗﻔﻴﺔ‬
future services through 909 call center. ‫ﻣﻔﻮض ﺗﻮﺛﻴﻖ ﺷﺮاﺋﺢ اﻻﺗﺼﺎل ﺑﺎﻟﺒﺼﻤﺔ‬
authorized person of sims fingerprint verification
‫ اﻟﻤﻨﺸﺄة ﺑﺘﻮﺛﻴﻖ ﻣﺠﻤﻮﻋﺔ ﺷﺮاﺋﺢ اﻻﺗﺼﺎل ﺑﺒﺼﻤﺘﻪ ﻟﺤﻴﻦ أن ﻳﺘﻢ ﺗﻮﺛﻴﻖ ﺑﺼﻤﺔ‬/‫ﻫﻮ اﻟﺸﺨﺺ اﻟﻤﻔﻮض ﻋﻦ اﻟﺸﺮﻛﺔ‬
He is the person authorized to act on behalf of the organization to link his fingerprint to all SIMs until
.‫اﻟﻤﺴﺘﺨﺪم اﻟﻨﻬﺎﺋﻲ ﻟﻜﻞ ﺷﺮﻳﺤﺔ‬
end user does the fingerprint verification.
We also undertake to approve and comply with all the above mentioned actions taken by the authorized ‫ اﻟﻤﻔﻮﺿﻴﻦ واﻟﻤﺬﻛﻮرة أﻋﻼه ﺑﺎﺳﻤﻨﺎ وﺑﺎﻟﻨﻴﺎﺑﺔ ﻋﻨﺎ‬/‫ﻛﻤﺎ ﻧﺘﻌﻬﺪ ﺑﺎﻟﻤﺼﺎدﻗﺔ واﻻﻟﺘﺰام ﺑﻜﻞ اﻟﺘﺼﺮﻓﺎت اﻟﺘﻲ ﻳﺠﺮﺑﻬﺎ اﻟﻤﻔﻮض‬
person(s) in our name and behalf when practicing their authorities subject of this authorization and the ،‫ وﻣﺴﺆوﻟﻴﺘﻨﺎ ﻋﻤﺎ ﻳﺘﺮﺗﺐ ﻋﻠﻰ ﻫﺬه اﻟﺘﺼﺮﻓﺎت ﻣﻦ اﻟﺘﺰاﻣﺎت ﻣﺎﻟﻴﺔ‬،‫ﻣﻦ ﺧﻼل ﻣﻤﺎرﺳﺘﻪ ﻟﻠﺼﻼﺣﻴﺎت اﻟﻤﺸﻤﻮﻟﺔ ﺑﻬﺬا اﻟﺘﻔﻮﻳﺾ‬
financial implications resulting therefrom, in addition to notifying stc in writing in the event of their .‫ اﻟﻤﻨﺸﺄة ﻻﺗﺨﺎذ اﻹﺟﺮاء اﻟﻼزم‬/‫ ﺧﻄﻴﺎً ﻓﻲ ﺣﺎل ﺗﻐﻴﻴﺮﻫﻢ أو اﻧﺘﻬﺎء ﻋﻼﻗﺘﻬﻢ ﺑﺎﻟﺸﺮﻛﺔ‬stc ‫وﻛﺬﻟﻚ إﺑﻼغ ﺷﺮﻛﺔ‬
replacement or expiry of their relationship with the organization in order to take the necessary action. ‫وﻧﺤﻦ ﻛﺬﻟﻚ ﻣﺴﺆوﻟﻮن ﻣﺴﺆوﻟﻴﺔ ﻛﺎﻣﻠﺔ ﻋﻦ ﺟﻤﻴﻊ اﻵﺛﺎر اﻟﻤﺘﺮﺗﺒﺔ ﻣﻦ ﺗﻨﻔﻴﺬ ﻣﻀﻤﻮن اﻟﺨﻄﺎﺑﺎت اﻟﺼﺎدرة ﻣﻦ اﻟﻤﻔﻮض‬
we are likewise responsible for all consequences resulting from the implementation of the content of ‫اﻟﻤﺬﻛﻮر أﻋﻼه وﻧﻠﺘﺰم ﺑﻜﻞ ﻣﺎ ورد ﻓﻲ أﻧﻈﻤﺔ وﻟﻮاﺋﺢ اﻻﺗﺼﺎﻻت وﺗﻘﻨﻴﺔ اﻟﻤﻌﻠﻮﻣﺎت وﺟﻤﻴﻊ اﻟﺘﻌﻠﻴﻤﺎت واﻟﺘﻌﺎﻣﻴﻢ اﻟﺼﺎدرة‬
the letters issued by the authorized person. We also comply with all provisions of the communications .‫ﻣﻦ ﻫﻴﺌﺔ اﻻﺗﺼﺎﻻت وﺗﻘﻨﻴﺔ اﻟﻤﻌﻠﻮﻣﺎت‬
and information technology act and all circulars and instructions issued by the communication and
information technology commission.
name: title: :‫اﻟﺼﻔﺔ اﻟﻮﻇﻴﻔﻴﺔ‬ :‫اﻻﺳﻢ‬

signature: :‫اﻟﺘﻮﻗﻴﻊ‬
organization official seal: :‫ اﻟﻤﻨﺸﺄة‬/‫اﻟﺨﺘﻢ اﻟﺮﺳﻤﻲ ﻟﻠﺸﺮﻛﺔ‬

date: :‫اﻟﺘﺎرﻳﺦ‬

5. for official use to be completed by employee (stc/authorized sales partners) (‫ ﺷﺮﻳﻚ اﻟﻤﺒﻴﻌﺎت اﻟﻤﻌﺘﻤﺪ‬/stc) ‫ ﻟﻼﺳﺘﺨﺪام اﻟﺮﺳﻤﻲ ﻳﻌﺒﺄ ﻣﻦ ﻗﺒﻞ ﻣﻮﻇﻒ ﻣﺒﻴﻌﺎت‬.5

employee name: company name: :‫اﺳﻢ اﻟﺸﺮﻛﺔ‬ :‫اﺳﻢ اﻟﻤﻮﻇﻒ‬


employee ID: mobile#: :‫رﻗﻢ اﻟﺠﻮال‬ :‫اﻟﺮﻗﻢ اﻟﻮﻇﻴﻔﻲ‬

‫ﺗﺼﺪﻳﻖ اﻟﻐﺮﻓﺔ اﻟﺘﺠﺎرﻳﺔ‬ :‫ﻣﻼﺣﻈﺎت‬


authentication of the Chamber of Commerce ‫ ﻳﺠﺐ ﺗﺼﺪﻳﻖ ﻫﺬا اﻟﺨﻄﺎب ﻣﻦ اﻟﻐﺮﻓﺔ اﻟﺘﺠﺎرﻳﺔ‬-
‫ ﻋﻨﺪ ﻃﻠﺐ ﺧﺪﻣﺎت ﺟﺪﻳﺪة ﻳﺘﻢ إرﻓﺎق ﺧﻄﺎب ﻃﻠﺐ اﻟﺨﺪﻣﺔ ﻣﻮﻗﻊ وﻣﺨﺘﻮم ﻣﻦ ﺻﺎﺣﺐ اﻟﺼﻼﺣﻴﺔ دون اﻟﺤﺎﺟﺔ‬-
notes:
.‫ﻟﺘﺼﺪﻳﻖ اﻟﻐﺮﻓﺔ اﻟﺘﺠﺎرﻳﺔ ﻣﻊ إرﻓﺎق أﺻﻞ ﻫﺬا اﻟﺘﻔﻮﻳﺾ‬
- this letter must be authenticated by the chamber of commerce.
- when requesting new services, the service request form must be attached. it should be singed and
stamped by the authorized person but does not need certification from the chamber of commerce.

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