Fixed Number Portability

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*First name: *Last name: _____________________________________________________

Date of Birth (dd/mm/yyyy): Nationality: ______________________________________________________

*ID type:   Mobile contact number: ___________________________________________

Emirates ID OR Passport OR GCC ID *ID number_______________________________________________________

Business Authorised Signatory Details (Home/ Business)

*Company name: *First name:

Address details: *Last name:

*ID type: (Business)

Mobile contact number:

Trade License OR Establishment Card *Identification document number:

*ID number (Business)

In case the Fixed line is part of a bundled service, then the entire
I wish to port the number(s) below bundle along with its constituent services and any additional
services attached to it, whether it is voice or non-voice, will be ceased.
From the Donor Operator Etisalat to Recipient Operator du.

First number in range Last number in range

Port-in Port Back

Fixed number:

OR

(If more space is required, please complete the attached Schedule 1)

Subject to the validation of the porting request by the Donor Operator, the Recipient Operator will use its reasonable endeavors to port the
requested number(s) as soon as possible within the defined SLA from the time when the Recipient Operator sends the Porting request to the
Donor Operator, if no alternative preferences of a later date are indicated below:

I hereby declare that I am the Customer in respect of the number(s) listed,

or the legal authorized representative for the Customer by the power of attorney

number dated or the authorized representative on behalf of the

company with the power of attorney number and:

• That I have read all the below information (Information to the Customer) and I agree to the terms and conditions contained therein and in this
porting request form
• That I am authorised to request the porting of the number(s) listed on this form
• That I agree to initiate the porting of the above mentioned number(s)
• That I undertake to pay and settle in full any and all such outstanding debts to the Donor Operator promptly, and in accordance with the
Terms and Conditions in my contract with the Donor Operator and
• That I authorise Emirates Integrated Telecommunications Company, (du) to request cancellation of the above Services from Emirates
FNP-MAY 2021

Telecommunications Company, (Etisalat) on my behalf

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 Terms and Conditions

• Subject to the successful validation of the porting request by the Donor Operator, the Recipient Operator will use its reasonable endeavors
to port the requested number(s) as soon as possible within the defined SLA (between Donor, Recipient, and TRA) from the time, when the
Recipient Operator sends the porting request to the Donor Operator.

• I agree to cease the entire bundle along with all its constituent services and any additional services attached to it whether its voice or non
voice provided from the Donor Operator under the ported number(s) and undertake to pay and settle in full all such outstanding charges
and debts due to the Donor Operator promptly, and in accordance with the Terms and Conditions in my contract with the Donor Operator.

• I authorise the Recipient Operator to request cancellation of all the Services provided under the ported number from the Donor Operator
on my behalf.

• In such circumstances, where the Donor Operator suspends/ceases the constituent services being provided under the ported number,
I will not hold the Donor Operator liable for such suspension/cessation or any resulting effects of such action by the Donor Operator

• I am the authorised person to request the porting of the number(s) listed in this form and agree to initiate the porting of the mentioned
number(s);

• If you are an individual:

I hereby confirm and certify the full authority and capacity to request for porting the number(s) stated and listed in this application form and
information provided herein are true and correct.

OR

• If you are a Company:

I,_____________________________________________________ (Name of Authorised Signatory) the authorized representative on behalf of the

Company confirm and certify the full authority and capacity to request for porting the number(s) stated and listed in this application form and
information provided herein are true and correct via the Power of Attorney (as attached) and accept all the terms and conditions stipulated
in this porting request form.

• I, by signing this application form, acknowledge that I have read all the below Terms and Conditions (T&Cs) contained in this porting
request form:

Date:

*Customer signature: *Company stamp:

*Company stamp is specific for business customers.

FNP-MAY 2021

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