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SR2023

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moishahamukuaja705
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34 views

SR2023

Uploaded by

moishahamukuaja705
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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SIM REGISTRATION FORM

PREPAID SIM CARD

PREPAID SERVICES
Application form for activation and registration on tnmobile SIM card
SIM Registration as: Owner Parent / Guardian Business Educational Institution Other ______________________________

CUSTOMER INFORMATION
tnmobile Cellphone Number
tnmobile Sim Card Number
Title The Hon/ Prof/ Miss/ Mrs/ Mr/ Dr/ Rev/ Other Specify
Name of applicant Names & Surname
Type of identification ID Number / Passport Number
Gender Date of birth (DD/MM/YYYY)
Citizenship
Occupation
Postal Address Postal Code, Area & City
Residential Address or geographic area of residence Street Name& Number, Area & City
Alternative Contact Numbers Home/Office Mobile
Email Address

SUBSCRIBER INFORMATION
Title The Hon/ Prof/ Miss/ Mrs/ Mr/ Dr/ Rev/ Other Specify
Name of applicant Names & Surname
ID or Passport ID Number / Passport Number
Gender Date of birth (DD/MM/YYYY)
Citizenship
Postal Address Postal Code, Area & City
Residential Address or geographic area of residence Street Name& Number, Area & City
Alternative Contact Numbers Home/Office Mobile
Email Address

APPLICATION REQUIREMENTS
Copy of ID, Passport, Driver’s License, or Valid Voters Card Yes / No
Police Declaration Yes / No
Proof of residence: Municipal Bill, Lease Agreement, Police declaration of where the customer resides, or a letter from your nearest Yes / No
church, school, or constituency councillor.

Attach the documents to this application form:

I/We ,__________________________________________________________________________________________________________________the undersigned,


1. Declare that I/We, intends to be a customer for the services concerned and the information and documents provided are true, correct, and up to date. I
undertake to inform Telecom Namibia of any changes in the information provided as and when these occur.

2. I take full responsibility for the veracity of the information and shall be liable for any inaccuracy, falsehood or other misstatement contained therein. I
indemnify Telecom Namibia against liability for any false or inaccurate information provided.

3. Understand that the service will be subject to the provisions of the Communications Act, 8 of 2009 and the Relevant regulations made under that Act.

Full Name(s) __________________________________________________________________________________ Signature ________________________________


Spouse* / Legal Guardian / Witness Full Name(s) ________________________________________________ Signature ________________________________
*Director(s) / Member(s)/ Partner(s) Full Name(s) ________________________________________________ Signature ________________________________
Thus done and signed on this _____________________________day of __________________ 20__________

FOR Office Use Only


Teleshop/Reseller Name of Agent
Signature Date

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