Professional Documents
Culture Documents
1)
1 General Information
1.1 Name in Full Rev.Mr/Ms . Other
2 Contact details
2.1 Name
2.2 Designation
(for business customer only
2.3 Contact numbers Fixed Mobile
Fax E-mail address
4 Package Details
4.1 Package Type
a) Single Play (Broadband only) b) Double Play (Broadband with Voice) c) Other Specify ………………………………….
5 Preferred Broadband Package
A. Broadband Package Details:
5.1 Package Name: (Please mark "X" in a appropriate box)
a) Web Lite b) Web starter c) Web Pal d) Web Family Plus
e) Web family Extra f) Web Pro g) Web Master h) Web Champ
i) Web Life j) Web Inspire k) Web Premier l) Other …………………
6.4.2 SLT IDD is enabled. If you wish to deactivate IDD facility please mark. a) Deactivate IDD (N.B - Mandatory to fill)