Académique Documents
Professionnel Documents
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Customer Type:
Corporate
Individual
Customer/Company Name
User Name
NTN
CNIC/Passport No.
Alternate Telephone
Email
Billing Address:
House/Flat No.
Street/Road No.
Sector/Society/Mohallah
Village
City
District
Tehsil
Province
Installation Address:
House/Flat No.
Street/Road No.
Sector/Society/Mohallah
Village
City
District
Tehsil
Province
Occupation:
Business
Labor
Medicine
Engineer
Law
SERVICE/S REQUIRED
Student
IT
Management
Other
Broadband
Package Type
Service required on:
PTCL Landline
Existing No.
New No.
Modem No.
Package Type
Other Charges
EVO-Wireless Broadband
Package Type
MDN
V-Fone
Prepaid
Postpaid
ESN
Package Type
Package Type
RUIM No.
ESN
MDN
Payment Options
Name
Location
& stamp
CUSTOMER ACCEPTANCE
Point of Sale
In-house
Monthly
Franchise/Dealer
I/We hereby undertake that I/We have read all the terms & conditions mentioned
overleaf and agree to abide by them. I/we confirm that the information provided in
this form is correct & complete in all respects.
Customer Portion
Customer Name
Order Entry ID
Accepted on behalf of PTCL by
Signature/Date/Stamp
0800 8 0800
Billing Helpline
1200
General Information
1236
Directory Assistance
1217
Customer Facilitation
1218
Website
www.ptcl.com.pk