2 airtel ora oan 5 SMARTPHONE NETWORK PLEASE FILL OUT THE FORM IN CAPITAL LETTERS Customer Segment (SME/Corporate) WHOLESALE ‘orco ‘Airtel Uganda _| ‘customer Type (New/Old) Ne (Order Nature(6W/HW) ‘order number (ot Order Date S0IMAYI2023 | Sill Type (Individual/Combined) COMBINED PO Number ] Service lensed Ine? Service Description LEASED LINE POOLED CAPACITY Client Name Reseach mi eovcanonneTnofi ron VoM Vora Hon Schoo ighakccount NOL Client Address Contract Start Date Vitoria High School Iganga Contact Person BRIAN WASIGR ren Contact Number oraiaari0e Billing Amount WA Client Email Billing Frequency NA Billing Contact Person Cc (One Time Charge $ 100(TAK EXCL) Billing Email Address fao@renu.acug Billing Date Network Bandwidth ‘upto SOmbps Billing Bandwidth upto SombpS Thereby confirm tha the information provided is correct and wish osubsribe forthe services ini ‘Signed for and on behalf of Airtel Uganda ‘Signed for and on behalf of Customer i _ ecb < Nime | wrensweucaroune coacarneawane| Name | Waser 7 Perl Date SaMavizog Date ___-8[5 [8033 ‘warrant that have Ben dy cuthorised to sign the agreement Loarrant hat have been duly euhorsed sign he agreement ‘Airtel ganda Limited plot 16A, Clement Hl Road, .0. Box 6774 Kompala, Ugande, Tel: +256 752230110 / 0200202 003, wnmafcaaitecom/ig