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Xed line Account Name of current xed line service provider Telephone Number/s to be ported Applicant s Signature Date Current xed line Customer Number Nature of current xed line Account indicate whether pre-paid or post-paid of Representative Kindly ll in all of the above information for the form to be processed. authorised representative appearing on his/her behalf. Identity Card Number for of ce use only Referred by. 2. By completing this form I hereby authorise the Recipient Operator to act...
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