Elife Migration Application
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OSN Pinoy Plus OSN Pinoy Plus Extra Firstnet Premium Firstnet Basic Pehla Silver Pehla Gold OSN Platinum Plus HD OSN Premier Plus HD OSN Premier Lite OSN Entertainment OSN Entertainment Lite More than 60 startup channels for Free in addition to 16 a la carte channels which you can subscribe to directly from your eLife TV Box. Welcome to Etisalat application form eLife Serial No.: December 2013 For official use only A/c No.: Sales Person Name: Reseller Code: Salesman Code: Contact No.: *Name of applicant Mr./Mrs./Ms.: C/O: *Emirate: *Nationality: *Mobile (1): Mobile (2): *ID Type: *ID No.: Expiry (dd/mm/yyyy): *P. O. Box: Building: Floor: Flat No.: Area: City: Sector: *Working landline number in the same building: Plot: Etisalat EID (located on ground floor entrance): Existing number in your name: Transfer Subscriber Name: Location Personal details *Mandatory New Customer Upgrade/Modify Gateway/Router: Purchase Purchase 1 month Call Barring Pin: List name in telephone directory Free calling card Serial number: Safe custody: From: To: 2 months 1 fils/second international calls Speed Mbps: 1 10 20 50 300 100 500 Norton Internet security subscription Internet username: First choice: Second choice: Third choice: Unlimited Internet Free, 5GB storage capacity email boxes, 8 hrs/month public Wi-Fi hotspot Internet eLife Mini Packages: Arabia Family Lifestyle Apna My Pinoy Choice Basic: Arabic Asian Western Filipino Advanced Star Package Telephone eLife Triple Play (TV + Internet + Telephone) e-Bill Bill statement language: Arabic English Shifting or other External shifting eLife TV Box swap Additional socket: eLife password recovery: TV Internet Telephone Customer signature: Date: Your authorisation I/We hereby confirm to Etisalat that I/We have the authority and/or permission to install the Etisalat Service in the abovementioned address and hereby agree. Sports: Al Jazeera Sport Abu Dhabi Sport A la Carte: High Definition: High Definition Recorder: eLife TV Boxes: TV eLife Single Play (TV only or Internet only) eLife Double Play (Internet + Telephone) eLife ON: Video Packs: Wi-Fi extenders: 12 months 24 months Purchase 12 months 24 months Telephone device: Purchase 12 months 24 months Wireless Video Bridge: Technician visit Other *Email: Request number: Serial number: Card number:
description
Elife Migration Application
Transcript of Elife Migration Application
OSN Pinoy Plus OSN Pinoy Plus Extra Firstnet Premium Firstnet Basic Pehla Silver Pehla Gold
OSN Platinum Plus HD OSN Premier Plus HD OSN Premier Lite OSN Entertainment OSN Entertainment Lite
More than 60 startup channels for Free in addition to 16 a la carte channels which you can subscribe to directly from your eLife TV Box.
Welcome to Etisalat
application formeLife
Serial No.:
Dece
mbe
r 201
3
For official use only
A/c No.:
Sales Person Name:
Reseller Code:
Salesman Code: Contact No.:
*Name of applicant Mr./Mrs./Ms.:
C/O: *Emirate: *Nationality:
*Mobile (1): Mobile (2):*ID Type: *ID No.: Expiry (dd/mm/yyyy):
*P. O. Box:
Building: Floor: Flat No.: Area:
City: Sector: *Working landline number in the same building:
Plot: Etisalat EID (located on ground floor entrance): Existing number in your name:
Transfer Subscriber Name:
Location
Personal details
*Mandatory
New Customer Upgrade/Modify
Gateway/Router: Purchase Purchase
1 month
Call Barring Pin:
List name in telephone directory
Free calling card Serial number:
Safe custody: From: To:2 months
1 fils/second international calls
Speed Mbps: 1 10 20 50 300100 500
Norton Internet security subscription
Internet username: First choice: Second choice: Third choice:
Unlimited Internet Free, 5GB storage capacity email boxes, 8 hrs/month public Wi-Fi hotspot
Internet
eLife Mini Packages: Arabia Family Lifestyle Apna My Pinoy
Choice Basic: Arabic Asian Western Filipino
Advanced Star Package
Telephone
eLife Triple Play (TV + Internet + Telephone)
e-Bill Bill statement language: Arabic English
Shifting or other External shifting
eLife TV Box swap
Additional socket:
eLife password recovery:
TV Internet Telephone Customer signature: Date:
Your authorisationI/We hereby confirm to Etisalat that I/We have the authority and/or permission to install the Etisalat Service in the abovementioned address and hereby agree.
Sports: Al Jazeera Sport Abu Dhabi Sport A la Carte:
High Definition: High Definition Recorder:eLife TV Boxes:TV
eLife Single Play (TV only or Internet only)eLife Double Play (Internet + Telephone)
eLife ON: Video Packs:
Wi-Fi extenders:12 months 24 months
Purchase 12 months 24 months
Telephone device: Purchase 12 months 24 months
Wireless Video Bridge:
Technician visit
Other
*Email:
Request number: Serial number: Card number:
