FORM 3A

(FORMAT FOR SIM BLOCK CONFIRMATION TO BE CERTIFIED BY SERVICE PROVIDER)

Customer Service Manager Date: ..

Reg: Barring Services to Mobile No:

Dear Sir,

I wish to inform you that my mobile No. _ along with the SIM Card has

been stolen on

. (Please mention date & time of incident)

Accordingly, I hereby request you to kindly block all the incoming and outgoing calls for the said

number.

Please do the needful and terminate the service on receipt of the said letter.

Thanking you,

Signature of SIM Owner

Address

(TO BE CERTIFIED BY SERVICE PROVIDER)

This is to certify that the prepaid/ postpaid Mobile No:

Mr. /Mrs.

address_

Stands in the name of

at

AND the customer is using the mobile as Pre paid/

Post Paid as per our records. The SIM card is replaced in lieu of theft of mobile on

___________________ (please mention date of theft).

Seal & Signature of Service Provider

(THIS LETTER TO BE ISSUED ONLY BY THE AUTHOURISED OUTLETS OF SERVICE PROVIDER)