ET Tetecom

Please tick the category/categories applied for: Innovative Product - Voice II Innovative Product - Data m lnnivative Product Broadband Service Providers vative Product - Enterprise ____ lnnovative Product Rurai Excenence in Marketing 'Innovative Product !"#

Avends

7013

fl

ri $perational Excellence %o&er Develop'ent (%rusted )arrier o* the +ear 1 I I'iovatio n Managed Services - $EM

fl , Innovative Product - $EM lnnovative Product %eleco' #o*t&are

#oda Total No of Categories Applied for

DEC A!AT"#N
The information provided herein is true and complete to the best of my knowledge. I accept t-e rules and regulations of participation. I understand the information provided in this Application Form is for the purpose of selecting recipients of the Awards and! consent to the use of this information for such purpose.

signature./ 0a'e1

2#enior $**icer isignature./ 0a'e1 Designation1 Mail1 +34e5"

l i t/

ki-Lon,Arljd

AL ) !

Designation1
"

MrA rt i

PhT.th3-1-

9e ,r/v--r r#
6

Aria

efrf

'/ e 3a05
c 77-8

(2,
D.51 t)

)ontact nu'ber1_____________________

)ontact nu'ber1

. %-is declaration needs to be signed b3 t&o senior o**icers o* t-e organi9ation 2*ro' a'ongst t-e MD5 )E$5 )$$5 )-air'an5 Directors5 %rustees5 :$D5 etc6/