Student Broadband Package Application Form

Student Information
Name Mr Syed Fawad ali shah
Registration # GCMS/P/OS/II-S/11-6780
Mobile # 03139277858
Home Phone # 91590343
Email Address syedfawadalishahs@yahoo.com
Customer Type Student
NIC # 17301-1309353-1
Package Information
Broadband Phone # 91590343
City Peshawar
Package 1 MB
University Information
University Name Govt College of Management Sciences Peshawar
Department D.com 1st
University City Peshawar
University Contact Number 919212926
Date Of Enrolment 19-MAY-2012
Date of Completion 19-MAY-2012
University Verification
Name of Registrar/Dean/Principal/faculty .............................................
Signature & Stamp .............................................
Signature of Student .............................................
For PTCL Use only
Login Choice 1 Syedfawadalishahs
Login Choice 2 ...............................
Login Choice 3 ...............................
&
& @Hotmail & @Gmail
ps
Syed faw
ad ali sh
ah