SIM Replacement Form

To be lled by customer:
Customer name ______________________________________________________________________
Vodafone Number ___________________________________________________________________

Subscriber
Photograph

OLD SIM CARD Number ________________________________________________________________

Relationship Number __________________________________________________________________
Alternate Contact Number ______________________________________________________________
Postpaid

Prepaid

Reason for replacement of services:

Damaged

Faulty

Upgrade

Lost

When was SIM lost? _________________________________________________________________________________________

Documents given:
Self attested Photo Id Proof
Self attested Address Proof
I have NOT given the old SIM card

Paste Old
SIM Card

I have given the old SIM card.

I have received new SIM card number_________________________________________________________________________

Customers Signature________________________________________________________________________________________
Name____________________________________________________________________________________________________
Date_____________________________________________________________________________________________________
NEW SIM CARD Number _____________________________________________________________________________________
SIM replacement cost (Rs.99)
Charge to Bill

Cash/Credit Card

Complimentary reason:______________________________

Veried by:
Commercial Ofcers signature________________________________________________________________

Stamp by
Commercial
Ofcer / VMS

Commercial Ofcers name____________________________________________________________________________________

Store Executives signature ____________________________________________________________________________________
Store Executives name_______________________________________________________________________________________
SR number (Reactivation, if any)________________

SR number (Replacement)_______________

Vodafone India Limited

CHECKLIST FOR USE AT VODAFONE STORE / MOBILE STORE / METRO STORE / MINISTORE
Checks by
Nature of Original Id proof shown: ___________________________________________
Passport

Pan card

Driving License

Exec.

Comml. Ofcer

Voter Id card

Original Address proof shown: ______________________________________________

Photograph pasted (Optional)
Self attested Photocopy taken having Original signature (ORIGINAL Proof SEEN & VERIFIED)
OLD SIM card status
Activated

Suspended

Suspension Date: ________________

Over dues cleared

In case Suspended or Outgoing/Incoming barred (CRM overdue)
outstanding to be cleared
Authorisation Letter with Subscriber & Visitor Signature taken
Ownership Transferred in last 6 months: Yes

or No

Billing address Transferred in last 6 months: Yes

In-roamer: Yes

or No

or No

Premium number: Yes

or No

Veried by:
Commercial Ofcer/TL/TC/Floor Supervisors signature______________________________________________________________
Date_____________________________________________________________________________________________________
Commercial /TL/TC/Floor Supervisors name______________________________________________________________________
Checks:
Customer handed over old SIM card no.
Broken in two pieces and pasted it.
Customer DID NOT hand over the old SIM card.
New SIM card number received
TAT given

hours

Time of issuing NEW SIM CARD

hours

Veried by:
Store Executives signature ___________________________________________________________________________________
Date ____________________________________________________________________________________________________
Store Executives name ______________________________________________________________________________________