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JuauAsiaatucuiisusmsusoaivudduindsidia (Broadband Intemet Service Application Form and Service Contract’) nasrni noua) dosrumne (amet asoene) vesihinenean J wii@aiPans (0 card Number o Passport Number wwodlnsdnifimmendi (Tel. Number) | Bis (Ema Adcress) ‘eR ynna (Juste Person's name) ghar usw (Aumonzed Person) isavexuudiiynnn (Juste Person Registration Number) suedinedinnianendiu (Tel Number) scoutindiqunal (Accress for Equpment instalation) werfanumben, nu UAB... WElMOO) soo ABATE). OH (oi) osonen sen MMSE. srumisub-Ditre. sune(oistic. Sevinlrovince) «_-ilatulrwéi (Post Code) Hood mdunaluasanivmateaig Adee) svaitagrasasrntiedoneal Sane at Adres fr Equipment naton) vnstovunber rm) Moo). wn 100 (80a frais Dit. Bevin Province onan tlw Pont Code) ynnmesmumlndiadiat) shuunilanieewreu vie wiitehuma(copy of 1D card or Passpon) shuurmeenniru(Copy of Household Registration Certificate) Te ynna(duritc Boron) shurnnistadusparrailuiiayanaitirimualaari 90 7 (Copy of Cartcate of Juric Person issue Within 20 Days) shuuntienlzeanay rosgiisunanseviiemumaimynnn (Copy of 1D card Passport ofthe Authorized Signatory) wielonmusnins (Power of Atomey) shusrtinnlscermy woaganmut nee (Copy oft Asses candor Psp) shusninm. 20 (Copy of VAT Registion) Tr ple usun nsuidan Suinesida sia sum 200 nij 4 quUIdodHU | waaifluniinstaies | Kp > in ymvspnuvuntuinasitia (roactanc interet Senvce) uiinia388 |__| SMbps /512kbpe ‘Mbps / *Mbps | Yembpe/ iMops—) 16Mbps / Mope (7) 20min /amops tina Premier |_| 5Mbps / 1Mops Fed P Au eee Tnmenfina(Service Change)... AFMniFaw (BahtiMonthy{laeeay VAT) © sFimmuromuarunBuinesitindug (Others Brossard Inmet Serco) iia ackage) Snrnniims(Service Charge)... ‘dun (rey (Omer, Pease Specty).. arma (GaneNonaert VAT) TWdatuu Prometon) | sthgaailusTand 12 aw (Promotion) ‘Wlusafasildltuifu (Non Promotion) ‘Gus (#1 (Otner, Please Specify... svi |. sities ie Tlghone Soren) s.r NerboS ‘Buy (sey (Other, Please Specify)... rch bisrmuncidsteonnnauneiteutamstintnnatadannnny ‘woe iy Narwadkitise smthtvrerior uss Conde alunite \umrurtausegnne Fru mnaieelpiaambaanss uesiteulanavine fanavonminemeuncanadiimesiernluninrtiludgentauirreiu tahini nants Tharp ed rd nr lm GREER oi are cr ame nipes inna Rtacebete vats nese commented ‘at al eas specd ine appeaton frm are tans ane comers. | hve ack ny GR Saat acer oto en Sy a a trues mmm} Fae tin a emote’) ehunrare Aha |, company’s Seal { JU: CHUB HINES GANSU TINEA SoATAULALS’ 17720 nsw 62'100 2100 Thsars 02 100 2121 docinaoia:doulumsisuSms (Terms and Conditions) pe iit dei ee Soe aie terre ta teteos inrearminrmnmst ge Arrears Wianrinriaest int ee ee a Seshncefuiedencseniet ors mec crear ‘alarm ktirchot tr inrab iit a eo ce oft harriers hy aie kl rc re anos i seit Sect am forecast aia harry tewiidverndeorenrypentun mnie tanecramaa si gy Wahine 4s es eee ucftkirmanisheerdhsrorsiinen ee mi ratte ee Peirce arene usuh NSuia SuinesiGia siia teo 200 rij 4 quurdestuur chuaunninga sunovininsa dorsay lonansdansumsatias 3BB uazduaeumsavias Lluatias nsontoyaliasunntios wu de- uwana, tavivasus:0wu, weslnsdwrifiasienau Email : fogamufidadoqunsni ,avawiioto... 2.uwumansudadoduimositia nsonflogiiagolridaoudosoasolumséaco 3.uwuulosums¢d1s=uuuUiia/Special Pay-in Slip nuuvlosumséissounuUTAY lavgndalUsisseuasngemnw Tdnnenar (as \iudoudnsugleulsiunangw) 4Z.andndownansnauunfiarinowulng) dnvaiu dowlndurues 02-100-2122 nse Email : Pakornkrit.k@jasmine.com dott L.luatiasduimositia 2.uuuAdiado 3.anunwasUs:ériaUs-nwu (wsoususovduungndios) 3.uuuwesumséis=Gunuumiay/Special Pay-in Slip laviiaswWs=riusoo sinms mnaniiidoacds Insaoumulen qeuUnsnitfiesa nqannsdmyantea (qrudin) Sale Superviser. Email : Pakornkrit.k@jasmine.com Tel. 082-790-6627 Fax. 02-100-2122 nstinaadolildmousuno=riimsausulasmsloudwuyslibiu 15 su Bost Regard, Pakeronkrit K ritsanakernpunyachot ‘Salo Hroa Supervisor. Tod: 082-7906627 Fax ; 02-100-2122 Email: Pakernkrit K@ Jasnino.com Triple I Broadband Pubhic Co.,Ltd. 200 AL, Chaengwattana Road. Tambon Pak K ret Pak Kret Nenthabure 120. amunuaziwundianvdsumositia (New Location & Map) Sli teas wsoaiSolumstind aognddos Nsandoyalriasunndos| ANIUAAAGO \oo5, ‘ail ae te as rues. Shunanse.. asin. rte Ansanvifineia, fe ee unissieiuans 1 dunt seetiadsearew wa futs fein Ayaan unt ef ureemntudiayannitit sist shuntinalsedataleernunasgisunaes Ieuan tun | Sale Aven Supervisor (082-790-6627) Ate ella evenness ae oe ure usin nBuderi 6uinesifia mn” leur 200 Kj 4 quuipostuu chuaunninga Gunounninga dordouunus 11120 Insfwi 02 100 2100 Insans 02 100 2121

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