Sim Exchange Form

Date Type of Connection Customer Name Mobile Number Old SIM Number New SIM Number Reason for SIM Exchange (Please tick relevant option) Technical Physical Damage SIM Upgradation Charges On Chargeable Basis FOC Customer Declaration
I wish to get SIM exchange done. I am aware of the terms and conditions applicable for SIM Exchange and agree to abide by them. I have read and understood all the terms & conditions mentioned below: (i) Charges for SIM Exchange have to be paid upfront (ii) In event of SIM blocked, physical damage, technical fault or upgradation, the old pyhsical SIM needs to be submitted (iii) For Prepaid SIM Exchange (where SIM is lost), police FIR is mandatory (iv) In event of the connection being in name of a company, a written request by the authorised signatory on the company letterhead is required

Communication ID Prepaid Postpaid

PUK Block SIM Lost

Amount Receipt Number

Signature of Customer

Remarks (For Office Use Only)

Signature of Executive (For Idea Cellular Limited)

Idea Cellular Limited, 139-140, Electronic Complex, Pardesipura, Indore

Telephone : Board :0731 4031414; Fax 0731 2551304; Website : www.ideacellular.com