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APPLICATION FOR

BLOCKING THE SIM CARD

Date:
To,
Ncell Private Limited

I, Mr. / Ms...............................................................................would like to block my SIM card


with Mobile No...........................................................for some period of time with effect from
............................................................(date), due to .................................................................

Contact No: _____________________


Thanking you,
Customers Signature:
Temporary Address:

Authorized Personnels Signature: __________________________________

Ncell Pvt. Ltd


Nakkhu, Lalitpur-04, Nepal

Tel: 977 9805554444


Web: www.ncell.axiata.com

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