Overseas SIM Information System 668 Complaint Form

1. Name

________________________________

2. Fathers Name

________________________________

3. NICOP Number

________________________________

4. Overseas Address

________________________________
________________________________
________________________________

5. Email Address

______________________________

6. Count of SIMs of Ufone

______________________________

Received from PTAs website 668

(http://www.pta.gov.pk)
7. SIM(s) of M/S Ufone presently

In my use (e.g. 03xx-xxxxxxx)

______________________________
______________________________
______________________________
______________________________

8. Undertaking

Yes

No

I do hereby solemnly confirm that above mentioned SIMs/connections are in my use.

Please block any other number(s) issued/registered against my NICOP forthwith and oblige.

a) Signature of the complainant

_______________________

b) Thumb Impression

_______________________

c) Date of Complaint

_______________________

9. Attach copies of

(1) NICOP

(2)

Passport