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Contact No.

: 0551471679 Date : 2016-11-30

Subscriber Details
* Name of applicant Mr./Mrs./Ms. : CHANDRA MOHAN NARAYANASAMY

P.O. Box : 12345 Emirate : Sharjah Nationality : India

ID Type : 27

ID Document No : 784199102160613 Date of Issuance : 24-10-2016 Date of Expiry : 19-10-2018

Visa No. : Date of Issuance : Date of Expiry :

Unified No. : 0 Residency File No. :

Date of Birth : 17-05-1991 Gender : Male Working No. :

Location Details
Building : IDHEN-5059 Floor : Flat No. : Others Area : 187

City : 187 Sector : IDN7 Working landline No. in the same building :

Plot : P-99/1 Etisalat EID : RA000683007 Existing number in your name :

Transfer Subscriber Name :

1. Service Information

Service Description Rental Prepayment


eLife Family 329 528

eLife Telephone Wireless 5 0

eLife Basic 30 0

Home Router (D-LINK Basic Router) 24 months installment 10 0

eLife TV - HD Box (24 months) 20 0

2. Bill Information

Bill Cycle Address Line 1 Address Line 2 PO Box EMail(Bill to be sent on) PO Box(Bill to be sent on)
1st of the Month . chandramohankns@gmail.com 12345

3. Appointment Details

Contact Name Contact Number Remarks


0551471679 No Remarks

4. Your authorization
Terms and Conditions Agreed

Employee Signature
Original document seen and verified
Customer Signature Company/Retail Shop Stamp with the copy submitted

For official use only


New Account No. : 072589455 Code : RC00 Store code : Sales staff : 0000
Request No. : 388321308 Sub request No. : 527701729 Party ID : 34381919 Authorised management
Terms and Conditions
Al Shamil, landline, eLife
and Etisalat select services
1. Introduction 5. Customer Obligations & reproduced, redistributed or resold without all calls made using the Etisalat Select
These specific terms and conditions Restrictions the prior written permission of Etisalat. Service from the Customer’s defined
landline number. Etisalat will either bill
(“Service Specific Terms”) apply in relation Please see Clause 8 of the General T&Cs
to the provision of the Service by Etisalat (Consumer) for the provisions governing the
11. eLife AnA EMARATI the Customer separately for these calls,
The following additional terms and conditions or include the charges for these calls
to the Customer, in addition to the other Customer obligations and restrictions that
apply to the eLife AnA Emarati offer: in any other account the Customer has
constituent parts of the Agreement apply to the Service.
(a) eLife AnA Emarati is a free add-on to
with Etisalat.
between Etisalat and the Customer.
(e) The Customer will remain liable to the
6. Etisalat’s Obligations the eLife Lite Value Pack and the eLife
landline access provider for line rental,
2. Definitions Etisalat will provide and operate the Service
Value Packs.
and any calls and services provided by
(b) Only Emarati nationals are eligible for
(a) “Agreement” means the entire to the Customer based on these Service the landline access provider which are
the eLife AnA Emarati add-on and the
contractual agreement between Specific Terms together with the other not part of the Etisalat Select Service.
add-on is optional.
Etisalat and the Customer, comprising constituent parts of the Agreement, and in It is the Customer’s responsibility to
(c) The early termination Charges of eLife
of the constituent parts set out accordance with the law. advise Etisalat in case of a change to
Lite Value Pack and eLife Value Packs
in Clause 3 of the General T&Cs the landline number. Failure to do so
are waived. Remaining instalment
(Consumer). 7. Charges, Billing & Payment will not release the Customer from its
payments for a device, if any, are
(b) “Customer” means the person who responsibility to pay all call charges.
(a) The following early termination Charges applicable.
purchases or subscribes to the Service. (f) The Customer shall report any fault,
are applicable if the respective Service (d) If the Customer has subscribed to
(c) “Etisalat” means Emirates shortcoming or inadequate service
is terminated prior to the expiry of the 1 month OSN free on the OSN TV
Telecommunications Corporation and to Etisalat Customer Contact Centre.
Minimum Term: packages, the standard Charges for
any of its wholly-owned subsidiaries. However, where such fault, shortcoming
(i) eLife Lite Value Pack: AED 100; this 1 month will be payable by the
(d) “General T&Cs (Consumer)” means or inadequate service arises from the
(ii) eLife Value Packs Basic, Sports, Customer if the Customer terminates
Etisalat’s general terms and Customer’s landline network or is not
Movies, Premium: AED 500 within the TV package within 12 months of
conditions for consumer (i.e. non- attributable to Etisalat Select Service,
the 1st year and AED 250 within subscription.
business) products and services which the Customer will be responsible to
the 2nd year of the Minimum Term (e) Etisalat reserves the right to modify
are published on Etisalat’s website refer the matter to the landline service
respectively; or to withdraw from time to time the
and are available through the other provider. Etisalat shall not refund
(iii) Home Voice Bundle: With respect benefits offered as part of the eLife AnA
communications channels referred charges in such circumstances and shall
to calling plans and value-added Emarati add-on.
to in Clause 30 of the General T&Cs not be responsible for faults reported
services, the early termination (f) Etisalat reserves the right to withdraw
(Consumer). or referred to the other landline service
Charge shall be calculated as the the eLife AnA Emarati benefits if it is
(e) “Minimum Term” has the meaning provider.
number of months remaining determined that the Customer is not
given to it in Clause 4(b).
until the end of the Minimum an Emarati national or if the benefits
(f) “Service” means the service from
Term multiplied by the difference have been obtained in a manner wilfully 14. Television Content &
the list of services set out in Clause
4(b) to which the Customer has between the rental of a standard detrimental to Etisalat. Packages
subscribed, as described in more rate plan (i.e. an equivalent (a) Etisalat provides many hundreds of TV
details in Clause 3. rate plan without a Minimum 12. eLife “Homat al watan” channels which are available through its
Term) and the rental of the plan This offer is also known as “Homat Al Watan various packages offered under its eLife
3. Service Description subscribed to by the Customer Offer for eLife or eLife Homat Al Watan”, services. Etisalat may, under prescribed
in the Home Voice Bundle. With and the following additional terms and guidance, monitor the content of the
These Service Specific Terms cover the respect to the telephone device, TV channels presented and at times
conditions are applicable to the offer:
fixed telecommunications services offered the early termination Charge block or censor images or audio that
(1) eLife Homat Al Watan is a free add-on
by Etisalat listed in Clause 4(b). Where shall be equal to the remaining are considered inappropriate under local
to the eLife Value Packs.
the Customer subscribes to more than one device instalments payable by the standards. The Customer is advised to
(2) Only members of the Ministry of
of the services listed in Clause 4(b), these Customer. further monitor TV content for their own
Defence and UAE Armed Forces, such as
Service Specific Terms apply separately to (b) All other Charges and tariff plans that preferences and utilise the available PIN-
recruits, soldiers, civilians and retirees
each service. apply to the Service are set out on based parental control features included
with a valid Homat Al Watan card are in the TV set-top boxes provided.
Etisalat’s website (www.etisalat.ae) eligible to add “eLife Homat Al Watan”
4. Commencement & Duration and are available upon request by using to the existing subscsription taking into
Additional advice on TV content is
any of the communications channels available on request from Etisalat
(a) The Agreement is valid and binding account that the add-on is optional. through one of the communications
on and from the date on which it is referred to in Clause 30 of the General (3) Customers who wish to subscribe to
T&Cs (Consumer). channels stated in Clause 30 of the
submitted to and accepted by Etisalat the offer are required to present the General T&Cs (Consumer).
(the “Effective Date”). (c) Please see Clause 15 of the General original Homat Al Watan card where (b) TV packages selected by Customers may
(b) The minimum term (“Minimum Term”) T&Cs (Consumer) for the other charges, Etisalat may store copy and details be changed by Etisalat without notice.
that applies to the Agreement depends billing and payment provisions that of this card for validation purposes. Pay Per View and Video On Demand
upon the service selected by the apply to the Service. Etisalat representatives shall have the are not part of any packages and are
Customer. The minimum terms for right to request the customer to present chargeable separately.
the fixed telecommunications services 8. Customer Credit, Advance a valid UAE ID or any other document
covered by these Service Specific Terms Payments & Deposits for identification purposes. 15. Suspension, Disconnection
are as follows: (a) Clause 24 of the General T&Cs (4) The early termination Charges of eLife or Termination by Etisalat
(i) eLife Lite Value Pack (fibre-to-the- (Consumer) applies to the Service, Value Packs are waived. Remaining
Please see Clause 19 of the General T&Cs
premises service): 12 months; regardless of whether or not it is a instalment payments for devices (if any)
(Consumer) for the provisions governing the
(ii) eLife Value Packs (fibre-to-the- prepaid service. are applicable.
(5) Etisalat reserves the right to withdraw
suspension, disconnection and termination
premises services including eLife (b) Please see Clause 16 of the General of the Service or the Agreement by Etisalat.
Basic, Movies, Sports & Premium): the “eLife Homat Al Watan” benefits
T&Cs (Consumer) for the other customer if it is determined that the Customer
24 months;
(iii) eLife – Triple Play (IPTV, internet,
credit, advance payment and deposit does not possess a valid Homat Al 16. Termination by the
voice): 24 months;
provisions that apply to the Service. Watan card or if the benefits have Customer
(iv) eLife – Double Play (any two been obtained in a manner wilfully (a) If the Customer wants to terminate the
of IPTV, internet and voice): 12
9. Changing the service detrimental to Etisalat. Service, he/she must give Etisalat prior
months;
(eLife Triple Play) written notice.
(v) eLife – Single Play (any one of IPTV, Customers subscribing to the eLife Triple 13. Etisalat Select Service (b) The Customer acknowledges that, upon
internet and voice): 12 months; Play service are required to keep their (a) To subscribe to Etisalat Select Service,
receipt of the Customer’s termination
(vi) landline voice services for home subscription unchanged for the first 12 the Customer must have a landline notice, it may take up to 30 days to
use: 3 months; consecutive months following subscription, telephone service from another UAE terminate the Customer’s account.
(vii) Etisalat Select Service: 12 months; out of the total contract duration of 24 (c) If the Customer elects to terminate the
telecommunications service provider
(viii) Al Shamil (Broadband): 12 months; months. The Customer may change their and such service must be: Service before the end of the Minimum
and subscription to other eLife Triple Play (i) registered in the Customer’s name; Term, an early termination charge may
(ix) Home Voice Bundle: 24 months. packages after completing the initial 12 or be payable. Details of the applicable
months subscription period and will be (ii) registered in the name of another early termination charges are available
(c) In each case, the Minimum Term starts through the communications channels
on the date on which Etisalat makes liable to pay the applicable upgrade / person who is authorising the
downgrade charges. Customer to subscribe to the stated in Clause 30 of the General T&Cs
the Service available to the Customer (Consumer).
(“Activation Date”). Etisalat Select Service.
(d) In the event there are any temporary- 10. Intellectual property (b) Etisalat has the right to terminate the
service immediately, if it discovers that 17. Contacting Etisalat
out-of-service periods during the The intellectual property in Etisalat’s
Minimum Term, such temporary- products, services, TV channel packages, the Customer has provided information The Customer may contact Etisalat to
out-of-service periods shall not be that is inaccurate. discuss the Service (including these Service
trademarks and in all forms of content
deemed part of the Minimum Term, (c) The Etisalat Select Service can be used Specific Terms and the General T&Cs
created, acquired and/or distributed by (Consumer), or any other product or service
accordingly the Minimum Term shall in two ways: (i) by dialling the Etisalat
Etisalat including directories, is owned and/ offered by Etisalat, by using any of the
be automatically extended to cover the Select prefix code (08877) before calling;
or licensed by Etisalat. Such intellectual communications channels stated in Clause
temporary-out-of-service periods. or (ii) by using an auto-dialer device.
property and content may not be 30 of the General T&Cs (Consumer).
(d) The Customer shall be responsible for

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