SIM CARD REPLACEMENT FORM ( RECEIVING COPY)

1st Attempt : 2nd Attempt :

Insufficient Address Insufficient Address
Moved Out Moved Out
No one to receive No one to receive
Unknown Subscriber Unknown Subscriber

Point Person: PRINCESS MAEVELLE PECAOCO ***

Contact No. 0977-836-7718 ***
Company Name: JUANITO KING & SONS, INC. ***
Delivery Address: 8F Avenir, Arcbishop Reyes Ave., Cebu City ***

Relationship Manager:

Received By / Date:
Signature over Printed Name
MIN/Mobile No. *** ICCID / Sim Card Number New MIN

Pls indicate ( X ) on the applicable box:***

Reason for Replacement ***

Lost Upgrade Defective Others : Request for 2G simcard

x
Activation Date: ***
Sim Activation for all upgrade request will be 5 days after receipt of sim

SIM CARD REPLACEMENT FORM

1st Attempt : 2nd Attempt :
Insufficient Address Insufficient Address
Moved Out Moved Out
No one to receive No one to receive
Unknown Subscriber Unknown Subscriber

Point Person: PRINCESS MAEVELLE PECAOCO

Contact No. 0977-836-7718
Company Name: JUANITO KING & SONS, INC.
Delivery Address: 8F Avenir, Arcbishop Reyes Ave., Cebu City

Relationship Manager:

Received By / Date:
Signature over Printed Name
MIN/Mobile No. ICCID / Sim Card Number New MIN
0 0 0
0 0

Pls indicate ( X ) on the applicable box:**

Reason for Replacement**

Lost Upgrade Defective Others :Request for 2G simcard

x
Activation Date: ***
Sim Activation for all upgrade request will be 5 days after receipt of sim