TELEPHONE/PABX CONNECTION/EQUIPMENT REQUEST FORM

Date:

User Name __________ Emp.No. ______________ E-mail ID _____________ CRC Code ________

Designation __________________ Div/Dept/BR ______________ Location ____________

User Requirement for New Connection

New Telephone Connection PSTN Line / Phone Set Basic Phone

IP Phone
Shifting of PSTN Lines PTCL DSL Executive Phone

Shifting of Extension PTCL IP TV Treasury/PA Setup

Calling Facility LOCAL/NWD/ISD

Justification for Above Services:

Internet Devices
PTCL EVO POS SIM : Detail
Zong 4G Corporate Mobile Connection: Detail
Telenor Other Services Internet
Mobilink-LTE VPN Dongle: Detail  

Justification for Above Services:

Shifting and Replacement Services Justification

PSTN lines Installation/shifting KHI Branches  
PSTN Line Shifting (PSTN no)
IP Phone Shifting (Provide Ph MAC)
Internet Device Replacement / Transfer

Applicant Signature _______________________

Recommended by DH/BGH/GE/GH

Signature

Telecom Use

Telecom Manager / Engineer_________________

_______________________
Approve By Head Telecom

Telecom Services Request Form V.1.0