Business Service Order Form - Business Mobile Plans (New Customer CExisting Customer DiMigration Diinfo. Update (Cancellation Cl sovo 3 sme Company information Company Name: ‘Account Number: Tax Reg. Number (TRIN): Company Code (as per MORE): Company Address: ‘Trade License Number: Trade License Exp. Date: Building Name/Number: Floor / Office Number: L Establishment Card Number: Establishment Card Exp. Date: Area / Location: Emirate: Number of Employees: P.0.Box: — Makani: Nearest Landmark: (1010-20 21-99] >100 exaonome| TTT TTT TTTTTT Trt rt tii "Mandatory for commercial establishments and private companies. Optional for government entities owned or affilated withthe UAE Government, embassies and consulates and diplomatic offices in UAE. only. Nature of [lBanking orbanking services ["]Realeestate services ["]Educational services iow. institutions services Business: lHealth services Dieta services [Tourism services Dothers: Authorised contact details Title Ome CMs. (Mrs. Role Clowner / Authorised Signatory [Power of Attorney Letter of Delegation Full Name: Title / Position: ‘Mobile Number: Office Tel. Number: E-mail Technical contact details Full Name: Title / Position: ‘Mobile Number: Office Tel. Number: E-mail Billing preferences BillDelivery — [] E-mail (0 Email & Hard Copy Billing Address. [1] Same as company address [Different address: Payment Licash [cheque [Bank Transfer Cicredit card Language [English 1 Arabic Weare here to help. Call us on 800188 ‘Signature.Business Mobile Plans inc a (AED 100 (AED 200 (aAeD 325 (AED 600 (AED 900, Gasca VED pore Seeehone | earertc | osrernetr P serene | esters ee | oe | eee | ee | ee rr = a a a “International minutes = = ‘| 410 Uniliited | Unlimited | rs = e = oe es aoe = a 7 ss = ae : : = = as eae aha a ae : : : : = cereeegna : : : : = =r : ; : : io er aa et = cee eee ieee ee ees Quantity National & international Plans heen (Caeo 100 (ae 200 Cae 225 (Ae 600 [AED 900 (Excluding 5% VAT Reteplan Business Mobile | Business Mobile | Business Mobile | Business Mobile | Business Mobile Plan 100 Nationsl_| Plan 200 Natonal Plan 325 Plan 600 lan 900 National minutes 500 4,000 United Unimites Unimites Ineernational minutes 300 600 «10 Unlimited Unlimited National data 268 1860 5568 esce Unlimited National SMS 6s 30 130 300 300 Incernational SMS 6 30 +30 300 300 Business caling cle minutes 170,000 Incoming roaming minutes : : : 500 Oxtg0ing roaming minutes : Ec e 100 Roaring dota - - : 7 38 Incernat cling pack (DsAe0 50 Free "No Contract Option (+Ae0 25 C+Ae0 25 +A 25 Tsao 100 | C]+ae0 100 Quentiy Other Usage Charges ‘One-time Charges (per line) | ‘Activation feet [AED 55 (excluding 5% VAT) Usage charges | National/Business Calin CrceFxed ine calls 30 ils / ni, Incernatonal cals ‘AED 2.40mi AED 220/min AED 1.80¥ein. (emp 100) (@mP200-BMP325) (ep 600-BmP 900) National SMS 1a fie/SMs International SMS 60 fIS/SMS We are here to help. Call us on 800188Offer Terms and Conditions + Standard du terms and conditions apply. For details, please refer to Enterprise terms and conditions available on duaelterms-and-conditions = Allplens are with a minimum commitment period of 12 months. No-contract options are available with additional monthly charge. + Allvoice charges are on per minute basis. * For BMP 100 and 200 plans, international benefits are applicable to 190 destinations. For BMP 325, BMP 600 and [BMP 900 plans, international benefits are applicable to top 165 destinations. Visit du.2e/id3 to view the fullist oF destinations. + Business caling circle minutes are only applicable among the company employees having du mobie lines. The first monthly recurring charge will be prorated based on the activation day. The following month's recurring charge will charge fullyin advance. The fist bil wllinclude prorated charge plus the following month's full charge Foreclosure / Early Termination willbe 1 month oF rental Fee. Order Summary li Ia Sry CC eo cr aL a ) CITTTITITTT) om | om | 2) 9] 9 | om |o| 2] 2] 9 fetelete Te lel ete|2) om jo | 2] 9] 9 fe) ee elle ae om {oe | 2] a] 4 Eee eeee88 om fom | 2] 2] 9 COLT ae ce | a | |e LLL cece | 2 | 2 [eae] eee [sell] pe lce| 2) a |e LLL cela] 2 a |e (Donat | [Nat [fer] (eel ee) ce | oe | 2] 2] 9 We are here to help. Call us on 800188 Signature:Agreement "du (EITO) preserves the rightto use the above information toc (EIT) products or special promotions, tkchere.[] t you via email, phone or SMS. IFyou wish to be contacted about du | agree by signing below that Ihave the authority to sign on behalf ofthe named customer; that Ive ordered the services indicated in this Form, that | accept the Terms and Conditions 3 stipulated in the subsequent pages ofthis application form and that du reserves the right tO check a customer's cresit history ia thd partis. | take full responsibilty for the use ofall du services provided to Us.” Authorised Signatory name: Signature: Date: I / For du internal use only Company Stamp Sales work order number Documents collected [] Emirates ID & Passport [Trade license [] Establishment card] Authorisation letter (POA iFapp.) For Retail For Direct Sales ‘Sales Agent Name: Sales Manager Name: Sales Agent ID: Sales Manager ID: Retail Shop Location: Verification Agent Name: Signature Signature LAE aw or regulation, for which may be persanlly accountable ‘By long, understand that he use af an erga O with the absence of the 1D ade” e” a waien POA or authorization fam the ID alder as spedied nthe ‘relevant polices i profibted and “ileoa" also understand that ale to Folow the above instructions wil be prchbited legal and a direct contravention of Weare here to help. Call us on 800188 Signature.