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  • Formulaire de Transfert de Ligne TLP Fixe 513 8189

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    BLIDI BOY
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    8 views1 page

    Formulaire de Transfert de Ligne TLP Fixe 513 8189

    Uploaded by

    BLIDI BOY

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    ‫‪DEMANDE DE TRANSFERT‬‬

    ‫اﳌﺪﻳﺮ�ﺔ�اﻟﻌﻤﻠﻴﺔ ‪:‬‬

    ‫اﻟﻮ�ﺎﻟﺔ�اﻟﺘﺠﺎر�ﺔ�ﻟﻼﺗﺼﺎﻻت ‪:‬‬

    ‫إﺳﻢ�و�ﻟﻘﺐ�اﻟﺰ�ﻮن ‪:‬‬
    ‫اﻟﻌﻨﻮان ‪:‬‬
    ‫رﻗﻢ�هﺎﺗﻒ�اﻻﺗﺼﺎل ‪:‬‬

    ‫ﺗﺎر�ﺦ�إﻳﺪاع�ﻃﻠﺐ�اﻟﺘﺤﻮ�ﻞ ‪:‬‬
    ‫اﻟﻌﻨﻮان�ا��ﺪﻳﺪ ‪:‬‬
    ‫ﺗﺎر�ﺦ�إ��ﺎء ا��ﺪﻣﺔ ‪:‬‬
    ‫ﺗﺎر�ﺦ�آﺧﺮ دﻓﻊ�ﻟﻠﻤﺴﺘﺤﻘﺎت ‪:‬‬
    ‫ﻣﺘﻮﺳﻂ�ﻣﺒﻠﻎ اﳌﺴﺘﺤﻘﺎت )ﻟ�ﻞ�ﺷهﺮ�ﻦ( ‪:‬‬

    ‫رﻗﻢ�اﻟﻔﺎﺗﻮرة ‪:‬‬ ‫ﺗﺎر�ﺦ�آﺧﺮ دﻓﻊ�ﻟﻠﻤﺴﺘﺤﻘﺎت ‪:‬‬


    ‫ﻣﺒﻠﻎ�اﻟﻔﺎﺗﻮرة ‪:‬‬
    ‫ﺗﺎر�ﺦ�اﻟﺪﻓﻊ ‪:‬‬

    ‫اﻟﺘﺪﻗﻴﻖ�و�اﳌﺼﺎدﻗﺔ‬

    ‫‬

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