Sales Invoice Receipt ‫طﻠب ﺷراء‬

Contract Number: ‫رﻗﻢ اﻟﻌﻘﺪ‬ Type of Subscription: POST VOICE ‫ﻧﻮع اﻹﺷﺘﺮاك‬

Phone Number: 555093965 ‫رﻗﻢ اﻟﻨﻘﺎل‬

DD MM YYYY
Date 02 07 2017 ‫اﻟﺘﺎرﻳﺦ‬ Number Type: SILVER ‫ﻧﻮع اﻟﺮﻗﻢ‬

Customer Data ‫ﺑﻴﺎﻧﺎت اﻟﻌﻤﻴﻞ‬

First Name: Eslam Abdulwahab ‫اﻹﺳﻢ اﻷول‬ Date of Birth: 07 09 1985 ‫ﺗﺎرﻳﺦ اﻟﻤﻴﻼد‬
Middle Name: Esam ‫إﺳﻢ اﻷب‬ Nationality: KUWAIT ‫اﻟﺠﻨﺴﻴﺔ‬
Surname: ‫إﺳﻢ اﻟﻌﺎﺋﻠﺔ‬ Gender: M ‫اﻟﺠﻨﺲ‬
ID Number: 297090701221 ‫رﻗﻢ اﻟﺒﻄﺎﻗﺔ‬ Other Contact Number: 50509895 ‫رﻗﻢ أﺧﺮ ﻟﻠﻌﻤﻴﻞ‬
ID Type: Civil ID ‫ﻧﻮع اﻟﺒﻄﺎﻗﺔ‬ Email ‫اﻟﺒﺮﻳﺪ اﻹﻟﻜﺘﺮوﻧﻲ‬
Address: ‫اﻟﻌﻨﻮان‬

KD 30 Package . ‫ك‬.‫د‬ ‫ﺑﺎﻗﺔ اﻟ‬

Package Details 2000 Minutes local voice minutes, 2000 Local SMS and 500GB of internet ‫ﺗﻔﺎﺻﻴﻞ اﻟﺒﺎﻗﺔ‬

Action ‫ﺗﻔﺎﺻﻴﻞ اﻟﺨﺪﻣﺔ‬ ‫اﻟﺴﻌﺮ‬ ‫ﻓﺘﺮة اﻹﻟﺘﺰام‬ ‫اﻟﺮﻗﻢ اﻟﺘﺴﻠﺴﻠﻲ‬ ‫رﺳﻮم اﻹﻟﻐﺎء‬
Service Details Price Commitment Period Serial No Penalty Fees

Add iPhone 7 Plus 32GB Gold 0 355353084080062

Add 24-month Commitment 0 24 300
Add MONTHLY 30 More 30
Add SIM CARD 01 2 040113238365

I, the undersigned, read

read and
and accept
accept the
the terms
ter andd conditions
conditions mentioned
mentioned in
in the
the subscription
subscription form.
form

. ‫اﻗﺮ اﻧﺎ اﻟﻤﻮﻗﻊ ادﻧﺎه ﺑﺎﻹﻃﻼع ﻋﻠﻰ اﻟﺸﺮوط واﻷﺣﻜﺎم اﻟﻤﺬﻛﻮرة ﻓﻰ ﻧﻤﻮذج اﻹﺷﺘﺮاك واﻣﻮاﻓﻘﺔ ﻋﻠﻴﻬﺎ‬

Employee Name AHMED MUSTAFA HAMMED ‫إﺳم اﻟﻣوظف‬

Date 02/07/2017 ‫اﻟﺗﺎرﯾﺦ‬

Customer Signature Fingerprint Agent Signature

Olympia, Main Office Mall Floor 5-20 Al-Khansa Street. Salmiya Area, P.O. Box 181 KUWAIT CITY T: +96555102102
WWW.VIVA.COM.KW