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Student Broadband Package Application Form

Student Information

Name Mr hasnain ali memon

Registration # 8553-c

Mobile # 03003091487

Home Phone # 223331103

Email Address hasnainmemon21@yahoo.com

Customer Type Student

NIC # 41301-0400160-7

Package Information

Broadband Phone # 223331103

City Hyderabad

Package 4 MB

University Information

University Name University of Sindh jamshoro

Department zoology

University City Hyderabad

University Contact Number 222771681

Date Of Enrolment 21-MAR-2007

Date of Completion 31-DEC-2009

University Verification

Name of Registrar/Dean/Principal/faculty .............................................

Signature & Stamp .............................................

Signature of Student .............................................

For PTCL Use only

Login Choice 1 3331103

Login Choice 2 ...............................

Login Choice 3 ...............................