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Bornomala SIM Registration Form Hasan

This document is a SIM registration form containing personal details like name, address, contact information, and educational qualifications of an applicant. The form has fields for information like subscriber type, national ID, date of birth, gender, addresses, email, occupation, relationship to subscriber, student name, roll number, reg number, board, passing year, GPA, identifier name, phone number, mobile number, SIM number, distributor's name, customer care details and date of registration.
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100% found this document useful (1 vote)
727 views2 pages

Bornomala SIM Registration Form Hasan

This document is a SIM registration form containing personal details like name, address, contact information, and educational qualifications of an applicant. The form has fields for information like subscriber type, national ID, date of birth, gender, addresses, email, occupation, relationship to subscriber, student name, roll number, reg number, board, passing year, GPA, identifier name, phone number, mobile number, SIM number, distributor's name, customer care details and date of registration.
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Bornomala SIM Registration Form

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User Registration Form

Subscriber Type

: Prepaid

Subscriber Name : Md.Hasan Khan


National ID
: 2918457527736
Date of Birth
: 10-Oct-1995

Gender : Male

Permanent Address

Flat No

House No

Village

: Basar Dangi Thana/Upazila : Sadarpur District

Post Office Code

: 7822

Road No :
: Faridpur

Present Address

Flat No

House No

Village

: Bhuigar Thana/Upazila

Post Office Code

: 1420

Road No :

: Futtala District

Email
:
Nationality
: Bangladeshi
Father's Name
: Md.Abdul Karim Khan
Mother's Name
: Most. Halima Begum
Husband/Spouse Name
:
Occupation
: student
Relationship with subscriber:

: Narayangonj

Student Name : MD. HASAN KHAN


Roll Number [SSC] : 491740
Reg Number [SSC] : 505896
Board [SSC]: DHAKA
Passing Year [SSC] : 2012
GPA [SSC] : 3.75

Identifier

Name

: Md.Abdul Halim Khan

Phone Number

: 01718896142

National ID

: 2918457527736

Information for Official Use Only

Mobile Number
SIM Number
Distributors' Name
Customer Care
Date of Registration
Tracking Number:

:|0|1|5| 0|1|_| _| _| _| _| _|
:
: Teletalk
: Palton Customer Care Center[ Surma Tower (1st Floor)59/2
Purana Palton, Dhaka ]
: 08-Jun-2015
: 315706

You can print this form anytime, even after registration expired date by clicking Reprint Form link in first page.

Download to print later

08-Jun-15 6:57 PM

Bornomala SIM Registration Form

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http://bornomala.teletalk.com.bd/print.php?msisdn=491740&id=315707&...

Copyright@ Teletalk Bangladesh Limited. All Rights Reserved

08-Jun-15 6:57 PM

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