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Telecom Service Application Form

This 3 sentence summary provides the key details from the Tanzania Telecommunications Corporation application form for telecommunication services: The form collects customer information such as name, address, contact details and ID for personal or company applications for telecom services including fixed, mobile, data and international calling packages, and includes spaces for instructions on the installation location and a customer declaration. Once completed, the form is to be returned to the nearest TTCL customer service center to arrange installation and further consultation if needed.

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lemah steve
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1K views2 pages

Telecom Service Application Form

This 3 sentence summary provides the key details from the Tanzania Telecommunications Corporation application form for telecommunication services: The form collects customer information such as name, address, contact details and ID for personal or company applications for telecom services including fixed, mobile, data and international calling packages, and includes spaces for instructions on the installation location and a customer declaration. Once completed, the form is to be returned to the nearest TTCL customer service center to arrange installation and further consultation if needed.

Uploaded by

lemah steve
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
You are on page 1/ 2

TS 106 A Rev 5 / June 2021 Serial no TS …………………..

TANZANIA TELECOMMUNICATIONS CORPORATION


For all enquires,Please Call 100 Appl. No……………………………..
Customer No……………………….

APPLICATION FORM FOR TELECOMMUNICATION SERVICE TS 106

DEAR CUSTOMER, PLEASE FILL THIS FORM IN BLOCK CAPITALS

PART ONE: CUSTOMER INFORMATION

Personal Application Company Application


Title (Mr/Mrs/Miss/Ms/Prof/Hon) Full Company Name
Surname Company Registration No.
Middle Name TIN No
First Name Postal Address Fax
Postal Address Fax Contact Person
Contact Tel Position Held
E-Mail Contact Tel
ID card / Passport No E-Mail
*( For Post Paid Customer, Please find a separate sheet for additional requirements)
Physical Address
Region District Area
House/Plot No Street/Road Floor No.

Customer Category
……………………………………………………………………………………………………………………………..

PART TWO: SERVICES


Voice Products
Fixed Prepaid Mobile Prepaid ISDN Basic Rate Others ( Specify) …………………
Fixed Postpaid Mobile Postpaid ISDN Primary Rate ( Specify Number of Extensions)…………
Toll Free Bulk SMS Multiconference (Tele &/ or Video Conference)
PPA Remote Services(Specify)…………….. Please specify …………………...

Fixed Data Products


Broadband Volume Package Unlimited Packages (TTCL Poa) IP Address (Dynamic / Static)
Please specify volume requested……... Please specify……………………... Satellite Broadband
(e.g. 8GB, 16GB etc) VPN MPLS(Specify speed)………....
Dedicated Internet Bandwidth (Specify Speed)…………………... Others ( Specify) ……………………..
Leased Circuits: A end………………….. B end……………..…….(Specify Speed)……….....

Provide Telephone number where you want service to be installed ……………………… 1


Wireless Data Products
Wifi Services

Additional Services
International access Mobile Access(Post paid) Call line identity Conference Call
Call waiting facility Call Forwarding Others(Specify) ……………………………
Password facility (Mobile, International, STD) Please specify …………………………………………..

Payment Mode : ………………………………………………………………………………………...

PART THREE: DIRECTIONS


Please use this space to draw a sketch map of the place where TTCL service is required for easy reach of TTCL staff

PART FOUR: CUSTOMER DECLARATION


I certify that all information given by me in this form is true and complete to the best of my knowledge

Customer’s signature / Company rubber stamp Date


Please return the completed form to your nearest TTCL Customer Service Centre
You will be contacted to arrange an installation date and advised if further consultation is necessary

PART FIVE: FOR OFFICE USE ONLY


Received by Designation
Signature Date

TTCL: Welcome to Generation T. Solved 2

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