Buisness Prepaid
Buisness Prepaid
application form
Serial no.:
A. Type of request
New request
B. Company information
Name of the company: ...............................................................................................................................................................................................................................................................................................................................................
Billing address in the UAE: ....................................................................................................................................................................................................................................................................................................................................
Office no.: ......................................................................................................................................................................... Fax no.: .................................................................................................................................................................................
Name: ...................................................................................................................................................................................................................................................................................................................................................................................................
Title/Position of the person: ................................................................................................................................................................................................................................................................................................................................
Mobile no.: ...................................................................... Office no.: ...................................................................... Fax no.: ...................................................................... Email: ...........................................................................
ID document type: Emirates ID Passport
ID document no: ................................................................................. Date of issuance: . ............................................................................... Date of expiry: .....................................................................................
Unified no. (required in case of passport): ........................................................................................................................................................................................................................................................................................................
P.O. Box: ..................................................................... Emirate: ........................................................................................................ Nationality: .......................................................................................................................................
H. Bill statement
Language: Arabic English
Format: e-Bill Summary
I. Required documents
1. Emirates ID 3. Letter of Authority
2. Passport copy of the person authorised by company 4. Trade license copy
J. Your authorisation
I/We clearly understand that by completing and signing this application form, I/We conform to Etisalat’s Terms and Conditions
of Business Prepaid 50. The Terms and Conditions of this Service is an integral part of Etisalat’s Terms and Conditions of the
associated Services.
Name of applicant:.............................................................................................................................................................................................................................................................................................................................................................