Service Surrender

A. CUSTOMER’S INFORMATION (Please fill this form in fully legible letters)

Name *

First

Middle

Last

Citizenship Identity Card Number *

Contact No *

Address *

Effective Surrende *

Reason for Surrender

B. Select the service which you want to surrender and fill up

User Name: dnet

Outstanding Dues: Nu

ISP No

Outstanding Dues: Nu

Mobile No

Cust.ID

Outstanding Dues: Nu

Telephone / Fax No

Outstanding Dues: Nu

Location of phone

Toll Free/Toll Number

Outstanding Dues: Nu

Hidden Number

Main Number

Multi Hunting Number (if any)

Outstanding Dues: Nu

Scanned and signed Application Form *

Click or drag files to this area to upload. You can upload up to 3 files.

To our valued Customer(s)

Please pay your outstanding bills before applying for surrender. After you surrender the service, the bill for that particular month will be sent to you at a later date. Please visit again for final settlement of bill before the due date specified on your bill. If the bill is not cleared before the due date your bill amount may lead to huge amount when the rental, ad -hoc charges and surcharges are added every month. Thank you for being with us and we are always there for you.

** Mobile postpaid data quota will be prorated to the number of active days if the subscribed data plan or number is surrendered before the end of month and the remaining/excess usage will be charged as per pay-per-use rate @Nu.0.0003/ kb. *** Ask Counter officials to give you the surrender receipt as a proof of surrender.

Toll Free

SMS

Find us:

Value Added Services

Hosting

Data

Others

A. CUSTOMER’S INFORMATION (Please fill this form in fully legible letters)

B. Select the service which you want to surrender and fill up

Hidden Number

To our valued Customer(s)

Have a question?

webmaster@bt.bt

Drophen Lam 2/28

1600

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