Overseas SIM Information System 668 Complaint Form

1. Name

________________________________

2. Fathers Name

________________________________

3. NICOP/CNIC Number

________________________________

4. Overseas Address

________________________________
________________________________
________________________________

5. Email Address

________________________________

6. Count of SIMs of Mobilink SIMs

________________________________

Received from PTAs website 668

(http://www.pta.gov.pk)
7. SIM(s) of Mobilink presently :

________________________________

In my use (e.g. 03xx-xxxxxxx)

________________________________
________________________________
________________________________

8. Undertaking

Yes

No

I do hereby solemnly confirm that above mentioned SIMs/connections are in my use.

Please block any other number(s) issued/registered against my NICOP/CNIC forthwith
and oblige.
a) Signature of the complainant

_______________________

b) Thumb Impression

_______________________

c) Date of Complaint

_______________________

9. Attach copies of

(1) NICOP/CNIC

(2)

Passport