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Fill out the corresponding form of your chosen type of plan only.
For email applications:
Scan and attach along with other requirements in one pdf file format only. Please
limit your application file to 3-5 pages if possible.
Fill in all the required information. Do not leave an item blank. If item is not applicable, indicate "N/A"
Kindly write legibly and countersign any erasures.
*Required SUBSCRIBER INFORMATION
SUBSCRIBER NAME: (Last Name/ First Name/ Middle Name)
BIRTHDATE: (MM/DD/YYYY)
MOBILE NUMBER:
Shade or Mark (x,✔) Your Preferred Postpaid Kit Delivery Address: Business Residence
PLAN: _________
PLAN DETAILS PLAN 500 PLAN 1000 PLAN 1500 PLAN 2000
Option Additional
Quantity
Handset Model
Color
Monthly Amortization
One Time Cashout na na na na
Contract Term (Mos) 24 24 24 24
Optional: I hereby confirm for an auto-assignment of unit device color in any case that preferred color is not available. Signature: ______
INCLUSIONS Ind icat e Inclusio ns b elo w:
BIRTHDATE: (MM/DD/YYYY)
MOBILE NUMBER: *
Shade or Mark (x,✔) Your Preferred Postpaid Kit Delivery Address: Business Residence
BUSINESS ADDRESS (Building, Street, Baranggay, City/Province/Zip code): *Required
Default Delivery Address if Preferred is not specified
PLAN DETAILS 300 BYOD 500 BYOD 800 BYOD 1000 BYOD 1500 BYOD 2000 BYOD 2500 BYOD 3000 BYOD
Quantity
Additional notes:
PREMIUMS
Calls (in minutes)
to Smart UNLI UNLI UNLI UNLI UNLI UNLI UNLI UNLI
to TNT UNLI UNLI UNLI UNLI UNLI UNLI UNLI UNLI
to Sun UNLI UNLI UNLI UNLI UNLI UNLI UNLI UNLI
to all networks - 25 Mins. 50 Mins. 100 Mins. 200 Mins. 300 Mins. 300 Mins. UNLI
to landline - - - - - - - UNLI
SMS (in SMS)
to Smart - - - - - - - -
to Sun - - - - - - - -
to all networks UNLI UNLI UNLI UNLI UNLI UNLI UNLI UNLI
to other mobile - - - - - - - -
Internet (MB/GB)
Open Data 1GB 2GB 4GB 10GB Non-Stop Surf Non-Stop Surf Non-Stop Surf Non-Stop Surf
Consumable - - - - - - P500 -
RATES (VAT inc.) NEAREST RELATIVE INFORMATION *
Voice SMS Name:
*Required
I affirm that the abo ve given info rmatio n and suppo rting do cuments are true and co rrect. I understand that I may be requested to submit requirements to facilitate the pro cessing o f this applicatio n. I signify agreement to the abo ve pro visio ns,
T E R M S A N D C O N D IT IO N S / Unli- Lit e S urf wa iv e r and the e - S O A set fo rth, fo und in this applicatio n fo rm.
_____________________________________________________________________________________________________________________________
Fill in all the required information. Do not leave an item blank. Date Hired: ___________
If item is not applicable, indicate "N/A"
Kindly write legibly and countersign any erasures.
*Required SUBSCRIBER INFORMATION
SUBSCRIBER NAME: (Last Name/ First Name/ Middle Name)
BIRTHDATE: (MM/DD/YYYY)
MOBILE NUMBER: *
Shade or Mark (x,✔) Your Preferred Postpaid Kit Delivery Address: Business Residence
Device
Color
Amortization
CONTRACT TERM in MONTHS 24 Months 24 Months 24 Months
NEAREST RELATIVE INFORMATION RATES (VAT inc.)
Name 3G
Address: LTE
Php 1500
I affirm that the abo ve given info rmatio n and suppo rting do cuments are true and co rrect. I understand that I may be requested to submit requirements to facilitate the
pro cessing o f this applicatio n. I signify agreement to the abo ve pro visio ns, TERM S A ND CONDITIONS/Unli-Lite Surf waiver and the e-SOA set fo rth, fo und in this
applicatio n fo rm.