Application / Contract for IN network services



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89/2 หม 3 ถนนแจ งว ฒนะ แขวงท งสองห อง เขตหล กส กร งเทพมหานคร 10210 ทะเบ ยนเลขท 0107545000161 เลขประจ าต วผ เส ยภาษ 3030459466 Application / Contract for IN network services (Please fill out details and mark on the desired service) 1. Name and evidence of the service applicant Individual Name, Mr./Mrs./Ms...Surname. ID card or passport number On behalf of.. Legal Entity Name of legal entity... By...(Authorized Person) Type of business..... Incorporation No......... Taxpayer s number Address in the value-added tax registration (VAT 20)...... Date of incorporation.....tel.. Fax Web site... 2. Contact person Name, Mr./Mrs./Ms..Surname ID card or passport number Date of birth.. /.../ Occupation. No..Village No Village..Soi Road.Sub-district District..Province Zip Code Tel. (Home)..... Tel.(Office) Ext. Cell phone... Fax email address... Proxy of... Application No... 3. Specified number to be charged Applicant owned number... Non-Applicant owned number...... Name of the phone number owner/contractual person 4. Types of the service applied 4.1 Free phone service: 1-800 4.2 International free phone 4.3 Info phone service 4.4 One-number service One number 1-400 One number 1-401 4.5 Follow me: 1-700 4.6 Private Net: 104, the number in the group...numbers (Please fill out the service details on the Private Net clause 9.1) 4.7 Vote now service 4.8 Advertising service 4.9 Virtual Phone 4.10 Prepaid fixed line 4.11 Change Caller identity Service : CCid (Please fill in caller identification in clause 9.2) 5. Special service according clause 4 Authorization code (AUTZ) Call Forwarding (CF) Call Limiter (LIM) Call Queuing (QUE) Originating Call Screening (OCS) Origin Depending Routing (ODR) Originating User Prompt (OUP) Terminating Call Screening (TCS) Time Depending Routing (TDR) Please fill in the information on the special service in clause 8 (in the next page)

6. Calling card service 7. Document for the application to use the service 6.1 The last 7 digits of the card number required 6.2 The last 7 digits of the card number required 6.3 The last 7 digits of the card number required 6.4 The last 7 digits of the card number required 6.5 The last 7 digits of the card number required Limited amount of service of the card code.baht/month 7.1 Attach the document with signature to certify the true copy as follows: Individuals A copy of the ID card or House Registration or passport Legal entity 1. A copy of incorporation certificate valid not over 180 days from the date of issue. 2. A copy of the ID of the authorized person to act on behalf of the legal entity. 7.2 In the event the service user is not the owner of the number, attach a letter of consent from the number owner. 7.3 In case of appointing a proxy; attach a copy of the ID card of the proxy with certification of true copy. I agree to pay for the debts resulting from the use of the service at the rate specified by TOT, by coupled with the telephone numbers charged stated in clause 3, and shall regard the details of this service as part of the lease/contract of telephone service, which I have signed with TOT. Signed Service User Print (... )././.. In case the applicant does not file in person I appoint as my proxy to act on my behalf Signed..Appointee Signed... Proxy Print (... ) Print (... ) For official Account ID...Type of Customer... Name of service applicant... Unit... Telephone... Approval for Service Name (.) Title.. / /. Approval of Opening the Service Name (.) Title.. / /. 2

3 8. Details on special service Service number 1 - - 1. For the member that does not wish to use the special service (destination number) 0 Numbers in the group:. Hunting number. 2. For the member who wishes to use a special service 2.1 Authorization code (AUTZ) Contact to change the personal code, tel. 1-800-222222 2.2 Call forwarding (CF) 2.2.1 On busy = No.:. 2.2.2 Do not answer = No.:.. 2.3 Call limited (LIM) Maximum call = lines/call Destination number: 2.4 Call queuing (QUE) service Number of calls to enter QUE = lines/call 2.5 Originating call screening (OCS) No. 1.. =... % No. 6...=...% No. 2.. =... % No. 7...=....% No. 3.. =...% No. 8...=...% No. 4.. =....% No. 9...=....% No. 5.. =...% No. 10...=...% 2.6 Origin depending routing (ODR) Start Area End Area Destination number 1)...... 2)..... 3)..... 4)..... 5)..... 6)..... 7)..... 8)..... 9)..... 10)....... 2.7 Service to choose the originating user prompt (OUP) Press 1 =... Press 2 =... Press 3 =... Press 4 =... Press 5 =... Press 6 =... Press 7 =... Press 8 =... Press 9 =... Press 10 =... Press * =...

4 2.8 Limited service/ terminating call screening (TCS) No. 1... No. 2... No. 3... No. 4... No. 5... No. 6... No. 7... No. 8... No. 9... No. 10..... 2.9 Time depending routing (TDR) O TDR-DY O TDR-DW O TDR-TD Start Area End Area Terminating number 1).................. 2).................. 3).................. 4).................. 5).................. 6).................. 7).................. 8).................. 9).................. 10)................... 9. Details on Private Net service and CCid service 9.1 Details on Private Net service Applicant Name 1. Group intra-number and Pin Code service 1.1 Tel. number Intra- number... 1.2 Tel. number Intra- number... 1.3 Tel. number Intra- number... 1.4 Tel. number Intra- number..... 1.5 Tel. number Intra- number...... 1.6 Tel. number Intra- number.....

5 1.7 Tel. number Intra- number... 1.8 Tel. number Intra- number... 1.9 Tel. number Intra- number...... 1.10 Tel. number Intra- number..... 1.11 Tel. number Intra- number..... 1.12 Tel. number Intra- number..... 1.13 Tel. number Intra- number..... 1.14 Tel. number Intra- number..... 1.15 Tel. number Intra- number..... 1.16 Tel. number Intra- number..... 1.17 Tel. number Intra- number..... 1.18 Tel. number Intra- number..... 1.19 Tel. number Intra- number..... 1.20 Tel. number Intra- number.... 1.21 Tel. number Intra- number.... 1.22 Tel. number Intra- number.... 2. Equipment using by private net service 2.1 PABX Brand name.. 2.2 Number of phones DID type numbers 2.3 Number of phones ISDN type numbers 2.4 Number of Fixed line..numbers 2.5 Others... 3. Number of phones applicant number of phones using by TOT... numbers number of phones using by TRUE...numbers number of phones using by TT&T.numbers 9.2 Details on CCid service showing the originating number Group 1 =.. Group 2 =.. Group 3 =.. Group 4 =.. Group 5 =.. Group 6 =.. Group 7 =.. Group 8 =.. Group 9 =.. Group 10 =.. More information please contact 1800-222222

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