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Zhongxing

Pvt.)Ltd

Telecom

Pakistan

Plot#360, St#05, Sector I-9/3, Islamabad.


Mob # 03135052330 , Tel # 051-4859200-5. Fax # 051-4859206-8

Form SN: - ----------------------------------Client Name: -----------------------------Region: -----------------------City------------------------------Date: -------- ----------------------Sender Name: ------------------------------------- Contact#:- --------------------------- Email Address: ------------------------------------Sender Address: ---------- - ------------------------------------------------------------------------------------------------------------------------Network Name:
--------------------------------------------------------------------------------------------------------------------------------------

I-- ---------------------------- Sender Use Only-- --------------------------------------------I----Maintenance Use Only-----I


S
N

Product
Type

Card
Modules

Serial Number

Fault Description /
Version

Dispatch
Date

Dispatc
her

Receiver

NOTE: Please Use This Form For 5 Items Only.

Sender Name / ID: -------------------------------------------------Sender Signature: ---------------------------------------------------

_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ _ _ _ _ _ _ _
*Repair Center Use Only:

Receive In Repair Center:

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