application form

Business in a Box
Welcome to Etisalat.
Please complete this form if you are applying for Business in a Box. Kindly note that incomplete information may cause delays in
service providing.

A. Type of Request
 New  Migration from Etisalat service  Migration from Non-Etisalat service  Upgrade/Downgrade
 Disconnection  Internal shifting  External shifting

B. Company Information
Company Name: ...................................................................................................................................................................................................................................................................................................................................................................
Billing Address in the UAE: ...................................................................................................................................... P.O. Box: .................................................... Emirate: .........................................................................
Office No.: .......................................................................................................................................................................................... Fax No.: ...............................................................................................................................................................
Technical Contact Details:
°Name: .................................................................................. °Mobile No.: .................................................................................................. °Email: ......................................................................................................................................

C. Authorised Person Details

 Power of Attorney  Letter of Delegation

°Name: .................................................................................................................................................................................................................................................................................................................................................................................................
Title/Position of the Person: ................................................................................................................................................................................................................................................................................................................................
°Mobile No.: .................................................................................................................................................................... °Email: ..................................................................................................................................................................................
ID Document Type:  Emirates ID  Passport
ID Document No.: ................................................................................... Date of Issuance: ............................................................................... Date of Expiry: ................................................................................
Nationality: ..................................................................................................................................................................................................................................................................................................................................................................................

D. Billing Details
By default, bill will be sent to the below email address:
°Email: .................................................................................................................................................................................................................................................................................................................................................................................................
Language:  English  Arabic
For detailed bill, register on the Business Online Portal businessonline.etisalat.ae and access it anytime, or you may also place a
request at 800 5800.
If you require a printed bill please call 800 5800 (Only summary bill will be provided).
°mandatory

E. Migrate Existing Etisalat Service

Account Details for existing Internet, Landline, Business Quick Start, Business Super Plus Voice or Business in a Box customers.
 Business Super Account No.: ..............................................................................................................................................................
 Del/PABX/Business Quick Start/Business Super + Voice Account No.: .......................................................................................................... (To be the main no.)
 Del/PABX/Business Quick Start/Business Super + Voice Account No.: ............................................................................................ (To be the user voice line)
No. to be displayed for outgoing calls  Main No.*  User Voice Line**
*Main no will be as inputted above
**User Voice Line is the landline no with the Emirate code. e.g: 04 XXXXXXX

6890/BIB/6 December 2017

F. New Customer, Shifting or Migrating from Non-Etisalat Service
Service Installation address (if shifting, please provide new location details and existing Account No. below)

Building: ...................................................................................................................................................................................................................... Floor: ......................................................... Flat No.: .........................................................

Area: ........................................................................................................................................................................ City: .................................................................................................................... P.O. Box: .........................................................

Working telephone number in the same office/building*: ........................................................................................ Plot: ..........................................................................................................................

Existing Account No.*: ...........................................................................................................................  Etisalat  Non-Etisalat

No. to be displayed for outgoing calls  Main No.*  User Voice Line**
*Main no will be as inputted above
**User Voice Line is the landline no with the Emirate code. e.g: 04 XXXXXXX
*Mandatory fields
*Working telephone no. in the same building and existing account no. can be the same if the current connectivity is an existing non-Etisalat voiceline service

G. Business in a Box Packages

Please select your High Speed Internet package on one year contract.
If upgrade/downgrade of internet package, provide your existing Business in a Box account number ........................................................................................
and select the required package below
A. High Speed Internet
Bandwidth upto Hosting Norton High Speed Internet
Web Domain Internet Rental Charges
Main No. (AED/month)
Storage Name No. of Virtual Storage per Security (NIS)
Downstream Upstream
Emails Email License
Annual contract

1 50Mbps 5Mbps 100MB 1 20 250MB 3  885

1 100Mbps 10Mbps 400MB 1 30 500MB 3  1,365
One-time installation charge of AED 200 applicable for new customers.
B. Voice Lines
Please select the no of users requiring voice connectivity
Single User  Multi User  Extension Lines 
User Type
(AED 110/month) (AED 85/user/month) (AED 20/user/month)
No. of Voice Lines 1 .................... (from 2 to 49) .................... (from 1 to 9 lines)*
*Each block of 5 voice lines will have an extension line and/or an incremental line: 5 to 9 voice lines - 1 extension line, 10 to 14 voice lines - 2 extension lines and
so forth until 45 to 49 voice lines is with 9 voice lines

Benefits for each Voice Line

• One IP Phone
Input the no. of Phone Type Free 100% upfront 12 month instalment
IP Phones required Standard POE NA NA
..........................................
against each
phone type and Cordless POE NA AED 150 ............................ AED 13/month ............................
payment option* Advanced POE NA AED 190 ............................ AED 16/month ............................
*Total no. of IP Phones selected should be the same as the no. of voice lines required

•  100 flexi mins per voice line*

• Dedicated Direct Inward Dialling (DID) no. e.g.: 04 1234567
• Advanced IP Telephony features such as Auto Attendant (IVR), Call Forward Options, Call Restrictions, Call Pick-Up,
Music On Hold, Call Conferencing and many more
* Applicable for calls to UAE Mobile & International Destinations
 H. Cabling for IP Telephony, Port Forwarding & DynDNS and Switch
a)  I need cabling for the IP Telephony at AED 200 per Voice line
b) I need Business in a Box gateway configured for VPN with
 Port Forwarding Enabled  Dynamic DNS Enabled
c)  Will use my existing switch*
d) New Switch required
i)  24 Port POE Smart Switch:  24 Month Contract AED 70/month  36 Month Contract AED 50/month
ii)  48 Port POE Managed Switch:  24 Month Contract AED 180/Month  36 Month Contract AED 125/Month
*If existing switch is being used then two VLANs need to configured
a) Configure one TAGED VLAN with VLANID=100 and assign it to all the Ports.
b) Configure one UNTAGGED VLAN and assign it to all the Ports.

I. Internet Username (Not applicable for Business Super Customers)

1st choice        

2nd choice        

3rd choice        
Username should contain 2-8 characters (can be alphanumeric characters: A-Z or 0-9)

J. Domain name
 I have an existing .ae domain ................................................................................................................ .ae OR
 I want a new .ae domain at no cost

1st choice ................................................................................................................ .ae

2nd choice ................................................................................................................ .ae
3rd choice ................................................................................................................ .ae
• Minimum period of hire for the domain is 1 year
• Domain name is renewed on yearly basis

K. Disconnection

I wish to disconnect my service with Account No.: ........................................................................................................................................,because: .................................................................................

from date (D/M/YY)............................................................................

................................................................................................................................................................................................................................................................................

L. Required Documents
1. Trade License 2. Power of Attorney of the signing person
3. Establishment Card (New customers only) 4. Valid passport copy / Emirates ID of the sponsor/partner
5. Tenancy contract 6. Cease Form*
7. Existing non-Etisalat Bill*
*In case of migration from non-Etisalat service.
 M. Your Authorisation
I/We clearly understand that by completing and signing this application form, I/we conform to Etisalat’s Terms and Conditions
of Business in a Box. The Terms and Conditions of this service is an integral part of Etisalat’s Terms and Conditions of the
associated services.

Name of Applicant: .......................................................................................................................................................................................................................................................................................................................................................

Position/Title in the Company: ..................................................................................................... ........ Date of Application: .......................................................................................................................................

Signature of Applicant Company Stamp

For Official Use Only

Issuing Etisalat Representative: ...................................................................................................................... Title: ...............................................................................................................................................................................

Contact Details: .........................................................................................................................................................................................................................................................................................................................................................................

 Terms and Conditions
Business in a Box

1. INTRODUCTION 4. COMMENCEMENT & DURATION 8. SUSPENSION, DISCONNECTION OR

These specific terms and conditions (“Service Specific Terms”) apply (a) The Agreement is valid and binding on and from the date on TERMINATION BY ETISALAT
in relation to the provision of the Service by Etisalat to the Customer, which it is submitted to and accepted by Etisalat (the “Effective Please see Clause 17 of the General T&Cs (Business) for the provisions
in addition to the other constituent parts of the Agreement between Date”). governing the suspension, disconnection and termination of the
Etisalat and the Customer. (b) The Agreement has a minimum term of either one (1) month (in Service or the Agreement by Etisalat.
case of one-month package) or one (1) year (in case of one-year
2. DEFINITIONS package) (“Minimum Term”), which starts on the date on which
9. TERMINATION BY THE CUSTOMER
Etisalat makes the Service available to the Customer (“Activation
(a) “Agreement” means the entire contractual agreement between (a) If the Customer wants to terminate the Service, the Customer
Date”).
Etisalat and the Customer in relation to the Service, comprising must give Etisalat prior written notice as follows:
of those constituent parts listed in Clause 2.1 of the General T&Cs (c) The following applies to the one-year package:
(Business). (i) thirty (30) days’ notice in case of one-year package; or
(i) The Minimum Term is one (1) year.
(b) “Customer” means the person / entity who purchases or (ii) seven (7) days’ notice in case of one-month package.
(ii) After the expiry of the Minimum Term, the Service will be
subscribes to the Service. renewed automatically on a month-to-month basis unless it (b) The Customer acknowledges that, upon receipt of the Customer’s
(c) “Etisalat” means Emirates Telecommunications Corporation and is terminated in accordance with the Agreement. termination notice, it may take up to 30 days to terminate the
any of its wholly-owned subsidiaries. Customer’s account.
(iii) During and after the Minimum Term, the monthly rental
(d) “General T&Cs (Business)” means Etisalat’s general terms and Charges for the one-year package apply. (c) If the Customer terminates the one-month package, the
conditions for business products and services which are published Customer will be charged up to the end of the current monthly
(iv) Upgrading bandwidth during and after the Minimum Term is
on Etisalat’s website and are available through the other billing period.
possible without any additional installation Charges.
communications channels referred to in Clause 34 of the General (d) If the Customer is on the one-year package and elects to
T&Cs (Business). (v) Upgrading or downgrading bandwidth doesn’t restart the
terminate the Service before the end of the applicable Minimum
Minimum Term. The monthly rental Charges will be prorated
(e) “Minimum Term” has the meaning given to it in Clause 4(b). Term, the Customer shall be obliged to pay an early termination
from the date at which bandwidth upgrade or downgrade, as
charge to Etisalat, calculated as follows:
(f) “Service” means the Business in a Box service, as described in applicable, is actually effected by Etisalat.
more detail in Clause 3. (i) For 12 months’ subscription to High Speed Internet and
(d) The following applies to changing between one-month and one-
12 months’ subscription to Voice Line, exit charge shall
year packages:
be: one month rental on High Speed Internet package +
3. SERVICE DESCRIPTION (i) If the Customer wishes to move from a one-month package (AED100 x remaining months of the 12 months’ subscription
(a) The Business in a Box service is an integrated ICT solution for to one-year package, the Customer shall subscribe to the (for Business Gateway)) + (one month rental on Voice Line
business customers offering a converged solution for IP telephony one-year package, without needing to give prior notice and package x number of packages) + (AED 15 x number of
based voice (“Voice Line”) and broadband internet at the without incurring any additional installation Charges. phones x remaining months of the 12 months’ subscription).
Customer’s office (“High Speed Internet”) including a Business (ii) The monthly rental Charges will be calculated on a pro rata (ii) Exit charges on Voice Line shall only be applicable if the
Gateway. basis from the date at which the change between the one- Customer ceases their Voice Line subscriptions within
(b) The Service is available with a minimum of 1 High Speed Internet month and one-year package is actually affected by Etisalat. the twelve 12 months’ contract. This is to be applied
and 1 Voice Line. (e) The following applies to the automatic renewal of the Service: independently of the High Speed Internet subscription.
(c) The Service includes value-added services such as domain name, (i) Where either a one-month package or one-year package is (e) For additional devices the exit charge is calculated as follows:
web hosting, email hosting and basic computer security and automatically renewed in accordance with this Agreement, (i) Where the Customer has subscribed to the 24 months’
may include any value-added features that may be added to the the same terms and conditions will continue to apply to payment term, for each additional device, monthly rental for
Service by Etisalat from time to time. the Service, including any amendments thereto made in the additional device x remaining months of the 24 months’
(d) The Service packages vary depending on the bandwidth options accordance with clause 23 of the General T&Cs (Business). payment term.
for the High Speed Internet and on the number of users for (ii) Where the Customer has subscribed to the 36 months’
the Voice Line (‘Single’ and ‘Multi’) as defined in the Service 5. ETISALAT’S OBLIGATIONS payment term, for each additional device, monthly rental for
application form. The Customer may apply for any of these the additional device x remaining months of the 36 months’
Service packages. Etisalat will provide the Service to the Customer based on these
payment term.
Service Specific Terms together with the other constituent parts of
(e) Each Voice Line includes 100 flexi minutes for national fixed to the Agreement, and in accordance with the law.
mobile usage or international minutes to any IDD destination, 10. CONTACTING ETISALAT
except some black listed IDD destinations. Out of bundle charges
(beyond flexi minutes) for fixed to mobile national calls will be 6. CHARGES, BILLING & PAYMENT The Customer may contact Etisalat to discuss the Service (including
standard fixed to mobile charges, but charges on a per second these Service Specific Terms and the General T&Cs (Business), or
Please see Clause 12 of the General T&Cs (Business) for the charges,
billing pulse. Out of bundle charges (beyond flexi minutes) for any other product or service offered by Etisalat, by using any of the
billing and payment provisions that apply to the Service
fixed to international calls would be standard 24x7 off-peak fixed communications channels stated in Clause 34 of the General T&Cs
to IDD charges, but charges on a per second billing pulse. (Business).
7. CUSTOMER CREDIT, ADVANCE PAYMENTS
(f) The Customer may apply as well for several additional services,
applications, and devices as defined in the ‘Additional Services’ & DEPOSITS
section of the Service application form. Please see Clause 13 of the General T&Cs (Business) for the customer
credit, advance payment and deposit provisions that apply to the
Service.