Business Paid Employee Offers
Business Paid Employee Offers
Business Paid Employee Offers
Application form
Fill out your personal information
Name (as in passport): Nationality:
Company name: Employee ID:
Email ID: Alternative phone number:
Office address: P.O. Box:
Residential address:
Preferred language: Arabic English
New SIM Existing SIM (Number)
Auto payment by credit card/debit card (mandatory only when international roaming is activated)
Credit card/debit card type: Visa MasterCard
du Agent ID:
MSISDN: SIM serial number: IMEI number:
Special Condition:
120 Plan provides the promotional benefits over the base of “New Business Mobile Plan 100”. The 250 Plan provides the
promotional additional benefits over the base of “New Business Mobile Plan 200”. The 450 Plan provides the promotional
additional benefits over the base of “New Business Mobile Plan 400”. Deactivation of the additional benefits during the
minimum commitment term (i.e. contract period) will result in your line losing all the associated plan benefits and reverting
to the respective Business mobile plan standard base.
Termination Charges:
du (EITC) preserves the right to use the above information to contact you via email, phone or SMS. If you don’t wish to be contacted about du (EITC)
products or special promotions, tick here
By signing below, I agree I have ordered the services, and accept the Terms & Conditions shown on this form:
Signature Date:
DD MM YYYY