application form

Business Xtreme

Serial No.: ...............................................................................

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

A. Type of request

Mobile Number: ...........................................................

 New connection  Existing connection SIM#: ..............................................................................

B. Application Type
Remark :.................................................................................................................................

 Company (COCP) Party ID: ....................................................

Company Name: ..................................................................................................................................................................................................

Trading License #: ...............................................................................................................................................................................................

(In case of company application)

Issued Date: ..................................................................................................................................... Expiry Date: .............................................

Establishment Card: .........................................................................................TAX Registration No. (TRN): ..............................................

Issued Date: ............................................................................................ Expiry Date: .....................................................................................

C. Authorized Person Details

 Power of Attorney (if any)  Letter of Delegation (if any)

Name (Mandatory): ..............................................................................................................................................................................................

Title/Position: .......................................................................................................................................................................................................

Contact#: ........................................................................... Telephone#: ................................................................ Ext.: ................................

Email ID (Mandatory): .......................................................................................................................................................................................

Emirates ID Details:

ID No.: ........................................................................................................... Nationality: ...................................................................................

Issue Date: ................................................................................ Expiry Date: ....................................................................................................

Mailing Address:

PO Box: ...................................... Office/Building: ...................................................................................... Floor: ...........................................

Street: .............................................................................................. Nearest Landmark: .................................................................................

City: ..........................................................................................Emirate: ...............................................................................................................

D. Billing Details
By default bill delivery shall happen to the email address provided below.

Email Address (Mandatory): ...........................................................................................................................................................................

Detailed bill can be obtained anytime from the Business Online Portal (businessonline.etisalat.ae)

Prices are exclusive of VAT*

5165/Business Xtreme_ATL_54GB/28 March 2023

 E. Select your plan
Select your plan Pulse UOM Business Xtreme
Monthly Rental - AED 325 600 900 1,200 375 700 1,000 1,300
Local Minutes Per Min Min Unlimited Unlimited Unlimited Unlimited Unlimited Unlimited Unlimited Unlimited

IDD Minutes Per Min Min 400 Unlimited Unlimited Unlimited 400 Unlimited Unlimited Unlimited

Local Data (in GB) 30 KB GB 54 80 300 750 54 80 300 750

**Promotional Local Data 30 KB GB - - - 274 - - - 274
Roaming Data (in GB) 30 KB GB - - 6 20 - - 6 20
Incomimg Roaming Per Min Min - 200 500 1,200 - 200 500 1,200
Outgoing Roaming Per Min Min - - 150 500 - - 150 500
Flexi SMS SMS SMS 500 1,000 1,500 2,500 500 1,000 1,500 2,500
Contract Period - Month 12 12 12 12 - - - -
Exit Charges - AED 325 600 900 1,200 - - - -
Additional Benefits:
Non-Stop National Data Capped at 128 Kbps √ √ √ √ √ √ √ √
Special Number Gold - √ √ √
Additional Promotional Benefits:
email Apps Free local Data
(Outlook, Gmail & Yahoo ) Access 1GB 1GB 1GB 1GB 1GB 1GB 1GB 1GB
Teams and Zoom Daily CAP
eStore 1 per Party ID √ √ √ √ √ √ √ √
- In-bundle international minute allowances are applicable to pre-approved white listed destinations. (to view the list of white listed countries please visit www.etisalat.ae)
- Data units are based on the following conversion: that 1GB = 1024MB: 1MB = 1024KB; 1KB = 1024 Bytes
- For After Sales Support, please call 8005800 (SMB) or 8009111 (ES) toll free
- For AED 1000 & 1200 plans the outgoing roaming minutes benefit will be provided within 24 to 48 hours
- The Admin has to visit the below Link for claiming estore Link : https://www.etisalat.ae/en/smb/business-app-store/digital-marketing/web-builder.html

Out of Bundle charges within UAE Pulse Rate (AED)

International Minutes Per Min 2.4
National Minutes Per Min 0.3
CUG Per Min 0.3
Local Data Per MB 1
Local SMS Per SMS 0.18
IDD SMS Per SMS 0.6

Roaming Out of Bundle charges

Satellite,
GCC Rest of the
Service Pulse Maritime &
Countries world
Flight Operators
Incoming call Per Min 0.808 4.25 5.25
Outgoing call to the UAE Per Min 2.203 9.5 15
Outgoing local call Per Min 0.881 4.5 10
Outgoing call to others Per Min 9 13 15
Outgoing SMS Per SMS 0.22 2 4
Incoming SMS Per SMS Free Free Free
Data 30KB 0.04626 1 1
Business rules for Golden Number: (Applicable only with AED 900 & AED 1200 Plan)
1. For Golden Number category - during the one year period, the following will not be allowed:
a. Migration to other postpaid plans
b. Migration to prepaid
c. Transfer of ownership (right of use) to other customers
d. Port-out
2. In case of line cessation, a number will be recycled after a quarantine period of 12 months, and the customer shall not be able to use his/
her number
3. During quarantine 12 months period, line can be reactivated to the same customer under the same postpaid plans ONLY.
4. After completion of one year period, customers on these plans are allowed to migrate to any other plan or migrate to prepaid or transfer
the ownership (right of use) of the line.

Penalty Free Service 

Please note that this service can be canceled within 5 days from date of activation without any exit charges provided either
of the below two conditions is satisfied.
• Technical issue: The service is not working as promised by Etisalat or is not in alignment with the T&Cs of the service
• Misinformation: The customer has been misinformed before signing the contract
 F. Select your add-ons

SMS (Local/Int’l) International Minutes* ˚Incoming Roaming Add-ons

AED/ AED/ Minutes AED/Validity Qty
SMS Qty Minutes Qty
Month Month
 60 10  50 25
 100 15/24 hours
 100 15  110 50
 40 50/month
 300 40  250 100
 100 Mins/day• 95/30 days
 500 60
 400 150
 1,000 100
˚Data Roaming Add-ons
Data Local Minutes Data AED/Validity Qty
AED/ AED/ Non-
GB Qty Minutes Qty 35/24 hours
Month Month 
Stop•
 2 60  100 25  1GB 250/month
 4 100  200 50  3GB 400/month
 8 160  400 100

Internet Calling Plan**  750 150

AED/month Qty  1,200 200
 50
Special Local Data Add-on
Roaming Add-ons AED/Validity Qty Limited period offer
 2GB Data + 60 Mins (incoming + outgoing) AED 350/30 days Offer Name MRC Qty
 5GB Data + 500 Mins (incoming + outgoing) AED 600/30 days  15GB 60
 10GB Data + 1000 Mins (incoming + outgoing) AED 1000/30 days  30GB 90
Monthly recurring charge valid for 12 months only. No exit charges
Roam Like Home Data***
AED Validity Qty
100 7 Days

*International Minutes Add-ons are applicable for all countries except the exclusion list (for details, visit www.etisalat.ae). Both in-bundle and out of bundle charges are metered on “Per minute” basis.
˚Applicable in preferred operators only and can be subscribed by company paid lines only.
• Fair usage limit applicable (100 mins/day for incoming pack and 500 MB/ day for Non-stop data pack, after which speed will reduce to 128kbps). Auto-renewal versions of Roaming Combo, Roaming Non-Stop
Data and Incoming roaming minutes add-ons will have start of validity from 1st usage abroad and rental will be charged on 1st usage abroad. One-time versions of Monthly Roaming Combo add-ons will have start
of validity from 1st usage abroad and rental will be charged on the day of subscription.
**Internet Calling Plan is only to be used with supported apps (for details go to https://www.etisalat.ae/b2bportal/mobile-add-ons.html); only app-to-app calls (voice & video) are free with a plan
subscription. An Internet Calling Plan subscription is required to make app-to-app calls on mobile data. There is no free data offered along with the internet calling plan. All data consumptions by the
supported apps will be charged as per the customer mobile package or data plan..
***Use your base plan local data allowances while Roaming in preferred partners. Usages based auto-renewal will be applicable.
Roaming deposits will be refunded only in case of cessation of the Roaming service after deducting below dues if any:
1) Roaming services dues.
2) Dues of other services if they are on non-payment suspension or on high consumption.
3) Special local data add-ons are for a limited period and can be withdrawn without prior notice.

 Opt-in from Etisalat promotional SMS

G. Select your other services

Voice cap Limit*:  Default

Voice Roaming:  No   Yes (deposit) ......................................................................................

Special offer: ......................................................................................................................................................................................................................................................................................................

* Voice Cap is open by default. Minimum opt-in cap limit will be equal or more than monthly recurring base plan charges. Voice cap limit will be activated on customer’s request for 12 months
only, after which the voice cap will become default. If required, customer will need to contact Etisalat for reactivation of voice cap after 12 months.
• Out of Bundle Usage for both Local Data and Roaming Data is blocked by default for all plans.

H. Payment Details
Payment Options
 Auto pay - Credit Card  Advance payment of AED 1,000
 application form
Business Xtreme
1. Introduction Etisalat will provide the Service to the Customer based on these of months remaining until the end of the instalment plan
Service Specific Terms together with the other constituent parts
These specific terms and conditions (“Service Specific Terms”) of the Agreement, and in accordance with the applicable laws and d. In addition, Etisalat is entitled to recover early termination
apply in relation to the provision of the Service by Etisalat to regulations. Charges as set out in Clause 9(c) above where Etisalat
the Customer, in addition to the other constituent parts of the terminates the Agreement as a result of a breach by the
Agreement between Etisalat and the Customer. Customer.
7. CHARGES, BILLING & PAYMENT
In addition to the provisions at Clause 12 of the General T&Cs
2. DEFINITIONS (Business), the following provisions regarding the charges, billing 10. CONTACTING ETISALAT
a. “Agreement” means the entire contractual agreement between and payment apply to the Service: The Customer may contact Etisalat to discuss the Service
Etisalat and the Customer in relation to the Service, comprising a. In-bundle minutes are consumed on a per minute basis, and (including these Service Specific Terms and the General T&Cs
of those constituent parts listed in Clause 2.1 of the General any out-of-bundle usage is charged on a per second basis. (Business)), or any other product or service offered by Etisalat, by
T&Cs (Business). using any of the communications channels stated in Clause 35 of
the General T&Cs (Business).
b. “Customer” means the person / entity who purchases or 8. SUSPENSION, DISCONNECTION OR TERMINATION BY
subscribes to the Service. ETISALAT
c. “Etisalat”
means Emirates Telecommunications Group Please see Clause 18 of the General T&Cs (Business) for the 11. VAT
Company PJSC. provisions governing the suspension, disconnection and Please see Clause 14 of the General T&Cs (Business) for the
d. “General T&Cs (Business)” means Etisalat’s general terms termination of the Service or the Agreement by Etisalat. provisions governing VAT Value Added Tax that apply to the
and conditions for business products and services which are Service.
published on Etisalat’s website and are available through the
other communications channels referred to in Clause 35 of the 9. TERMINATION BY THE CUSTOMER
General T&Cs (Business). a. If the Customer wishes to terminate the Service, the Customer 12. TERMINATION BY CUSTOMER FOR PLANS WITH
e. “Minimum Term” has the meaning given to it in Clause 4(b). must give Etisalat thirty (30) days’ prior written notice. PREMIUM NUMBER
f. “Service” means the Business Mobile Postpaid Plan, as b. The Customer acknowledges that, upon receipt of the a. If the Customer wants to terminate the Service, he/she must
described in more details in Clause 3. Customer’s termination notice, it may take up to thirty (30) give Etisalat prior written notice.
days to terminate the Customer’s account. The Customer shall b. If the Customer terminates the Service before the end of the
pay all outstanding Charges for the Service rendered until the Minimum Term, the Customer shall be obliged to pay early
3. SERVICE DESCRIPTION Customer account is terminated. Any usage in relation to the termination Charges to Etisalat as per clause 9 above.
a. The Business Mobile Postpaid Plan is a mobile post-paid Service after the termination of the Agreement shall be billed at
service with optional value add-on services. The Customer has standard undiscounted rates. c. If the Customer terminates the Service before the end of the
the flexibility to customize their post-paid service package by Minimum Term, the Premium Number will be returned back to
c. f the Customer elects to terminate the Service before the end Etisalat.
opting for cost effective add-on services which can give them of the Minimum Term or before the end of the instalment plan
extra SMS, international talk time, data, incoming roaming and/ (i.e. twelve (12), eighteen (18) or twenty-four (24) months’ period), d. In case of termination of the Service and the cessation of
or business group calling, within the limits set by Etisalat. the Customer shall be obliged to pay early termination Charges the relevant post-paid plan with Premium number Etisalat is
b. In addition to the benefits stated in Clause 3(a) above, the to Etisalat. Early termination Charge are calculated as follows: entitled to reassign the corresponding Premium Number to
Service may be bundled with smart phone devices with another user after the completion of a quarantine period of 12
(i) For Base plan months and the Customer will lose all its rights to such number
instalment plans extending over twelve (12), eighteen (18) or
twenty-four (24) months. The smart phone devices with these The equivalent of one (1) month in monthly rental Charges and will no longer be able to use it.
instalment plans may also be provided as add-ons to the for the basic Service or AED 1000 whichever is lower; e. During the quarantine period of 12 months, the Customer may
Service. (ii) For Base plan with bundled smart phone devices (if raise a request to Etisalat for reactivation of the same Premium
applicable) Number subject to the Customer subscribing again to the
4. COMMENCEMENT & DURATION same post-paid plan.
Device monthly instalment Charges x (number of remaining
a. The Agreement is valid and binding on and from the date on months – 1) of the Minimum Term + Base plan exit Charges 13. Plan Migration, Port Out or Ownership transfer by customer for
which it is submitted to and accepted by Etisalat (the “Effective (the equivalent of one (1) month in monthly rental Charges Plans with Premium Number
Date”). for the basic Service or AED 1000 whichever is lower); a. During the Minimum Term, the Customer may not: i) migrate
b. The Agreement has a minimum term of either twelve (12), (iii) For Base plan with add on smart phone devices (if to a lower post-paid plan; ii) migrate to prepaid; iii) transfer
eighteen (18) or twenty four (24) months (“Minimum Term”) applicable) the ownership of the account to another person/entity; and iv)
depending on the plan selected by the Customer, which starts port- out.
on the date on which Etisalat makes the Service available to the In the case of termination before the end of the Minimum
Term: Device monthly instalment Charges x number of b. After the completion of the Minimum Term, Customers may
Customer (“Activation Date”). migrate to any other plan or migrate to prepaid or transfer the
months remaining until the end of the instalment plan +
5. CUSTOMER OBLIGATIONS & RESTRICTIONS Base plan exit Charges (the equivalent of one (1) month in ownership (right of use) of the account to another person/entity.
monthly rental Charges for the basic Service or AED 1000
Please see Clause 6 of the General T&Cs (Business) for the whichever is lower);
provisions governing the Customer obligations and restrictions
that apply to the Service. In the case of termination after the end of the base plan
Minimum Term but before the end of the device instalment
6. ETISALAT’S OBLIGATIONS plan term: Device monthly instalment Charges x number

I. Your Authorisation
I/We clearly understand and agreed by completing and signing this application with Etisalat Terms and Conditions for
Business Xtreme.

Signature: Date: ..................../..................../........................................

For official use only

• Copy of authorised person ID • Letter of Authority • Original valid trade license

Employee ID: ..........................................................................................................................................................................................................

Signature: .....................................................................................................................................
Mobile No.: .....................................................................................................................................

Activation Source:
 ES Gov  ES Private  Managed Indirect  Alternate Managed
 Managed SMB  Roadshow  Business Centre/Franchise

Stamp
For Channel Partners / Franchise