---------------------------------------------
 
 
 
IMEI:
 
ICCID: 
MDN: 
 
Call Back Number
 
IMEI/ICCID verified? Yes/No
 
Old Service Provider (If Porting)
 
Port Eligibility Checked Yes/No/NA
 
Reason for Call & Steps Taken: 
 
---------------------------------------------
 
 
 
IMEI:
 ICCID: 
MDN: 
 
Call Back Number
IMEI/ICCID verified? Yes/No
 Old Service Provider (If Porting)
Port Eligibility Checked Yes/No/NA
 Reason for Call & Steps Taken: 
 
---------------------------------------------------------
 
 
---------------------------------------------
 
 
 
IMEI:
 
ICCID: 
MDN: 
 
Call Back Number
 
IMEI/ICCID verified? Yes/No
 
Old Service Provider (If Porting)
 
Port Eligibility Checked Yes/No/NA
 
Reason for Call & Steps Taken: 
 
---------------------------------------------
 
 
 
IMEI:
 ICCID: 
MDN: 
 
Call Back Number
IMEI/ICCID verified? Yes/No
 Old Service Provider (If Porting)
Port Eligibility Checked Yes/No/NA
 Reason for Call & Steps Taken: 
 
---------------------------------------------------------
 
 
---------------------------------------------
 
 
 
IMEI:
 
ICCID: 
MDN: 
 
Call Back Number
 
IMEI/ICCID verified? Yes/No
 
Old Service Provider (If Porting)
 
Port Eligibility Checked Yes/No/NA
 
Reason for Call & Steps Taken: 
 
---------------------------------------------
 
 
 
IMEI:
 ICCID: 
MDN: 
 
Call Back Number
IMEI/ICCID verified? Yes/No
 Old Service Provider (If Porting)
Port Eligibility Checked Yes/No/NA
 Reason for Call & Steps Taken: 
 
---------------------------------------------------------
 
 
 
---------------------------------------------
 
 
 
IMEI:
 
ICCID: 
MDN: 
 
Call Back Number
 
IMEI/ICCID verified? Yes/No
 
Old Service Provider (If Porting)
 
Port Eligibility Checked Yes/No/NA
 
Reason for Call & Steps Taken: 
 
---------------------------------------------
 
 
 
IMEI:
 ICCID: 
MDN: 
 
Call Back Number
IMEI/ICCID verified? Yes/No
 Old Service Provider (If Porting)
Port Eligibility Checked Yes/No/NA
 Reason for Call & Steps Taken: 
 
---------------------------------------------------------
 
 
 
---------------------------------------------
 
 
 
IMEI:
 
ICCID: 
MDN: 
 
Call Back Number
 
IMEI/ICCID verified? Yes/No
 
Old Service Provider (If Porting)
 
Port Eligibility Checked Yes/No/NA
 
Reason for Call & Steps Taken: 
 
---------------------------------------------
 
 
 
IMEI:
 ICCID: 
MDN: 
 
Call Back Number
IMEI/ICCID verified? Yes/No
 Old Service Provider (If Porting)
Port Eligibility Checked Yes/No/NA
 Reason for Call & Steps Taken: 
 
---------------------------------------------------------
 
 
 
---------------------------------------------
 
 
 
IMEI:
 
ICCID: 
MDN: 
 
Call Back Number
 
IMEI/ICCID verified? Yes/No
 
Old Service Provider (If Porting)
 
Port Eligibility Checked Yes/No/NA
 
Reason for Call & Steps Taken: 
 
---------------------------------------------
 
 
 
IMEI:
 ICCID: 
MDN: 
 
Call Back Number
IMEI/ICCID verified? Yes/No
 Old Service Provider (If Porting)
Port Eligibility Checked Yes/No/NA
 Reason for Call & Steps Taken: 
 
---------------------------------------------------------
 
 
 
---------------------------------------------
 
 
 
IMEI:
 
ICCID: 
MDN: 
 
Call Back Number
 
IMEI/ICCID verified? Yes/No
 
Old Service Provider (If Porting)
 
Port Eligibility Checked Yes/No/NA
 
Reason for Call & Steps Taken: 
 
---------------------------------------------
 
 
 
IMEI:
 ICCID: 
MDN: 
 
Call Back Number
IMEI/ICCID verified? Yes/No
 Old Service Provider (If Porting)
Port Eligibility Checked Yes/No/NA
 Reason for Call & Steps Taken: 
 
---------------------------------------------------------
 
 
 
---------------------------------------------
 
 
 
IMEI:
 
ICCID: 
MDN: 
 
Call Back Number
 
IMEI/ICCID verified? Yes/No
 
Old Service Provider (If Porting)
 
Port Eligibility Checked Yes/No/NA
 
Reason for Call & Steps Taken: 
 
---------------------------------------------
 
 
 
IMEI:
 ICCID: 
MDN: 
 
Call Back Number
IMEI/ICCID verified? Yes/No
 Old Service Provider (If Porting)
Port Eligibility Checked Yes/No/NA
 Reason for Call & Steps Taken: 
 
---------------------------------------------------------
 
 
 
---------------------------------------------
 
 
 
IMEI:
 
ICCID: 
MDN: 
 
Call Back Number
 
IMEI/ICCID verified? Yes/No
 
Old Service Provider (If Porting)
 
Port Eligibility Checked Yes/No/NA
 
Reason for Call & Steps Taken: 
 
---------------------------------------------
 
 
 
IMEI:
 ICCID: 
MDN: 
 
Call Back Number
IMEI/ICCID verified? Yes/No
 Old Service Provider (If Porting)
Port Eligibility Checked Yes/No/NA
 Reason for Call & Steps Taken: 
 
---------------------------------------------------------
 
 
 
---------------------------------------------
 
 
 
IMEI:
 
ICCID: 
MDN: 
 
Call Back Number
 
IMEI/ICCID verified? Yes/No
 
Old Service Provider (If Porting)
 
Port Eligibility Checked Yes/No/NA
 
Reason for Call & Steps Taken: 
 
---------------------------------------------
 
 
 
IMEI:
 ICCID: 
MDN: 
 
Call Back Number
IMEI/ICCID verified? Yes/No
 Old Service Provider (If Porting)
Port Eligibility Checked Yes/No/NA
 Reason for Call & Steps Taken: 
 
---------------------------------------------------------
 
 
 
---------------------------------------------
 
 
 
IMEI:
 
ICCID: 
MDN: 
 
Call Back Number
 
IMEI/ICCID verified? Yes/No
 
Old Service Provider (If Porting)
 
Port Eligibility Checked Yes/No/NA
 
Reason for Call & Steps Taken: 
 
---------------------------------------------
 
 
 
IMEI:
 ICCID: 
MDN: 
 
Call Back Number
IMEI/ICCID verified? Yes/No
 Old Service Provider (If Porting)
Port Eligibility Checked Yes/No/NA
 Reason for Call & Steps Taken: 
 
---------------------------------------------------------
 
 
---------------------------------------------
 
 
 
IMEI:
 
ICCID: 
MDN: 
 
Call Back Number
 
IMEI/ICCID verified? Yes/No
 
Old Service Provider (If Porting)
 
Port Eligibility Checked Yes/No/NA
 
Reason for Call & Steps Taken: 
 
---------------------------------------------
 
 
 
IMEI:
 ICCID: 
MDN: 
 
Call Back Number
IMEI/ICCID verified? Yes/No
 Old Service Provider (If Porting)
Port Eligibility Checked Yes/No/NA
 Reason for Call & Steps Taken: 
 
---------------------------------------------------------
 
 
---------------------------------------------
 
 
 
IMEI:
 
ICCID: 
MDN: 
 
Call Back Number
 
IMEI/ICCID verified? Yes/No
 
Old Service Provider (If Porting)
 
Port Eligibility Checked Yes/No/NA
 
Reason for Call & Steps Taken: 
 
---------------------------------------------
 
 
 
IMEI:
 ICCID: 
MDN: 
 
Call Back Number
IMEI/ICCID verified? Yes/No
 Old Service Provider (If Porting)
Port Eligibility Checked Yes/No/NA
 Reason for Call & Steps Taken: 
 
---------------------------------------------------------
 
 
---------------------------------------------
 
 
 
IMEI:
 
ICCID: 
MDN: 
 
Call Back Number
 
IMEI/ICCID verified? Yes/No
 
Old Service Provider (If Porting)
 
Port Eligibility Checked Yes/No/NA
 
Reason for Call & Steps Taken: 
 
---------------------------------------------
 
 
 
IMEI:
 ICCID: 
MDN: 
 
Call Back Number
IMEI/ICCID verified? Yes/No
 Old Service Provider (If Porting)
Port Eligibility Checked Yes/No/NA
 Reason for Call & Steps Taken: 
 
---------------------------------------------------------
 
 
 
---------------------------------------------
 
 
 
IMEI:
 
ICCID: 
MDN: 
 
Call Back Number
 
IMEI/ICCID verified? Yes/No
 
Old Service Provider (If Porting)
 
Port Eligibility Checked Yes/No/NA
 
Reason for Call & Steps Taken: 
 
---------------------------------------------
 
 
 
IMEI:
 ICCID: 
MDN: 
 
Call Back Number
IMEI/ICCID verified? Yes/No
 Old Service Provider (If Porting)
Port Eligibility Checked Yes/No/NA
 Reason for Call & Steps Taken: 
 
---------------------------------------------------------
 
 
 
---------------------------------------------
 
 
 
IMEI:
 
ICCID: 
MDN: 
 
Call Back Number
 
IMEI/ICCID verified? Yes/No
 
Old Service Provider (If Porting)
 
Port Eligibility Checked Yes/No/NA
 
Reason for Call & Steps Taken: 
 
---------------------------------------------
 
 
 
IMEI:
 ICCID: 
MDN: 
 
Call Back Number
IMEI/ICCID verified? Yes/No
 Old Service Provider (If Porting)
Port Eligibility Checked Yes/No/NA
 Reason for Call & Steps Taken: 
 
---------------------------------------------------------