To be returned to ITU/TSB Fax No.: +41 22 730 5853/E-mail: tsbtson@itu.int Notification of the extra-territorial use/withdrawal of an MCC/MNC (According to ITU-T Rec. E.212, International identification plan for public networks and subscriptions) This form should be used by each of the Administrations to notify the Director of TSB that the Administration has agreed that an operator can use an MCC+MNC of Country A in Country B. MCC/MNC: ______________________________________________________________ Administration Contact-Person Name: ____________________________________________ Address: _ _______________________________________________________________________ Tel: ______________________ Fax: ___________________ E-mail: ______________________ Extra-territorial use of MCC/MNC MCC/MNC Operator(s) Name Country B– Where MSIN Range to the MCC/MNC is to be used in be used extraCountry A territorially MSIN Range to be used in Country B