Universal International Freephone Number Multiple ROAs Notification Form
(ITU-T Recommendation E.169)
To be returned to :
UIFN Registrar
International Telecommunication Union
Telecommunication Standardization Bureau
Place des Nations
CH - 1211 GENEVA 20, Switzerland
Fax : +41 22 730 6200
Tel: +41 22 730 6220
Email : universalnumbers@itu.int
Part A to be filled out by the recognized
Transmittal date: _______________
operating agency (ROA)
Company name/ROA
_____________________________________________
Contact name
_____________________________________________
Address
_____________________________________________
_____________________________________________
Telephone number
+____________________
Fax number
+____________________
Email
____________________________________
UIFN number
IFS customer name 1)
Customer’s address 2)
+800 __ __ __ __ __ __ __ __
____________________________
____________________________
____________________________
-----------1) The Registrar will not record any change of information if the customer’s name is not the same as the one
recorded in the Registrar’s database.
2) The Headquarters or Main Office address
(check appropriate box)
[
]
The above UIFN has been implemented
[
]
The above UIFN was disconnected
Date of activation is:
____
Day
Co-ordination (reference) Number :
Reasons :
____
Month
____
Year
_________________________________
________________________________________________________
_________________________________________________________