1)
(ITU-T Recommendation E.169.3)
To be returned to : UISCN Registrar
International Telecommunication Union
Telecommunication Standardization Bureau
Place des Nations
CH - 1211 GENEVA 20, Switzerland
Tel: +41 22 730 6220 Fax : +41 22 730 6200
Email: universalnumbers@itu.int
Part A to be filled out by the applicant
Company name
Contact name
Address
Transmittal date: (a) _____________
(b) _____________________________________________
(c) _____________________________________________
_____________________________________________
_____________________________________________
Telephone number
Fax number
Email
(d) +_____________________
+_____________________
_____________________
The following UISCN has been implemented: (e)
+808 ______________________
Date of activation is: (f)
Coordination (reference) number
____
Day
____
Month
____
Year
(g) ____________________
ISCS customer name (h) __________________________________________
Customer's address ___________________________________________
_____________________________________________
Remarks: (i) _____________________________________________
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1) This Form must be returned no later than 180 days after the reservation of a UISCN number with the Registrar, or the number will be cancelled.