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Sales Invoice Receipt ‫طﻠب ﺷراء‬

Contract Number: ‫رﻗﻢ اﻟﻌﻘﺪ‬ Type of Subscription: POST VOICE ‫ﻧﻮع اﻹﺷﺘﺮاك‬

Phone Number: 555093965 ‫رﻗﻢ اﻟﻨﻘﺎل‬


DD MM YYYY
Date 11 10 2017 ‫اﻟﺘﺎرﻳﺦ‬ Number Type: SILVER ‫ﻧﻮع اﻟﺮﻗﻢ‬

Customer Data ‫ﺑﻴﺎﻧﺎت اﻟﻌﻤﻴﻞ‬


Fast Name: Eslam Abdulwahab ‫اﻹﺳﻢ اﻷول‬ Date of Birth: 07 09 1985 ‫ﺗﺎرﻳﺦ اﻟﻤﻴﻼد‬
Middle Name: ‫إﺳﻢ اﻷب‬ Nationality: KUWAIT ‫اﻟﺠﻨﺴﻴﺔ‬
Surname: ‫إﺳﻢ اﻟﻌﺎﺋﻠﺔ‬ Gender: M ‫اﻟﺠﻨﺲ‬
ID Number: 297090701221 ‫رﻗﻢ اﻟﺒﻄﺎﻗﺔ‬ Other Contact Number: 99698023 ‫رﻗﻢ أﺧﺮ ﻟﻠﻌﻤﻴﻞ‬
ID Type: Civil ID ‫ﻧﻮع اﻟﺒﻄﺎﻗﺔ‬ Email ‫اﻟﺒﺮﻳﺪ اﻹﻟﻜﺘﺮوﻧﻲ‬
Address: 7 Grams Coffee Fahad Al Salem Street, Safat 13063, Kuwait ‫اﻟﻌﻨﻮان‬

KD 30 Package . ‫ك‬.‫د‬ ‫ﺑﺎﻗﺔ اﻟ‬


Package Details 2000 Minutes local voice minutes, 2000 Local SMS and 500GB of internet ‫ﺗﻔﺎﺻﻴﻞ اﻟﺒﺎﻗﺔ‬

Action ‫ﺗﻔﺎﺻﻴﻞ اﻟﺨﺪﻣﺔ‬ ‫اﻟﺴﻌﺮ‬ ‫ﻓﺘﺮة اﻹﻟﺘﺰام‬ ‫اﻟﺮﻗﻢ اﻟﺘﺴﻠﺴﻠﻲ‬ ‫رﺳﻮم اﻹﻟﻐﺎء‬
Service Details Price Commetment Period Serial No Penalty Fees

Add iPhone 7 Plus 128GB Red 0 356573082250370


Add 24-month Commitment 0 24 300
Add MONTHLY 30 More 30
Add SIM CARD 01 2 040113238365

1. the undersigned, read and accept the terms and conditions mentioned in the subscription form

. ‫اﻗﺮ اﻧﺎ اﻟﻤﻮﻗﻊ ادﻧﺎه ﺑﺎﻹﻃﻼع ﻋﻠﻰ اﻟﺸﺮوط واﻷﺣﻜﺎم اﻟﻤﺬﻛﻮرة ﻓﻰ ﻧﻤﻮذج اﻹﺷﺘﺮاك واﻣﻮاﻓﻘﺔ ﻋﻠﻴﻬﺎ‬

Employee Name AHMED MUSTAFA HAMMED ‫إﺳم اﻟﻣوظف‬

Date 11/10/2017 ‫اﻟﺗﺎرﯾﺦ‬

Customer Signature Fingerprint Agent Signature

Olympia, Main Office Mall Floor 5-20 Al-Khansa Street. Salmiya Area, P.O. Box 181 KUWAIT CITY T: +96555102102
WWW.VIVA.COM.KW

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