Statistics Act, 1999
R 385
Independent Communications Authority of South Africa Act, 2000 (Act No. 13 of 2000)RegulationsICASA Compliance Procedure Manual Regulations, 2011FormsForm 5 : Tariff Reporting Form |
FORM 5
TARIFF REPORTING FORM
(I-ECS, I-ECNS, C-ECS and C-ECNS I-BS)
This Form should be submitted in accordance with the Standard Terms and Conditions Regulations.
This Form should be submitted bi-annually in accordance with the Authority's Financial Year.
| 1. | Licence information |
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Name of Licensee
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Licence/s held
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Registration or ID Number
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Date submitted
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Period under review
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2. Tariffs (All data to be provided in 'Rand' value inclusive of VAT)
2.1 Prepaid Services - Mobile Voice
RECORD OF PREPAID SERVICES PROVIDED AND ACTUAL SERVICES CHARGED DURING THE PREVIOUS SIX MONTHS
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<Insert name of prepaid tariff plan>
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Service |
Month 1 |
Month 2 |
Month 3 |
Month 4 |
Month 5 |
Month 6 |
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General
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Billing method (per second or per minute)
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Inclusive minutes (Value) and other benefits
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Mobile to Mobile voice calls
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On-net (peak) |
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On-net (off-peak) |
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Off-net (peak) |
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Off-net (off-peak) |
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Mobile to Mobile fixed voice calls
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Off-net (peak) |
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Off-net (off-peak) |
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VAS Calls
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Peak
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Off Peak
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Mobile to Mobile video calls
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On-net (peak)
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On-net (off-peak)
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Off-net (peak)
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Off-net (off-peak)
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Mobile to fixed video calls
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Off-net (peak)
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Off-net (off-peak)
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Mobile to Mobile SMS
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On-net (peak)
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On-net (off-peak)
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Off-net (peak)
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Off-net (off-peak)
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Mobile to fixed SMS
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On-net (peak)
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On-net (off-peak)
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Off-net (peak)
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Off-net (off-peak)
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Mobile to Mobile MMS
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On-net (peak)
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On-net (off-peak)
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Off-net (peak)
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Off-net (off-peak)
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International mobile to mobile video calls
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Voice calls (peak) <please specify country or country grouping>
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Voice calls (off-peak) <please specify country or country grouping>
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International mobile to fixed voice calls
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Voice calls (peak) <please specify country or country grouping>
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Voice calls (off-peak) <please specify country or country grouping>
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International mobile to mobile video calls
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Voice calls (peak) <please specify country or country grouping>
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Voice calls (off-peak) <please specify country or country grouping>
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International mobile to fixed video calls
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Voice calls (peak) <please specify country or country grouping> |
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Voice calls (off-peak) <please specify country or country grouping> |
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International mobile to mobile SMS
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SMS (peak) <please specify country or country grouping>
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SMS (off-peak) <please specify country or country grouping>
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International mobile to fixed SMS
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SMS (peak) <please specify country or country grouping>
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SMS (off-peak) <please specify country or country grouping>
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International mobile to mobile SMS
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MMS (peak) <please specify country or country grouping>
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MMS (off-peak) <please specify country or country grouping>
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2.3 Top-up Contract - Mobile Voice and Data
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<Insert name of prepaid tariff plan>
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Service |
Month 1 |
Month 2 |
Month 3 |
Month 4 |
Month 5 |
Month 6 |
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General
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Billing method (per second or per minute)
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Connection fee
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Call Line Identity Presentation fee
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Itemised Billing fee
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Fixed monthly charge
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Inclusive Minutes (Value) and other benefits
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Mobile to Mobile voice calls
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On-net (peak)
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||||||
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Off-net (off-peak)
|
|||||||
|
Off-net (peak)
|
|||||||
|
Off-net (off-peak)
|
|||||||
|
Mobile to fixed voice calls
|
Off-net (peak)
|
||||||
|
Off-net (off-peak)
|
|||||||
|
VAS Calls
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Peak
|
||||||
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Off-peak
|
|||||||
|
Mobile to Mobile video calls
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On-net (peak)
|
||||||
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On-net (off-peak)
|
|||||||
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Off-net (peak)
|
|||||||
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Off-net (off-peak)
|
|||||||
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Mobile to fixed video calls
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Off-net (peak)
|
||||||
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Off-net (off-peak)
|
|||||||
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Mobile to Mobile SMS
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On-net (peak)
|
||||||
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On-net (off-peak)
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|||||||
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Off-net (peak)
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|||||||
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Off-net (off-peak)
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|||||||
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Mobile to SMS
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On-net (peak)
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On-net (off-peak)
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Off-net (peak
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Off-net (off-peak)
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Mobile to Mobile MMS
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On-net (peak) |
||||||
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On-net (off-peak) |
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Off-net (peak |
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Off-net (off-peak) |
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Internet
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Per MB (peak) |
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Per MB (off-peak) |
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International mobile to mobile voice
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Voice calls (peak) <please specify country or country grouping> |
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Voice calls (off-peak) <please specify country or country grouping> |
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International mobile to fixed video calls
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Voice calls (peak) <please specify country or country grouping> |
||||||
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Voice calls (off-peak) <please specify country or country grouping> |
|||||||
|
International mobile to mobile voice calls
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Voice calls (peak) <please specify country or country grouping>
|
||||||
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Voice calls (off-peak) <please specify country or country grouping> |
|||||||
|
International mobile to fixed voice calls
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Voice calls (peak) <please specify country or country grouping>
|
||||||
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Voice calls (off-peak) <please specify country or country grouping>
|
|||||||
|
International mobile to mobile SMS
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SMS (peak) <please specify country or country grouping> |
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SMS (off-peak) <please specify country or country grouping> |
|||||||
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International mobile to fixed SMS
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SMS (peak) <please specify country or country grouping> |
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SMS (off-peak) <please specify country or country grouping> |
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International mobile to mobile MMS
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MMS (peak) <please specify country or country grouping> |
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MMS (off-peak) <please specify country or country grouping> |
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2.4 Prepaid and Postpaid Data
RECORD OF DATA SERVICES PROVIDED AND ACTUAL SERVICES CHARGED DURING THE PREVIOUS SIX MONTHS
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Prepaid or Postpaid
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Line Rental Fee |
Bundle name |
Bundle size |
Monthly fixed charge |
In-bundle rate |
Out-of-Bundle rate |
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2.5 Fixed and VoIP Services
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<Insert name of prepaid tariff plan>
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Service |
Month 1 |
Month 2 |
Month 3 |
Month 4 |
Month 5 |
Month 6 |
|
General
|
Billing method (per second or per minute)
|
||||||
|
Inclusive minutes (Value) and other benefits
|
|||||||
|
Mobile to Mobile voice calls
|
On-net (peak) |
||||||
|
On-net (off-peak) |
|||||||
|
Off-net (peak) |
|||||||
|
Off-net (off-peak) |
|||||||
|
Mobile to Mobile fixed voice calls
|
Off-net (peak) |
||||||
|
Off-net (off-peak) |
|||||||
|
VAS Calls
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Peak
|
||||||
|
Off Peak
|
|||||||
|
Mobile to Mobile video calls
|
On-net (peak)
|
||||||
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On-net (off-peak)
|
|||||||
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Off-net (peak)
|
|||||||
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Off-net (off-peak)
|
|||||||
|
Mobile to fixed video calls
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Off-net (peak)
|
||||||
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Off-net (off-peak)
|
|||||||
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Mobile to Mobile SMS
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On-net (peak)
|
||||||
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On-net (off-peak)
|
|||||||
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Off-net (peak)
|
|||||||
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Off-net (off-peak)
|
|||||||
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Mobile to fixed SMS
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On-net (peak)
|
||||||
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On-net (off-peak)
|
|||||||
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Off-net (peak)
|
|||||||
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Off-net (off-peak)
|
|||||||
|
Mobile to Mobile MMS
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On-net (peak)
|
||||||
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On-net (off-peak)
|
|||||||
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Off-net (peak)
|
|||||||
|
Off-net (off-peak)
|
|||||||
|
International mobile to mobile video calls
|
Voice calls (peak) <please specify country or country grouping>
|
||||||
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Voice calls (off-peak) <please specify country or country grouping>
|
|||||||
|
International mobile to fixed voice calls
|
Voice calls (peak) <please specify country or country grouping>
|
||||||
|
Voice calls (off-peak) <please specify country or country grouping>
|
|||||||
|
International mobile to mobile video calls
|
Voice calls (peak) <please specify country or country grouping>
|
||||||
|
Voice calls (off-peak) <please specify country or country grouping>
|
|||||||
|
International mobile to fixed video calls
|
Voice calls (peak) <please specify country or country grouping> |
||||||
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Voice calls (off-peak) <please specify country or country grouping> |
|||||||
|
International mobile to mobile SMS
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SMS (peak) <please specify country or country grouping>
|
||||||
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SMS (off-peak) <please specify country or country grouping>
|
|||||||
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International mobile to fixed SMS
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SMS (peak) <please specify country or country grouping>
|
||||||
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SMS (off-peak) <please specify country or country grouping>
|
|||||||
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International mobile to mobile SMS
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MMS (peak) <please specify country or country grouping>
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||||||
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MMS (off-peak) <please specify country or country grouping>
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2.6 Pay TV subscription tariff template
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Period |
Period |
Period |
Period
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Name of package
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Number of channels (attach a list and short description of the channels)
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Monthly subscription fee
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Connection fee
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Re-connection fee
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Fee per out-of-bundle channel(s)
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| 3. | I, .................................................................., in my capacity as ................................... hereby verify that the information provided is true and correct. |
| 4. | Signature |
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Signature
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|||
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Designation
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Date
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