Mobile Number Portability Undertaking Form (For Enterprises)

Company Details

Company Name Registration Number Company Address

Authorised Signatory Details

Contact Number Email Address

Numbers to be Ported

Mobile Number	Service Provider	Account Number

Undertaking Statement

I/We, the undersigned, hereby confirm that all information provided above is true and correct. I/We have obtained the consent of end-users for number portability and accept the terms and conditions as set forth by the regulatory authority.

Signature

Name Date