SIM Card Custody Transfer Document

SIM Card Details

SIM Card Number (ICCID)
Phone Number (MSISDN)
Operator/Provider
Type (Prepaid/Postpaid)
Device Assigned

Transferor (Current Holder) Details

Full Name
Department/Unit
Contact Number
Email

Transferee (New Holder) Details

Full Name
Department/Unit
Contact Number
Email

Transfer Details

Date of Transfer
Reason for Transfer
Remarks

Transferor Signature:

Date:

Transferee Signature:

Date: