Cellphone Service Order Form

Traveler Information

First Name: *

Last Name: *

Home Address: *

Home Phone: *

Cellphone:

Email ID: *

Address in Delhi - NCR:

Local Phone in India (Landline):

Flight Information

Date of Arrival: *

Time of Arrival: *

Airline Name: *

Flight Number: *

Departure Date (approximate):

Proof of Identity

Identification Photograph:

Upload a passport size color picture of the traveler preferably with 300 DPI and in JPG format

Passport Photocopy:

Upload a scanned color image of the traveler's passport preferably with 300 DPI and in JPG format.

Visa Photocopy:

Upload a scanned color image of the traveler's Indian Visa preferably with 300 DPI and in JPG format. This is mandatory for travelers with foreign passports.

Important Contacts

You may optionally provide Names and Numbers of 5 Contacts you want us to store in the Phone

Name 1:

Phone Number 1:

Name 2:

Phone Number 2:

Name 3:

Phone Number 3:

Name 4:

Phone Number 4:

Name 5:

Phone Number 5:

Select your Package

Enter the quantity of each type of service you require.

Sim Only:

Gold:

Platinum:

Service Delivery: *

Please tell us where would you like your phone to be delivered. Enter "Airport" or a Delhi address

Additional Services:

For Additional Features such as Internet, Bluetooth, 3G Services or any other comment, please submit your request here.

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Cellphone Service Order Form