If the customer details are not entered correctly this porting order will be rejected as the customer details are required for the IPND database.
Please add the numbers to be ported below using a single line per number/range
I confirm that the customers contact details are correct and have the authority from the customer to port the above numbers listed on this form.
I am Authorised
Phone: +61 3 9978 7968Email: firstname.lastname@example.org
Phone: +61 8 6478 3636Email: email@example.com