SIM APPLICATION FORM

Informazione Di Cliente

SL No. Details Information
1 Company/Shop Name
2 Owner Name
3 Date of Birth (DD/MM/YYYY)
4 Address
5 Postal Code
6 Province
7 City
8 Country
9 Phone
10 Email
Carta di Identità - P. Soggiorno / National identity card:
Codice fiscal :
Shop License :