Customer Provisioning Sign Off Form/Delivery Order
Customer Details
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Company Name
Customer No. (Project ID)
PMO Ref No.
Company Address
Customer Contact Number
Customer Email
Technical Contacts
Commercial Contact
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Commercial Contact Person
Commercial Contact Person Designation
Commercial Contact No.
Billing Address
Commercial Email
PO Number
PO Date
End User Details
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End User Detail
End User Contact Person
End User Designation
End User Contact No.
End User Email
Rack Details
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Move In Date
 -
Day
 -
Month
Year
2 digit day, 2 digit month, 4 digit year
Date
Number of Rack
Rack Number Assigned
Circuit Assigned
Cage Details
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Cage Size
Number of Rack in the Cage
Rack Number Assigned
Network Details
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Technical Contacts
For and on Behalf of Customer:
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Signed off By Customer (Signature)
Customer Signatory
Customer Signatory Designation
Sign Off Date (Customer)
 -
Day
 -
Month
Year
2 digit day, 2 digit month, 4 digit year
Date
For and on Behalf of PLTPRO:
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Signed off By PLTPRO (Signature)
PLTPRO Signatory
PLTPRO Signatory Designation
Sign Off Date (PLTPRO)
 -
Day
 -
Month
Year
2 digit day, 2 digit month, 4 digit year
Date
Submission Code
Submit
Should be Empty: