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