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Telecom Terminal Equipment Sample Recovery Form

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Telecom Terminal Equipment Sample Recovery Form Powered By Docstoc
					    The Hashemite Kingdom of Jordan                             ‫ﺍﻟﻤﻤﻠﻜﺔ ﺍﻻﺭﺩﻨﻴــﺔ ﺍﻟﻬﺎﺸﻤﻴــﺔ‬
    Telecommunications Regulatory Commission             ‫ﻫﻴﺌــﺔ ﺘﻨﻅﻴــﻡ ﻗﻁــﺎﻉ ﺍﻻﺘﺼــﺎﻻﺕ‬


    (Form# STA1-4, rev.1)

               Telecom Terminal Equipment Sample Recovery Form

    Date: …………………………………
    Recipient Name: …………………………………...………………………………….…………..
    Representative of Company/ Custom ……………………………………………………….
    I have received the samples mentioned below which previously submitted to the
    Telecommunication regulatory Commission for testing purposes according to
    the commission in notice # …………………. Date ……………..

      Equipment               Brand            Model    Quantity            Country
        Name                                                                of Origin
1
2
3
4
5
6
7
8
9




    Recipient Identity                                         Signature




    1/9/2004                                                                             1/1

				
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