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Customer Contact Authorization Form

This document is a client contact form and authorization for sending requests through electronic means for a company. It authorizes a client contact to carry out procedures related to the contracted telecommunications services and specifies the types of allowed and not allowed requests. It also authorizes the use of email as a valid means for certain requests and establishes responsibilities regarding changes to contact information.

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0% found this document useful (0 votes)
8 views2 pages

Customer Contact Authorization Form

This document is a client contact form and authorization for sending requests through electronic means for a company. It authorizes a client contact to carry out procedures related to the contracted telecommunications services and specifies the types of allowed and not allowed requests. It also authorizes the use of email as a valid means for certain requests and establishes responsibilities regarding changes to contact information.

Translated by

ScribdTranslations
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

B02–Customer Contact Sheet and Authorization for Sending Requests via Medium

electronic

By means of this document, I ________________________________________________, identified with


I.D. No._________________, Legal Representative of the Name or Business Name
_____________________________________________________________ with R.U.C ________________
according to the power registered in the registration record No. ______________ of the Public Registry of Legal Entities
I hereby authorize the person identified in numeral 1 of this document to act within the framework of
any of the services contracted between América Móvil Perú S.A.C. and my represented party, specified in the
number 2, carry out and sign all the procedures, documents or operations directly related to the
provision of the contracted public telecommunications service, according to the details included in item 3.

1. CLIENT CONTACT
LAST NAME AND FIRST NAME - CLIENT CONTACT

IDENTITY DOCUMENT NUMBER CELLULAR PHONE

CARGO AUTHORIZED EMAIL (*)

The Legal Representative who signs this document is responsible for the security levels presented.
this email account, hereinafter referred to as Authorized Email.

2. SERVICE ON WHICH THE CUSTOMER CONTACT WILL ACT


x Mobile Services Fixed Services

x All accounts
Specify accounts or customer code

3. AUTHORIZED PROCEDURES OR OPERATIONS


The Customer Contact is authorized to request and/or subscribe by any applicable means.
Call Center -135, corporate advisor, the Authorized Email and/or through any Center
Customer Service of CLARO), any transaction regarding the services detailed in numeral 2,
including the detailed transactions in the following table, except for those that are expressly excluded
marking them in the column NO:
NO APPLICATION NO REQUEST
Purchase of new services and/or accessories. Request for replacement of SIM CARD service
and/or teams.
Request for line transfer between codes of the Variations in the control of additional consumption and
same client consumption limits in the bag plans
Request for Update and Change of Data Request for activation; suspension and reconnection
(Except RUC and Business Name) services
Equipment Configuration Request Request for exchange of receipts/invoices
Request for External/Internal Transfer Request to Change Number
Request for Union and Separation of receipts/invoices Request for consolidated traffic of Stock Plans
Financing Request(*) Request for new links (doors)
Change of Ownership(*) Service Information Request
Request for Plan Change or Additional Services Request to Block/Unblock calls to
cell phones, LDI, LDN
Request for Call Details Request for configuration in the service/equipment
Acquisition of equipment under special conditions to Purchase of BlackBerry software licenses
6, 12, 18 or 24 months and CEDE subscription Enterprise Server for use on servers of
respective (*) client
Request for unlocking recovered device Equipment Entry and Pickup for Technical Service
Quotation Validation for Outside Equipment Loan Equipment Request (**)
Guarantee
Approval of Equipment Repair Charge with Equipment change authorized by Service
Charge to the Receipt Technician
Portability (*)

Subject to the signing of the respective agreements and/or forms and/or the submission of the necessary documents.
(**) Applies if the customer previously submits their equipment to Technical Service. Service subject to stock availability.
The Legal Representative declares that they have read and fully accepted what is outlined in this document and
having received a copy of it, leaving evidence of this by signing.
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B02–Client Contact Sheet and authorization for sending requests through means
electronic

On the other hand, I declare that by virtue of article 141-A of the Civil Code, the Authorized Email will be
considered a valid means for carrying out procedures or operations requested by the customer contact
except for the transactions marked in numeral 3. Likewise, my represented party commits to
guarantee the proper use of the information that CLARO sends us through the aforementioned Email
Authorized, safeguarding the protection of the confidentiality of telecommunications.

Regarding this matter, in my capacity as Legal Representative, I acknowledge and accept that I am the sole responsible party.
to inform CLARO of any modification or revocation of the authorizations granted to the Contact
Client through this document, as well as to communicate to CLARO the designation of a new or different
Customer Contact; releasing CLARO from any direct responsibility without reservation or limitation whatsoever.
indirectly due to the administrative procedures that the Customer Contact may carry out while it has not been
communication to CLARO. Just as for the attention or sending of information in response to such requests,
expressly and in advance renouncing any compensation claim on the matter.

In this regard, any change to the Authorized Email Address that is presented or to the individuals
I will notify the specified in this document with no less than five (5) business days in advance.
and with a written document submitted to CLARO, through its Customer Service Centers and/or Advisor
Corporate Service, assuming in any case the responsibility arising from the omission of this
obligation.

Finally, I authorize Claro that when a new hiring of the mobile public service occurs
In the name of my represented party, please notify me at the Authorized Email.

NOTIFICATION YES NO

In the event that I choose the "NO" option, I declare that I am aware that this information will be sent via SMS to all
the lines registered under the RUC number of my represented party.

Signed in the city of ______________ on the ____ day of the month of _____________ of 20_____

First and last name of Signature of the Legal Representative Type and Document N°
Legal Representative THE CLIENT Identity
THE CLIENT

Name and Surname of Signature of the Legal Representative Type and Document No.
Legal Representative THE CLIENT Identity
THE CLIENT

To be filled out by Claro

Nro. de Caso: Date and Time Received by

Code Attention Channel

The Legal Representative declares that he has read and fully accepted what is outlined in this document and
having received a copy of it, hereby acknowledging it with their signature.
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