Customer Contact Authorization Form
Customer Contact Authorization Form
electronic
1. CLIENT CONTACT
LAST NAME AND FIRST NAME - CLIENT CONTACT
The Legal Representative who signs this document is responsible for the security levels presented.
this email account, hereinafter referred to as Authorized Email.
x All accounts
Specify accounts or customer code
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
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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