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Contract Assignment Application Form

The document is a Contract Assignment Application Form for the transfer of fixed, mobile, and television service contracts. It requires identification details of both the assignor and assignee, along with consent for data processing and communication. Additional documentation is needed for the assignment process, and acceptance of the assignment includes the transfer of rights and obligations related to the contracts.

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0% found this document useful (0 votes)
8 views6 pages

Contract Assignment Application Form

The document is a Contract Assignment Application Form for the transfer of fixed, mobile, and television service contracts. It requires identification details of both the assignor and assignee, along with consent for data processing and communication. Additional documentation is needed for the assignment process, and acceptance of the assignment includes the transfer of rights and obligations related to the contracts.

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

Contract Assignment Application Form

Uniform Conditions
Customer Experience Management
Code: CLI-FT-01010401

Filing date:

Customer contact phone


that gives way line:
Customer contact phone
that accepts assignment:

I _______________________________________________ as a natural person o


Legal Representative (Authorized Contact) of ______________________________, NIT X
Number ________________.

Identified with CC_X_ CE__ Number ___________________________ I request to expedite the procedure
corresponding to the Assignment of contracts for the provision of fixed, mobile, and telephone services.
Television, which I relate to below:

MOBILE: TELEPHONE LINES SUBJECT TO ASSIGNMENT


LINE NUMBER

FIXED: TELEPHONE LINES AND BROADBAND SUBJECT TO ASSIGNMENT


LINE NUMBER

TV:

CARD NUMBER OR ACCOUNT NUMBER (PAYMENT REF)

If Movistar accepts the assignment, it transfers all rights and obligations arising from the
corresponding contracts and implies that the additional services and obligations are also assigned

3.0 13/01/2017
V
Contract Assignment Request Form
Uniform Conditions
Customer Experience Management
Code: CLI-FT-01010401

in effect at the time of the assignment, such as unamortized values of the commitment clauses
minimum current balances and unpaid consumption at the time of the transfer.

ACCEPTANCE OF THE ASSIGNMENT

_____________________________________ As an individual or Legal Representative of


______________________________________, Identified with ID __ CE__NIT_X__ Number
I ACCEPT the assignment of the contracts listed above and/or
related in the attached document, under the conditions indicated by the assignor, and the transfer costs
corresponding (if applicable).

For the purposes of the study of the assignment by Colombia Telecomunicaciones S.A. ESP, I attach the
following documents

Chamber of commerce valid for a maximum of 30 days from the company transferring the line.
Photocopy of the ID at 150% of the legal representative or Authorized Contact with AD profile of the company
who surrenders and who delivers (natural person)
Transfer format
Likewise, I authorize Telefónica (Av. Suba No.114 A-55 in Bogotá, tel. 091 7050000) to collect,
store, preserve, use, delete, update, share, and circulate my personal data to third parties, from
demographic, economic, biometric, service, commercial, and locational order; for obtaining and
provision of information related to compliance with my obligations and the calculation of economic risk or
creditcio (irrevocably), the publication of telephone directories, the prevention and control of
frauds, and for personal benefit or that of third parties with whom Telefónica has entered into an agreement for sending and
receipt of any type of information, for commercial or advertising purposes in Colombia or in the
exterior. The information for calculating credit risk can be consulted at any operator of
database, for the financial entities with which Telefónica enters into commercial agreements in
Please refer to the holders. I have the right to know, update, rectify, delete the data, and revoke the
authorization except for legal exceptions. Biometric data is sensitive data and I have been informed of
that I am not obliged to authorize its processing. These will be used for identity verification and
contract subscription.

Assignor and assignee agree to receive communications and notifications at the following address:

________________________________________________________________________________________
_

V
Contract Assignment Application Format
Uniform Conditions
Customer Experience Management
Code: CLI-FT-01010401

3.0 13/01/2017

IDENTIFICATION DOCUMENT
CLIENT WHO GRANTS:

___________________________________________
__________________________________________ LANDLINE PHONE
FIRM
_________________
CELLULAR
______________________________________
CLIENT NAME
_________________________

____________________________________
IDENTIFICATION DOCUMENT

________________
LANDLINE PHONE

________________________
CELL PHONE

_________________________________
ADDRESS

CLIENT WHO ACCEPTS ASSIGNMENT:

__________________________________________
COMPANY

_________________________________________
CLIENT NAME

__________________

V
Contract Assignment Request Format
Uniform Conditions
Gerencia Experiencia Clientes
Code: CLI-FT-01010401

ADDRESS

3.0 13/01/2017
ANNEX TO TRANSFER MORE LINES

ESN PLAN TEAM BRAND

CELLULAR INVOICE PAYMENT

DD/MM/YY DD/MM/YY
DD/MM/YY DD/MM/YY

DD/MM/YY DD/MM/YY

DD/MM/YY DD/MM/YY

DD/MM/YY DD/MM/YY

DD/MM/AA DD/MM/AA

DD/MM/YY DD/MM/YY

V
Contract Assignment Request Form
Uniform Conditions
Customer Experience Management
Code: CLI-FT-01010401

DD/MM/YY DD/MM/YY

DD/MM/YY DD/MM/YY

DD/MM/AA DD/MM/AA

DD/MM/YY DD/MM/YY

DD/MM/YY DD/MM/YY

DD/MM/YY DD/MM/YY

DD/MM/YY DD/MM/YY

DD/MM/YY DD/MM/YY

DD/MM/YY DD/MM/YY

DD/MM/YY DD/MM/YY

DD/MM/YY DD/MM/YY

DD/MM/YY DD/MM/YY

DD/MM/YY DD/MM/YY

DD/MM/YY DD/MM/YY

DD/MM/YY DD/MM/YY

V
Contract Assignment Request Format
Uniform Conditions
Customer Experience Management
Code: CLI-FT-01010401

NUMBER LAST DATE (A)

3.0 13/01/2017
V

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