From:
Tony Prompong
To:
Emma Miles-Buckler
Subject:
Temp China mobile connection
Date:
Thursday, 26 September 2019 1:57:20 p.m.
Attachments:
Mobile request form.docx
image001.png
Hi Emma,
Can I get the attached form filled out please.
No need to fill out the mobile phone part, I have one here that we can us as a burner.
Regards
Tony Prompong
1982
Operations Advisor – IT Support 
IT Operations
Act 
E  [email address]
Wellington Office, Level 7, Radio New Zealand House, 155 The Terrace
PO Box 5501, Wellington 6145, New Zealand | T 04 462 4477 | M 027 271 8301
W  www.linz.govt.nz | data.linz.govt.nz
http://www.linz.govt.nz/sites/default/files/images/email-signature-v2.png
Official Information 
the 
under 
Released 

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LINZ Spark Mobile requests 
1)  GENERAL INFORMATION 
Name: 
 
Mobile 
 
Number: 
Job Title: 
 
Cost Centre 
for billing: 
___ ___ ___ ___  -  ___ ___ ___ ___  - 7151 
Location: 
 
1982
 
Act 
2)  CONNECTION TYPE (please circle) :      NEW (new sim card)   /      UPGRADE (no sim card required) 
Make & Model: 
 
Total cost: 
 
 
Information 
3)  ARE YOU PORTING your number from another service provider?    YES   /   NO 
 
If yes, please circle your provider and enter your sim number or account number below:       
                 Spark           Vodafone           2degrees            Other:______________ 
Official 
Prepaid customers                                                                   Bill pay customers 
SIM Number: 
 
the    Account Number:   
(check back of SIM card)  
 
 
 
           Customer signature for change of responsibility: ________________________________________ 
under 
 
4)  APPROVAL (Cost centre manager approval required, if a brand new connection DCE approval is also required) 
 
Managers Name: ____________________________________________ 
Released 
Managers Signature: _________________________________________ Date: ________________ 
DCE Name: ____________________________________________ 
DCE Signature: _________________________________________ Date: ________________ 

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