Etisalat Nigeria SIM Swap

CUSTOMER INFORMATION


Kindly fill out the form below and click on the submit button. You will be required to confirm the provided information, after which you click on 'continue' for the information to be submitted. The fields marked * are mandatory.
Title:
First Name:	*
Last Name:	*
E-mail Address:	*
Birthday:	Day / Month *
Alternative number(s) Please provide an alternative phone number on which you can be reached during the day.	*
INFORMATION ON OLD LINE (STOLEN/LOST/DAMAGED)
Was your Etisalat line:	Stolen? Lost? Damaged?
Enter the phone number of the stolen/lost/damaged line	*
LINE OWNERSHIP VERIFICATION (CUSTOMER MUST ANSWER AT LEAST 2 QUESTIONS CORRECTLY)
How much credit did you load when you last recharged?	*
What 3 GSM numbers do you frequently dial? please insert the full phone number e.g 0809000000	*
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INFORMATION ON NEW LINE TO BE USED FOR THE SWAP
Please provide thenumber of the new line that you bought for this SIM SWAP	*
Please provide the serial number of the new line that you bought for this SIM SWAP. Remember that the Prepaid line has to be new, which you have NOT yet inserted into a handset. Phone number of the new line, starting with 0809, 0817 or 0818.		*