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Backcell
    Backcell
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    Application form
    Application for partnership
    If you wish to cooperate with us, please submit the application form.
    1. Entrepreneur type
    2. Partner type
    3. Personal information
    Full name
    ID number
    Date of birth
    Address
    3. General information
    Experience in telecom segment
    Current work activities
    Shop address
    Area of the shop
    Other telco shops on the area
    Phone
    E-mail
    Comments