Cellphone Service Order Form Traveler Information First Name * Last Name * Home Address * Home Phone * Cellphone Email ID * Address in Delhi - NCR Local Phone in India (Landline) Flight Information Date of Arrival * Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year20162017201820192020 Time of Arrival * Hour Hour123456789101112: Minute Minute000102030405060708091011121314151617181920212223242526272829303132333435363738394041424344454647484950515253545556575859 am pm Airline Name * Flight Number * Departure Date (approximate) Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year20162017201820192020Proof of Identity Identification Photograph *Upload a passport size color picture of the traveler preferably with 300 DPI and in JPG formatFiles must be less than 2 MB.Allowed file types: jpg jpeg. Passport Photocopy *Upload a scanned color image of the traveler's passport preferably with 300 DPI and in JPG format.Files must be less than 2 MB.Allowed file types: jpg jpeg. Visa Photocopy Upload a scanned color image of the traveler's Indian Visa preferably with 300 DPI and in JPG format. This is mandatory for travelers with foreign passports.Files must be less than 2 MB.Allowed file types: jpg jpeg.Important Contacts Name 1 Phone Number 1 Name 2 Phone Number 2 Name 3 Phone Number 3 Name 4 Phone Number 4 Name 5 Phone Number 5 Select your Package Sim Only * Gold * Platinum * Service Information Service Delivery *Please tell us where would you like your phone to be delivered. Enter "Airport" or a Delhi address Additional Services For Additional Features such as Internet, Bluetooth, 3G Services or any other comment, please submit your request here.CAPTCHAThis question is for testing whether or not you are a human visitor and to prevent automated spam submissions. What code is in the image? * Enter the characters shown in the image.