Account HolderBusiness Name (if applicable) ABN (if applicable) Name* Dr.MissMr.Mrs.Ms.Prof.Rev. Prefix First Last Are you:* a new customer an existing Gnet.Live customer Gnet.Live account number*Address DetailsAddress* Address line 1 Address line 2 Town/suburb Australian Capital TerritoryNew South WalesNorthern TerritoryQueenslandSouth AustraliaTasmaniaVictoriaWestern Australia State Postcode Email* Date of Birth* MM slash DD slash YYYY Phone*FaxNumbersSingle Phone NumbersTelephone numberCat A or CCurrent carrierCurrent carrier’s account number Cat A for simple port (standard single number on a line), Cat C for complex port (A range of numbers, or an ISDN number)Range of Telephone NumbersFirst number in rangeLast number in rangeCurrent carrierCurrent carrier’s account number Phone Bill*A complete copy of your latest phone billLine hunt or ISDN* I understandIf you currently have a line hunt or ISDN service on your bill, please contact us to discuss the relevant details.Preferred cutover date* DD slash MM slash YYYY At least 4 business days from today if not provided then it is assumed to be required as soon as possible. Porting Hours are 8am to 5pm AEST/AEDST Monday to Friday, excluding National Public Holidays.Time* : Hours Minutes AM PM AM/PM Consent* I agreeI authorise for the telephone number(s) listed above to be ported to GNET Communications Pty. Ltd. I acknowledge that I am authorised to request the porting of the telephone number(s) listed on this form. I acknowledge that I have been advised that: x By porting the telephone number(s) listed on this form, the service associated with that telephone number is disconnected from the existing service provider’s network and may result in finalisation of the account for that service; x By porting the telephone number(s) listed on this form, any DSL/Spectrum Sharing service associated with that telephone number is disconnected and may result in finalisation of the DSL Spectrum Sharing account for that service; x Although I have the right to port the telephone number(s), there may be costs and obligations associated with the port which may include early termination fees and porting fees. Terms and Conditions x You must not deactivate your existing service when porting. Telephone numbers can only be ported while active. x It is the customer’s responsibility to ensure all details provided on this form are correct. Incorrect details may result in a failed port, which may incur additional failed porting fees. x You can only withdraw your authority to port this telephone number before the Electronic Cutover Advice is sent to your current Service Provider, which will be on or after the preferred cutover date specified in this form. x GNET Communications provides no guarantee that it can port your telephone number from your current Service Provider. Your current Service Provider may reject this port request if the information you provide is incorrect or does not match the data held by them. In this case you authorise GNET Communications to correct the information and resubmit the request to port your telephone number or dispute the rejection by your current Service Provider. A porting request may also be rejected for other reasons as stated in the LNP Industry Code. x GNET Communications provides no guarantee that the telephone number will be ported within any specified timeframe. Porting Hours of Operation are 8am to 5pm AEST/AEDST Monday to Friday, excluding National Public Holidays. Cutover can only be initiated at least 2 business days after the porting Notification Advice is sent by GNET Communications to your current Service Provider. If a port request is rejected and needs to be resubmitted, cutover cannot take place for at least another 2 business days after the request is resubmitted. x In the event of a port, withdrawal or reversal, GNET Communications is not responsible for any period of outage. x You may have outstanding contractual obligations and costs owed to your current Service Provider. GNET Communications is not liable for any such costs. x Only your telephone number will be transferred to GNET Communications. This may result in the loss of any Value Added Services that are associated with the service provided by your existing Service Provider (eg Voicemail). x If you wish to port your telephone number from GNET Communications to another Service Provider, then you must contact the other Provider. x GNET Communications reserves the right to charge a fee for porting your telephone number to or from GNET Communications or if porting request is rejected or fails for any reason. x Local Number Portability (LNP) does not guarantee you can keep your telephone number if you move to a different geographic location.Signature* Reset signature Signature locked. Reset to sign again Name* Dr.MissMr.Mrs.Ms.Prof.Rev. Prefix First Last Capacity* Customer Agent Authorised Representative By executing this Customer Authority the signatory warrants that they are authorised to sign this Customer Authorisation on the Customer’s behalf. This Customer Authorisation is valid for 90 calendar days from today.Comments Δ
