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["M2M - Work Request Form 4",{"$nulls":51},"Yes","Add","Yes","Amendment to an active number","Disconnection","Port In (Existing Acct.)","New Connection (Existing Acct.)","Immediate Disconnection"]
[{"$nulls":53},"Remove","No"]
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[" Select the below check boxes (where applicable) to highlight mandatory form fields :",null,null,"Partners Name:"]
[false,false,false,"Partners Code:"]
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[false,false,false,"Requested By:"]
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["Request Type (Select)","Customers Account Number","Agreement Number (Optional)","Mobile Number","New SIM Number","Existing SIM Number","Premium Call Bar (Add/Remove or N/A)","International Call Bar                    (Add/Remove or N/A)","Full Bar                    (Add/Remove or N/A)","GPRS Bar                    (Add/Remove or N/A)","IMEI Bar                    (Add/Remove or N/A)","Roaming Bar                    (Add/Remove or N/A)","Stolen Bar (Add/Remove or N/A)","SMS Bar ( Do not use unless in your T&C)","Adult Chat Bar                    (Add/Remove or N/A)","Username                                                                                           (Max 30 Chars)","Cost Centre                              (Max 20 Chars)","Tariff Code","Package Code","Data Number 1 (DC) (Add/Remove or N/A)","Data Number 2 (DE) (Add/Remove or N/A)","Data Number 3 (DH) (Add/Remove or N/A)","Data Number 4 (DK) (Add/Remove or N/A)","Data Number 5 (DJ) (Add/Remove or N/A)","Required APNs (Separate by comma)","IMEI","Add Service Code         (Separate by comma)","Remove Service Code         (Separate by comma)","PAC Code","Requested Port Date (DD/MM/YYYY)","Contract Term       (Months)","Contract Reference        (Max 20 Chars)","Lower Usage Limit","Upper Usage Limit","Allow Over 18 Content         (Yes/No or N/A)","SIM Refresh  (Yes/No or N/A)","Mobex Tariff"]