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Governorate*
 
Post Office*
 
PO Box Number *
 
Box Type *
 
Application Date *
Subscriber Name *
First Name *
 
Middle Name
Last Name *
 
Subscriber Category *
Grade *
 
Mobile Number *
+968
 
Email ID *
 
Subscriber Address *
Postal Code *
Building Number
Way Number
Town
Governorate*
 
Wilayat *
 
Office Address
Postal Code *
Building Number
Way Number
Town
Governorate*
 
Wilayat *
 
Number Of Years *
 
Remarks
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