Registration form for a single Issuer Identifier Number for the International telecommunication charge card To be returned with registration fee to: INTERNATIONAL TELECOMMUNICATION UNION TELECOMMUNICATION STANDARDIZATION BUREAU PLACE DES NATIONS, CH-1211 GENEVE 20, SWITZERLAND FAX: +41 22 730 5853 A. TO BE COMPLETED BY APPLICANT (Card Issuer) Name or organization VIVEX OÜ Address to be registered (maximum two lines, 30 characters per line) Liimi 1, 10621, Tallinn, Estonia Principal contact in organization Evgeny Kirichenko Telephone number + 372 524 8098 E-mail
[email protected] Fax number + 372 620 7505 Address for correspondence Liimi 1, 10621, Tallinn, Estonia Effective date of usage or cancellation 17.11.2016 Date Signature In signing this form, the applicant accepts that further IINs will not be assigned to identify products, services, technologies or geographic locations. B. TO BE COMPLETED AND APPROVED BY THE TELECOMMUNICATIONS ADMINISTRATION¹ ⁾ OR DULY AUTHORIZED COORDINATING ORGANIZATION a) Action requested(check appropriate box) Registration -- or Cancellation X b) Major industry identifier (MII): 89 c) Country code (CC): 372 (according to the List, Complement to ITU-T Rec. E. 164) d) Issuer identifier number : 08 (according to ITU-T Rec.E.118) Name of approving organization ESTONIAN TECHNICAL REGULATORY AUTHORITY Date Signature C. TO BE COMPLETED BY ITU (CENTRAL REGISTRATION AUTHORITY) Issuer Identification Number registered or cancelled 8 9 Date: ¹ ⁾ and/or Operating Agency (OA). METHOD OF PAYMENT (Please specify the form of payment used) -15240 135255 0 0 Switzerland: to ITU’s current postal account, Geneva 12-50-3; -8890 52705 0 0 All other countries: - by International Money order, or - by bank transfer to UBS SA, ITU Geneva, Geneva (Switzerland) ITU Account No. 240-C8765565.0 (Payment may also be effected by a cheque made out in another currency freely convertible into Swiss francs, provided that the cheque, when cashed and converted, will cover the amount of the registration fee in Swiss francs.) 3928745 130810 0 0 3042285 113030 0 0 5775960 106045 0 0 -15240 129540 0 0 By credit card EUROCARD-MASTERCARD VISA AMERICAN EXPRESS Credit card number:----------------------------------------- Valid date: --------------------------------------------- Holder’s name: ---------------------------------------------- Signature: ---------------------------------------------- (This form must be signed if you pay by credit card.) Please note : Letters of credit are not accepted.
International Telecommunication Union ITU Telecommunication Standardization Bureau Place des Nations , CH-1211 Geneva 20 Our 01.17 No 23-1/17-0119- Subject : Notification of Withdrawal of Issuer Identifier Number (IIN) ( according to ITU-T Rec . E. 118) Dear Madam/ Sir Estonian Technical Regulatory Authority herewith would like to inform you that Issuer Identifier Number (IIN) 89 372 08 allocated to Vivex OÜ is withdrawn in Estonia ( for further details please refer to the annex on 1 page). Yours sincerely , Raigo Uukkivi Director General Attachment : 1 page Kai Remmelkoor +372 667 2077
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