Security Policy - Not known at this address

Account Number:

T-Mobile Tel Number:

I hereby declare that I have never entered into the aforementioned telecommunications agreement with T-Mobile UK Ltd and have had no subsequent use of the equipment governed therein, nor have I authorised anyone to activate a mobile phone and secure the services of T-Mobile UK Ltd. I certify that the above information is accurate and complete, to the best of my knowledge and I agree that this document can be used in evidence if any proceedings are brought in respect of this case.

Account related issue Yes No

I understand that T-Mobile will submit my name and address to CIFAS. I further understand that my mother's maiden name will be loaded to CIFAS as a password and may be requested to verify my identity on future credit applications.

Please complete the following information to assist in our investigation, and prevent further misuse of your details.

* Full Name:

* Time at Current Address: / mm / yy

Current address:

* House No./Name:

* Street name:

* Town/City:

* Country:

* Postcode:

* Daytime Telephone Number:

Reply Email Address:

Previous address

* House No./Name:

* Street name:

* Town/City:

* County:

* Postcode:

* Daytime Telephone Number:

* How did you become aware of the 'T-Mobile' account?

* Do you know who may be responsible for opening the account?

Please confirm the Police Station visited (if reported) and any Crime reference Number given to you:

Security Policy - Not known at this address

Current address:

Previous address

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