Airtime Claim Form

Only forward claims to I.T Department if your registered number did not receive your monthly allocation of airtme or your team provided modem was not credited with internet bundle for a particular month. Make sure you send the claim before the 6th day of that particular Month.

Name Name First Last
Email
If Phone not Credited ,Enter Number
If Modem not credited enter /IMEI number

The EMEI number is found underneath the Battery
Channel
Outreach Team Name /EN Team
Terms and Conditions

Terms and Conditions I agree by the above information provided that i did not receive airtime / data bundle on my mobile phone or Internet modem.