application form

Home Services

Serial No.:
Welcome to Etisalat
New Subscriber Upgrade/Modify e-Bill Bill statement language: Arabic English

Personal details
*Name of applicant Mr./Mrs./Ms.:
C/O: *P. O. Box: *Emirate: *Nationality:
*Mobile (1): Mobile (2): *Email:
*ID type: *ID No.: Expiry (dd/mm/yyyy):

Location
Building: Floor: Flat No.: Area: Makani ID:
City: Sector: *Working landline number in the same building:
Plot: Etisalat EID (located on ground floor entrance): Existing landline number in your name:
Transfer subscriber name:

*Mandatory

Application Summary
24 Months Contract Exit Charges – AED 500 within 1 year and AED 250 after year 1
*Minimum term eLife ValuePack
but before end of year 2. In addition any remaining device instalments
begins from the
Activation Date NEW eLife Unlimited 24 Months Fixed Term Contract Plan* No Commitment Option – Monthly Plan + AED 20/Month

eLife Starter – 389 eLife Unlimited Sports - 559 eLife Unlimited Entertainment - 599

Packs – Monthly eLife Unlimited Premium 250 – 1139 eLife Unlimited Premium 1G - 2850 ..........................................................................................................................

Rentals (in AED) eLife AnA Emarati Absher

Extras (Please refer to the Extras section in this and the
eLife Homat Al Watan
next pages) For free benefits, please refer to Etisalat Website

Discounts and period

for discounts (if any) Discount Description..............................................................................................................................................................................................................................................................................................................................................................

Special benefits /
allowances ...................................................................................................................................................................................................................................................................................................................................................................................................................................

*Exit charge - 1 month rental. Before contract expires (in the 24th month), re-commit to new 24 Months Fixed Term to enjoy the same prices or
you will be moved to the No Commitment Option from 25th month

Extras - (Amount per month in AED is mentioned beside each add-on)

TV (AED/Month) If TV only eLife Regular Box - 20 eLife Recorder Box - 40
A La Carte: eLifeON - 30

eLife Simple Add-on: Western Plus - 50

My GMA - 99 Russian - 100 French - 50 TRT - 20 Media Box - 30 English Club - 5

Other Packs:
Tamil Pack - 10 MAA TV - 10
Sports: beIN SPORTS Full Package - 110 Abu Dhabi Sports - 39
August 2018
 Internet (AED/Month)
Internet only: 10Mbps - 299 20Mbps - 399 50Mbps - 599
Internet username:
First choice: Second choice: Third choice:

Internet Speed Booster (AED 100/Month): eLife Password Recovery:

Norton Internet Security Subscription (in AED): One license - 15 Three licenses - 20

Home Phone (AED/Month)

Home Phone Only – 39 Addl. Home Phone Only – 39 Call Plus – 3
Code Control Barr - 15 (Int only) Code Control Barr - 15 (Nat. & Intl.) Call Barring PIN
1 fils/second international calls to 162 countries - 39 Unlimited National Calls to one country – 150* Country
Fixed to Mobile Plans: 200 Minutes – 49 500 Minutes – 99

eLife Value pack comes with a pre-activated voicemail service with no monthly rental. By default, calls are automatically forwarded to the voicemail
service when there's no answer on the home phone. To cancel this, please dial #61#. Accessing voicemail service by dialling 123 is chargeable at 30
fils/min. Please refer to our website www.etisalat.ae/homevoicemail for details.
*Please refer to www.etisalat.ae for details and fair usage policy

eLife Home Devices Gaming Devices & additional STBs/Routers/Home Telephones are outside eLife Value Packs
High Definition TV Box*: Upgrade to the recordable HDTV box+
Home Router Basic Instalments 10 One-off Payment 240
Wireless Home Router (AED/Month):
Home Router High End Instalments 22.5 One-off Payment 540
Wireless Home Telephone: Home Telephone Instalments 5 One-off Payment 120
Gaming Device: Sony Play Station 4 Pro Instalments 75 One-off Payment 1750
* Included by default in eLife Value Packs (Family, Sports, Entertainment and Premium)
+ eLife Family, only provides the non-recordable HD TV box

Other services
List name in telephone directory Technician visit Other

Safe custody: 1 month - AED 150 one-time payment 2 months - AED 250 one-time payment

From: To:

Your authorisation
I/We hereby confirm to Etisalat that I/We have the authority and/or permission to install the Etisalat Service in the abovementioned address and
hereby agree.

Customer signature: Date:

For official use only

Salesperson's name: Salesman's code: Contact no.:
A/c no.: Reseller code:
Request number: Serial number: Card number:
 Terms and Conditions
Home Services
1. INTRODUCTION solutions consult Etisalat customer services by using any of the (e) Customers who wish to subscribe to the Homat Al Watan or
These specific terms and conditions (“Service Specific Terms”) communications channels stated in Clause 30 of the General T&Cs the Absher Pack Additional Benefit are required to present a
apply in relation to the provision of the Service by Etisalat to (Consumer). valid Homat Al Watan or Absher card, as applicable. Etisalat
the Customer, in addition to the other constituent parts of the 7. CHARGES, BILLING & PAYMENT may store copy and details of this card for validation purposes.
Agreement between Etisalat and the Customer. (a) A termination Charge of AED 100 is payable by the Customer on (f) The free Homat Al Watan or the Absher Pack Additional Benefit
2. DEFINITIONS termination of an eLife Lite at any time. shall be available to the Customer as long as the relevant Homat
(a) “Agreement” means the entire contractual agreement between (b) The following early termination Charges are applicable if the Al Watan or Absher card presented to and stored by Etisalat is
Etisalat and the Customer, comprising the constituent parts set respective Service is terminated prior to the expiry of the still valid. Customers are to update their card no later than
out in Clause 3 of the General T&Cs (Consumer). Minimum Term: 30 days from the expiry of their expired card. If the Customer
does not provide the updated card within this thirty (30) days
(b) “Customer” means the person who purchases or subscribes to (i) eLife Starter, Unlimited Sports, Unlimited Entertainment, timeframe, the free Additional Benefit will be removed and the
the Service. Premium 250, Premium 1G: equivalent of one (1) month in Customer will be provided with the standard subscribed eLife
(c) “Etisalat” means Emirates Telecommunications Group Company monthly rental Charges; plan. Etisalat shall send notifications to Customers before the
and any of its wholly-owned subsidiaries. (ii) eLife Value Packs Family, Sports, Entertainment, Combo, expiry of the card.
(d) “Fixed Term Plan” means a plan where the Customer agrees Premium, Premium 500, Ultimate 1Gbps: AED 500 within the (g) The Customer may update the card by contacting Etisalat using
to purchase the Services for the term specified on the Service 1st year and AED 250 within the 2nd year of the Minimum any of the communications channels stated in Clause 30 of the
Application Form and for which a termination charge applies in Term respectively; General T&Cs (Consumer).
case of termination before said term. (iii) Home Voice Bundle: With respect to calling plans and value- 12. ETISALAT SELECT SERVICE
(e) “Monthly Term Plan” means plan where the Customer agrees to added services, the early termination Charge shall be calculated (a) To subscribe to Etisalat Select Service, the Customer
purchase the Services on a monthly rolling basis. as the number of months remaining until the end of the must have a landline telephone service from another UAE
Minimum Term multiplied by the difference between the rental telecommunications service provider and such service must be:
(f) “General T&Cs (Consumer)” means Etisalat’s general terms
of a standard rate plan (i.e. an equivalent rate plan without a (i) registered in the Customer’s name; or
and conditions for consumer (i.e. non-business) products and
Minimum Term) and the rental of the plan subscribed to by
services which are published on Etisalat’s website and are (ii) registered in the name of another person who is authorising the
the Customer in the Home Voice Bundle. With respect to the
available through the other communications channels referred Customer to subscribe to the Etisalat Select Service.
telephone device, the early termination Charge shall be equal
to in Clause 30 of the General T&Cs (Consumer).
to the remaining device instalments payable by the Customer. (b) The Etisalat Select Service can be used in two ways: (i) by
(g) “Minimum Term” has the meaning given to it in Clause 4(c). dialling the Etisalat Select prefix code (08877) before calling;
(c) All other Charges and tariff plans that apply to the Service are
(h) “Service” means the service from the list of services set out in set out on Etisalat’s website (www.etisalat.ae) and are available or (ii) by using an auto-dialer device.
Clause 4(c) to which the Customer has subscribed, as described upon request by using any of the communications channels (c) The Customer shall be responsible for all calls made using the
in more details in Clause 3. referred to in Clause 30 of the General T&Cs (Consumer). Etisalat Select Service from the Customer’s defined landline
3. SERVICE DESCRIPTION (d) Please see Clause 15 of the General T&Cs (Consumer) for the number. Etisalat will either bill the Customer separately for
These Service Specific Terms cover the fixed telecommunications other charges, billing and payment provisions that apply to the these calls, or include the charges for these calls in any other
services offered by Etisalat listed in Clause 4(c). Where the Service. account the Customer has with Etisalat.
Customer subscribes to more than one of the services listed in (d) The Customer will remain liable to the landline access provider
8. CUSTOMER CREDIT, ADVANCE PAYMENTS &
Clause 4(c), these Service Specific Terms apply separately to each for line rental, and any calls and services provided by the
DEPOSITS
service. landline access provider which are not part of the Etisalat
(a) Clause 24 of the General T&Cs (Consumer) applies to the
4. COMMENCEMENT & DURATION Service, regardless of whether or not it is a prepaid service. Select Service. It is the Customer’s responsibility to advise
(a) The Agreement is valid and binding on and from the date on Etisalat in case of a change to the landline number. Failure to
(b) Please see Clause 16 of the General T&Cs (Consumer) for the do so will not release the Customer from its responsibility to
which it is submitted to and accepted by Etisalat (the “Effective
other customer credit, advance payment and deposit provisions pay all call charges.
Date”).
that apply to the Service.
(b) The term of the Agreement (the “Term”) starts on the date on 13. TELEVISION CONTENT & PACKAGES
9. CHANGING THE SERVICE (a) Etisalat provides many hundreds of TV channels which are
which Etisalat makes the Service available to the Customer
In the event of any change of the subscription in the eLife service available through its various packages offered under its eLife
(“Activation Date”) and depends on whether the Customer has
during and or after the Minimum Term, the applicable upgrade/ services. Etisalat may, under prescribed guidance, monitor the
subscribed to a Monthly Term Plan or a Fixed Term Plan.
downgrade charges will apply. content of the TV channels presented and at times block or
(c) A minimum term (“Minimum Term”) applies to the Agreement if
10. INTELLECTUAL PROPERTY censor images or audio that are considered inappropriate under
a Customer is subscribed to the Services for a Fixed Term Plan. local standards. The Customer is advised to further monitor TV
The intellectual property in Etisalat’s products, services, TV channel
The minimum terms for the fixed telecommunications services content for their own preferences and utilise the available
packages, trademarks and in all forms of content created, acquired
covered by these Service Specific Terms are as follows: PIN-based parental control features included in the TV set-top
and/or distributed by Etisalat including directories, is owned and/
(i) eLife Lite , eLife – Double Play (internet and voice), eLife – or licensed by Etisalat. Such intellectual property and content boxes provided. Additional advice on TV content is available
Single Play (any one of IPTV, internet and voice), Etisalat Select may not be reproduced, redistributed or resold without the prior on request from Etisalat through one of the communications
Service, Al Shamil (internet): 12 months; written permission of Etisalat. channels stated in Clause 30 of the General T&Cs (Consumer).
(ii) eLife Triple Play (IPTV, Internet, Voice) Value Packs including 11. eLife ADDITIONAL BENEFITS: (A) eLife ANA (b) TV packages selected by Customers may be changed by Etisalat
Family, Starter, Sports, Unlimited Sports, Entertainment, EMARATI , (B) eLife HOMAT AL WATAN AND without notice. Pay Per View and Video On Demand are not part
Unlimited Entertainment, Combo, Premium, Premium 250, (C) ABSHER PACK of any packages and are chargeable separately.
Premium 1G, Ultimate 1G, other eLife – Triple Play (IPTV, The following additional terms and conditions apply to the eLife 14. SUSPENSION, DISCONNECTION OR
internet, voice), Home Voice Bundle: 24 months; AnA Emarati, eLife Homat Al Watan offers, each of which is an TERMINATION BY ETISALAT
(d) In the event there are any temporary-out-of-service periods optional additional benefit which a Customer can subscribe to Please see Clause 19 of the General T&Cs (Consumer) for
during the Minimum Term, such temporary-out-of-service subject to and in accordance with the below: the provisions governing the suspension, disconnection and
periods shall not be deemed part of the Minimum Term, (a) The eligibility criteria for the eLife additional benefits (each as termination of the Service or the Agreement by Etisalat.
accordingly the Minimum Term shall be automatically extended “Additional Benefit”) is as follows:
15. TERMINATION BY THE CUSTOMER
to cover the temporary-out-of-service periods. a. Only Emarati nationals are eligible for the eLife AnA Emarati
add-on; (a) If the Customer wants to terminate the Service, he/she must
(e) Not earlier than one (1) month before expiry of the Minimum give Etisalat prior written notice.
Term, the Customer may choose to subscribe to the same or b. Only members of the Ministry of Defence and UAE Armed
another Fixed Term Plan and/or Monthly Term Plan. Choice so Forces, with a valid Homat Al Watan card are eligible to the (b) The Customer acknowledges that, upon receipt of the
made can be changed up to the date of expiry of the Minimum eLife Homat al Watan; and Customer’s termination notice, it may take up to 30 days to
Term. In the event before the end of the Minimum Term, if the terminate the Customer’s account.
c. Only UAE Nationals holding a valid Absher card, issued by
Customer does not indicate a preference or does not terminate (c) If the Customer elects to terminate the Service before the end
the Ministry of Human Resources and Emiratization and who
the Agreement, the Service will be automatically renewed on of any applicable Minimum Term, a termination charge may
are under the Discounts and Special Offers Program for UAE
a month-to-month basis for which the Monthly Plan Charges be payable. Details of the applicable termination charges are
Nationals working in the Private Sector are eligible to the
will apply. set out at Clause 7 of these Service Specific Terms and are
Absher Pack.
(f) Customers subscribed to a Monthly Plan may migrate to an also available through the communications channels stated in
(b) Termination Charges of eLife are waived for Customers eligible Clause 30 of the General T&Cs (Consumer).
Fixed Term Plan by contacting Etisalat according to Clause 16
to benefit from the eLife AnA Emarati add-on or the Homat Al
of these Terms.
Watan add-on. Remaining instalment payments for a device, if 16. CONTACTING ETISALAT
5. CUSTOMER OBLIGATIONS & RESTRICTIONS any, are applicable. The Customer may contact Etisalat to discuss the Service (including
Please see Clause 8 of the General T&Cs (Consumer) for the these Service Specific Terms and the General T&Cs (Consumer), or
(c) Etisalat reserves the right to terminate the Customer’s access any other product or service offered by Etisalat, by using any of
provisions governing the Customer obligations and restrictions
to an Additional Benefit if it determined that the Customer the communications channels stated in Clause 30 of the General
that apply to the Service.
is no longer eligible for the Additional Benefit (including but T&Cs (Consumer).
6. ETISALAT’S OBLIGATIONS not necessarily limited to not possessing a valid card) or if
Etisalat will provide and operate the Service to the Customer based the Additional Benefit was obtained in a manner wilfully 17. VAT
on these Service Specific Terms together with the other constituent detrimental to Etisalat. Please see Clause (32) of the Gerneal T&Cs (Consumer) for the
parts of the Agreement, and in accordance with the law. provisions governing VAT Value Added Tax that apply to the
(d) Etisalat representatives shall have the right to request the Service.
Etisalat makes no guarantee on Wi-Fi coverage as external factors
customer to present a valid UAE ID or any other document for
outside its control can influence Wi-Fi reach. For extra coverage
identification purposes.