Questionnaire for Mobile Number Portability Section A Name: Mr.□ Ms.□ Full Name_____________________________________________ Age Group: □15-25 □25-35 □35-45 □45-55 □55-65 □>65 Marital Status: Single □ Married □ Working Status: □Student □House-Wife □Self Employed □Service Family Monthly Income: □1lac Average Monthly Expenditure (self only) on telecom services (in Rs.): □<200 □200-500 □ 500-700 □ >700 Educational Qualification: □Under Graduate □Graduate □ PG □ Professional □ Others Contact No.___________________ Section B | 
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