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Form I
Deployment Conformation for an IBN assignment for a shared HNI
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IMSI Block Number(s)
Assigned to
Is deployed effective (date)
SAS Authorization: Email verification of SAS Registration to IMSI-A at IMSIadmin@iconectiv.com.
SAS Administrator
Address
Phone
Email
Submission of applications via the IMSI Admin website indicates that the applicant:
Certifies the accuracy of the information provided in this application
Leave this field blank
