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Your personal data
{{errorMessages.title.required}} {{errorMessages.title.pattern}}
{{errorMessages.FirstName.required}} {{errorMessages.FirstName.pattern}}
{{errorMessages.LastName.required}} {{errorMessages.LastName.pattern}}
Installation address
{{errorMessages.StreetName.required}} {{errorMessages.StreetName.pattern}}
{{errorMessages.HouseNumber.required}} {{errorMessages.HouseNumber.pattern}}
{{errorMessages.Letter.required}} {{errorMessages.Letter.pattern}}
{{errorMessages.zipCode.required}} {{errorMessages.zipCode.pattern}}
{{errorMessages.cityName.required}} {{errorMessages.cityName.pattern}}
{{errorMessages.contact_number.required}} {{errorMessages.contact_number.pattern}}
{{errorMessages.CALLBACKCLI.required}} {{errorMessages.CALLBACKCLI.pattern}}
{{errorMessages.CALLBACKCLI.required}} {{errorMessages.CALLBACKCLI.pattern}}
{{errorMessages.MAILBACKADDR.required}} {{errorMessages.MAILBACKADDR.pattern}}
{{errorMessages.install_date.required}} {{errorMessages.install_date.pattern}}
{{errorMessages.select_product.required}} {{errorMessages.select_product.pattern}}
{{errorMessages.cable_present.required}} {{errorMessages.cable_present.pattern}}

A cable for the introduction looks like this :

A NTP socket or junction box (apartment) can give an indication that there is a cable for the introduction present :

* Mandatory fields
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