TAIP AYAT SEPERTI DIBAWAH DAN SMSKAN KE 0174199521
Installation Address (Leave Blank if Same With the above Address)
1) Applicant Name As Per IC
2) Applicant IC No. (Ex. 770413015225)
3) Contact Person Name
4) Contact Handphone No.
5) Email address
6) Property Type (High-rise or Landed):
7) Address
Installation Address (Leave Blank if Same With the above Address)9) Application Type (New of Upgrade from Streamyx):
10) Unifi Package (Choose one only VIP5 : RM149, VIP10 RM199 or VIP20 RM249)
11) Preferred Login 1 (must be 6 characters alphanumerical)
12) Preferred Login 2
13) Preferred Login 3
14) Attached photocopy.
15) Tarikh dan masa (Contoh : 31/3/2012, 12:30 pm)
16) Setuju dengan terms and conditions.
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