Fields marked with an asterisk * are required

 1.0 Application Packages
* Call Plan
* Company Name
* Company Registration No.
* Applicant Name
* NRIC (New)    E.g. 830219431234
  NRIC (Old)    Elder than 1978, please provide Old IC No.
* Email
  Reference No.    E.g. Nearest telephone number
Provide neighbour number will help process faster.
 2.0 Application Details
* Installation Address    For TM bill
* Town
* Postcode
* State
 3.0 Installation Information
* Contact Person
  Contact No.    E.g. 0392832020
* Mobile No.    E.g. 0123211234
  Remarks
 4.0 Supporting Documents
1.      * The file size is limit to 1Mb.
2.  
3.  
 5.0 Verification Purpose
* Security Code:
Enter the characters as seen on the image above (case sensitive):
 
     

This application form is provided in a secure environment and to help protect against fraud your current IP address (38.107.179.224) is being logged.
 
Important Remind:

*** A copy of the individual's identity card (both sides).
*** For Streamyx Enterprise and Corporate:
      (i)  Sole proprietor or partnership - EITHER a copy of the Customer's business license, Forms D, B and A;
      (ii) Company - either a copy of Form 9, Form 49, Form 24 and Form 13.
*** Business Broadband Application Form (with Company Stamp and signature). Click to download form
*** If you haven't upload the supporting documents, you can email (enquiry@nkzone.com.my) to us later.
*** We ONLY will process your application after received related documents.