| 1.0 Application Packages |
| * Call Plan |
|
| * 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):
|
