P1 Wimax Application Form


Fields marked with an asterisk * are required
1.0 Application Packages
Type of Package
P1 Package
Type Of Modem
2.0 Applicant Details
Applicant Name    * as per NRIC / Passport
  Company Name
  Company Registration No.
  Type Of Business Sdn Bhd Bhd Partnership Sole Proprietor
ID Type
NRIC (New)    E.g. 830219431234
  ID No.    For Passport, Military and Police ID No.
Email
Mobile No.
  Contact No.    E.g. 0392832020
Installation Address
Town
Postcode
State
3.0 Additional Information
Billing Method By Email
By Post *Charges RM5 in Bill
Installation
  Remarks
4.0 Supporting Documents
1.      * The file size is limit to 1Mb.
2.  
3.  
 
Please click submit button if you agree with the Terms & Conditions
 
     

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How to register:
  1. Please make sure the you are within the coverage area.
  2. We will give you the P1 WiMAX registration form. Customer fill in all the required information and signature after that customer provide Photocopy IC (Both Side) and additional customer's supporting document to us.
  3. We will process the application once we receive the customer's document. Once the application is approve, we will send the modem to the you (about 3 working days).
  4. Customer is able to use P1 WiMAX once we pass the modem to the you.
 
For Individual Applicant
Main Supporting Document
  • Photocopy of NRIC (front and back)
  • Photocopy of Passport (only for Non-Malaysian)
2nd Supporting Document
  • Driving License or Credit Card or Student Card
 
For Business Applicant
  • Photocopy of authorized signatory's NRIC (Both Sides)/Passport (only for Non-Malaysian)
  • Form 9 and/or Form 13, 24 and 49 for private Company (Sdn Bhd)
  • Photocopy of authorized signatory's NRIC (Both Sides)/Passport (only for Non-Malaysian)
  • Form 8 and 23 for Public Company (Bhd)
  • Form D and A for Sole Proprietor
  • Form D and B for Partnership
  • To provide certification and/or document issued by relevant authorities for NGO/Association/Foreign Company/Embassy/Government
 
*** Upfront payment is RM100 and customer need to pay directly to us.
*** Within 7 days, customers can return the modems and terminate the service. However, a RM50 handling fee is charged for every return.
PAYMENT METHOD
Name: NG MUN PHIN
Account No: 114281060992
3rd Party Email : sales@mybroadband4u.com
Contact No. : 012-6906695

PAYMENT METHOD
Name: NG MUN PHIN
Account No: 14091374354529
3rd Party Email : sales@mybroadband4u.com
Contact No. : 012-6906695

 
 
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