| 1.0 Application Packages |
| * Type of Package |
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| * UniFi Package |
|
| 2.0 Application Details |
| * Company Name |
|
| * Company Registration No. |
|
| * Applicant Name |
* as per NRIC / Passport |
| * ID Type |
|
| * NRIC(New) |
E.g. 830219431234 |
| ID No. |
For Passport, Military and Police ID No. |
| * Property Type |
|
| * Country |
|
| * Mobile No |
E.g. 0123211234 |
| Contact No |
E.g. 0392832020 |
| * Email |
|
| * Installation Address |
|
| * Town |
|
| * Postcode |
|
| * State |
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| 3.0 Additional Information |
| * Preferred UniFi ID |
1, 2, 3, (Minimum 5 characters, maximum 20 characters) |
| * Preferable email domain |
1,
2,
3,
Please note that customer may add a FREE Web Hosting package once UniFi service is activated. |
| * Preferred Installation Date |
Note: Installation might take 7 - 8 hours to complete, so please make sure the installation date and time.
Installation date & time is subject to slot availability. The earliest date is 5 days after form submission |
| |
Existing TM customer, please fill in the following: Please walk in TM Point to terminate Streamyx after UNIFI installed |
| Business Broadband Login ID |
|
| TM Businessline No. |
|
| Remarks |
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| 4.0 Supporting Documents |
| 1. |
* The file size is limit to 1Mb. |
| 2. |
|
| 3. |
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| 5.0 Verification Purpose |
| * Security Code: |

Enter the characters as seen on the image above (case sensitive):
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