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Application Form - Maxis Home Fibre
No deposit and free installation
Maxis Home Package
*
Please select
10Mbps (Monthly fee : RM148, Speed : 10Mbps)
20Mbps (Monthly fee : RM198 Speed : 200Mbps)
30Mbps (Monthly fee : RM248, Speed : 30Mbps)
Applicant Name
*
IC Number
*
Old IC Number
Contact Number
*
E-mail Address
*
Installation Address
*
City
*
State
*
Poscode
*
Property Type
*
Please select
Landed
High Rise (5 Storey and more)
Preferred Installation Slot
*
Anytime
Weekdays only
Weekend
(For highrise property, please don't choose weekend)
Supporting Document
Both sides of IC is required. We can't process without your IC copy.
IC (Front side)
*
IC (Back side)
*
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