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UNIFI BIZ APPLICATION FORM
Please complete this form and choose your interested package. Please contact us at +6019-6299 666 for any enquiries.
I. APPLICATION PACKAGE
Type of application
*
Please select
New
Migration
Unifi package
*
Please select
BIZ 5Mbps (Dynamic IP) RM199per/month
BIZ 10Mbps (Dynamic IP) RM289per/month
BIZ 20Mbps (Dynamic IP) RM359per/month
BIZ 10Mbps (Static IP) RM599per/month
BIZ 20Mbps (Static IP) RM899per/month
II. APPLICATIONS DETAILS
Company name
Company registration No.
Applicant Name
*
First
Last
NRIC No.
*
Installation Address
*
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Antigua and Barbuda
Aruba
Bahamas
Barbados
Belize
Canada
Cayman Islands
Cook Islands
Costa Rica
Cuba
Dominica
Dominican Republic
El Salvador
Grenada
Guatemala
Haiti
Honduras
Jamaica
Mexico
Netherlands Antilles
Nicaragua
Panama
Puerto Rico
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Trinidad and Tobago
United States
Argentina
Bolivia
Brazil
Chile
Colombia
Ecuador
Guyana
Paraguay
Peru
Suriname
Uruguay
Venezuela
Albania
Andorra
Armenia
Austria
Azerbaijan
Belarus
Belgium
Bosnia and Herzegovina
Bulgaria
Croatia
Cyprus
Czech Republic
Denmark
Estonia
Faroe Islands
Finland
France
Georgia
Germany
Greece
Hungary
Iceland
Ireland
Italy
Kosovo
Latvia
Liechtenstein
Lithuania
Luxembourg
Macedonia
Malta
Moldova
Monaco
Montenegro
Netherlands
Norway
Poland
Portugal
Romania
San Marino
Serbia
Slovakia
Slovenia
Spain
Sweden
Switzerland
Ukraine
United Kingdom
Vatican City
Afghanistan
Bahrain
Bangladesh
Bhutan
Brunei Darussalam
Myanmar
Cambodia
China
East Timor
Hong Kong
India
Indonesia
Iran
Iraq
Israel
Japan
Jordan
Kazakhstan
North Korea
South Korea
Kuwait
Kyrgyzstan
Laos
Lebanon
Malaysia
Maldives
Mongolia
Nepal
Oman
Pakistan
Palestine
Philippines
Qatar
Russia
Saudi Arabia
Singapore
Sri Lanka
Syria
Taiwan
Tajikistan
Thailand
Turkey
Turkmenistan
United Arab Emirates
Uzbekistan
Vietnam
Yemen
Australia
Fiji
Kiribati
Marshall Islands
Micronesia
Nauru
New Zealand
Palau
Papua New Guinea
Samoa
Solomon Islands
Tonga
Tuvalu
Vanuatu
Algeria
Angola
Benin
Botswana
Burkina Faso
Burundi
Cameroon
Cape Verde
Central African Republic
Chad
Comoros
Democratic Republic of the Congo
Republic of the Congo
Djibouti
Egypt
Equatorial Guinea
Eritrea
Ethiopia
Gabon
Gambia
Ghana
Gibraltar
Guinea
Guinea-Bissau
Cote d'Ivoire
Kenya
Lesotho
Liberia
Libya
Madagascar
Malawi
Mali
Mauritania
Mauritius
Morocco
Mozambique
Namibia
Niger
Nigeria
Rwanda
Sao Tome and Principe
Senegal
Seychelles
Sierra Leone
Somalia
South Africa
Sudan
Swaziland
United Republic of Tanzania
Togo
Tunisia
Uganda
Zambia
Zimbabwe
Country / Region
Property Type
*
Landed
High Rise ( 5 Storey Above)
Mobile No.
*
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###
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Other Phone
Email
*
Preferred Service ID
Minimum 5 to maximum 20 characters
Preferred Communication
*
Mobile
Email
Mail
Office Phone
Preferred Billing Method
*
Please select
E-Mail ( Free)
Itemised Paper Bill (RM8per/month)
(For existing TM Customer Only)
Please select
Keep Both Service
Terminate Streamyx Only
Terminate Both Streamyx and businessline
Not applicable for new registration
Current TM Business Line (For existing TM Customer Only)
Not applicable for new application
III. SUPPORTING DOCUMENTS
NRIC APPLICANT (FRONT)
*
NRIC APPLICANT (REAR)
*
FORM 9
FORM 24
FORM 49
IV. OFFICE USE ONLY
Agents/ Re-seller/ Introducer
REMINDER / PERINGATAN
1. ALL APPLICATION IS UNDER TM TERMS AND CONDITIONS ( SEMUA APLIKASI TERTAKLUK KEPADA TM TERMA DAN SYARAT)
2. OUR OFFICE ADMIN WILL CONTACT APPLICANT FOR FURTHER DOCUMENT SUCH AS NRIC;
-NRIC PHOTOCOPY BOTH SIDE X 1
-BORANG PENDAFTARAN PERNIAGAAN
3. PLEASE DO PREPARE A 4WAY 3POINT SOCKET DURING INSTALLATION FOR UNIFI EQUIPMENT USAGE (SILA SEDIAKAN SOKET 3 KAKI SEMASA PEMASANGAN UNTUK KEGUNAAN PERALATAN UNIFI)
4. 24MONTHS CONTRACT (KONTRAK 24BULAN)
5. HyppTV IS NOT APPLICABLE FOR UNIFI BUSINESS PACKAGE (HyppTV TIDAK DIBERIKAN UNTUK PAKEJ PERNIAGAAN UNIFI
6. ALL EQUIPMENT COMES WITH 12MONTHS WARRANTY (KESEMUA PERALATAN DIBERIKAN 12BULAN JAMINAN)
7. ALL EQUIPMENT AND BASIC INSTALLATION IS FREE (KESEMUA PERALATAN DAN PEMASANGAN BIASA ADALAH PERCUMA)
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