EmailMeForm
Postpaid XOX PreOrder & Auto Debit Form
Sebarang pertanyaan sila Whatsapp/SMS ke 011-38-272-555
JENIS PENDAFTARAN
Guna Nombor Baru XOX Postpaid
Kekalkan Nombor Lama Saya
Syarikat Telco Lama Anda
Maxis
Digi
Celcom
UMobile
Lain-Lain
Tidak perlu pilih jika guna nombor baru Postpaid XOX
Jika Selain Di Atas Sila Nyatakan
Isikan jika selain Maxis, Digi, Celcom dan Umobile
Nombor Yang Ingin Dikekalkan
Pakej Postpaid XOX Pilihan Anda
Pakej Pro 158
Pakej Ultra 108
Pakej Super 58
Kaedah Penghantaran Bil
Melalui Pos
Melalui Email
Email
Nama Penuh Mengikut IC
Nombor IC/Passport
ID Tentera/Polis
Tarikh Lahir
MM
/
DD
/
YYYY
Tarikh Lahir
Lelaki
Perempuan
Warganegara
Malaysia
Asing
PR
No Telefon
Yang aktif digunakan
Nama Ibu
Alamat Surat Menyurat
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
Nama Pemegang Akaun
Nama Bank
Nombor Akaun Bank
PILIHAN PEMBAYARAN BIL MELALUI KAD DEBIT/KREDIT
Isikan butiran kad debit/kredit anda atau kad debit/kredit third party.
Daftar Kad Debit/Kredit
Kad Debit Visa
Kad Debit Mastercard
Kad Kredit Visa
Kad Kredit Mastercard
Nama di Kad Debit/Kredit
Nombor di Kad Debit/Kredit
Tarikh Tamat Kad
MM
/
YY
Bank
Mesej
Auto Debit Form.
Dokumen yang diperlukan ialah
1) Gambar IC depan belakang (anda / third party)
2) Gambar kad debit / kredit depan sahaja (anda / third party)
3) Contoh tandatangan (anda / third party).
Snap menggunakan kamera dan hantar ke 011-38-272-555 menggunakan Whatsapp.
Anda akan dibawa ke ruangan kaedah pembayaran setelah menekan butang SUBMIT.
*Kami memberi jaminan dokumen anda selamat bersama kami.
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