Broadband Registration
Plan & Service Installation Details
Plan Selection
*
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Unifi Home Fibre
100.00
MYR
Plan
30Mbps (RM89/mo)
100Mbps (RM129/mo)
300Mbps (RM199/mo)
500Mbps (RM249/mo)
800Mbps (RM349/mo)
Contract Term
24 Months
Are you currently on Unifi Lite (Streamyx)?
No
Yes
Quantity
1
Unifi Business Fibre
100.00
MYR
Plan
100Mbps (RM139/mo)
300Mbps (RM249/mo)
500Mbps (RM299/mo)
800Mbps (RM349/mo)
Contract Term
24 Months
Quantity
1
TIME Home Fibre
Free
MYR
Plan
100Mbps (RM99/mo)
500Mbps (RM139/mo)
1Gbps (RM199/mo)
Contract Term
24 Months
No Lock In
Quantity
1
CityBroadband for Home
Free
MYR
Plan
50Mbps (RM79/mo)
100Mbps (RM99/mo)
500Mbps (RM139/mo)
1Gbps (RM199/mo)
Contract Term
24 Months
12 Months
Quantity
1
CityBroadband for Business
Free
MYR
Plan
50Mbps (RM99/mo)
100Mbps (RM129/mo)
500Mbps (RM259/mo)
1Gbps (RM3499/mo)
Contract Term
24 Months
12 Months
Quantity
1
Maxis Home Fibre
Free
MYR
Plan
30Mbps (RM89/mo)
100Mbps (RM129/mo)
300Mbps (RM149/mo)
500Mbps (RM219/mo)
800Mbps (RM299/mo)
Contract Term
24 Months
With Unlimited Calls?
No
Yes
Quantity
1
Maxis Business Fibre
Free
MYR
Plan
30Mbps (RM99/mo)
100Mbps (RM139/mo)
300Mbps (RM199/mo)
500Mbps (RM269/mo)
800Mbps (RM349/mo)
Contract Term
24 Months
With Unlimited Calls?
No
Yes
Quantity
1
Installation Address
*
Street Address
Street Address Line 2
City
State
Zip Code
Preferred Installation Date & Time
*
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Your Details:
Full Name (as per NRIC / Passport)
*
First Name
Last Name
Nationality
*
Please Select
Malaysian
Foreigner
Kindly note that a RM500 deposit is required for foreigner registration
NRIC Number
*
Key in all 0 if you’re a foreigner
Passport Number
*
Key in 0 if you’re a Malaysian
Contact Number
*
Alternative Contact Number
*
-
Area Code
Phone Number
Email
This email will be used for invoicing
Organisation Name
Leave this blank if you’re registering personal plans
Organisation Identification Number
Leave this blank if you’re registering personal plans
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Upload Documents
NRIC front / Passport
*
Browse Files
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NRIC back / Other ID
*
Browse Files
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Upload ROB/ROC/ROS documents
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Leave this blank if you’re registering personal plans
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Declaration
I hereby consent to the following;
*
The subscribed service is subjected to a contract term of 12 or 24 months where applicable and an early termination fee is applicable in the event of service termination prior to the contract mature date.
I have read, understand and agree to be bound by the Terms & Condition of the service by it's respective service providers.
I agree to pay any advance payment and/or deposit as stipulated in the terms of service within 10 days after service installation.
I hereby consent the service provider representative to proceed with the processing of my order.
Signature
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Other Relevance
Preferred contact method
*
Email
Call
WhatsApp
Other
In order to provide customer with the requested service, we need to store and process your personal data.
*
Agree to allow SHILL.ES (Startups Venture) to store and process customer's personal data.
Will you be willing to recommend us?
Yes
No
Refer and get rewarded RM50 cashback when your friend/family member successfully sign up with us.
Friend/Family Member's Full Name
Contact Number
1
2
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