PLDT HOME FIBR ONLINE CUSTOMER APPLICATION FORM

PLDT HOME FIBR ONLINE CUSTOMER APPLICATION FORM

This is a PLDT service online application form through a PLDT authorized sales agent. Processing of your application begins only upon the submission of one valid ID with 3 specimen signature and a selfie holding with your valid ID. Please review out Terms of Use. https://perfmon.pldthome.com/termsofuse
Choose a Plan (Note* All Plans are Lock-In 36 Months, NO CASH OUT EXCEPT Hotspot Area through Validation and Credit Check).*
Subscriber's Full Name (First Name, Middle Name, Last Name)*
Birthdate (MM/DD/YYY)*
Email Address*
ID Type Provided*
ID Number*
Contact Mobile Number*
In case we can't reach you, who can we contact? (Full Name, Relationship, Contact Number)*
Home/Installation Address (Unit/House No., Street Name, Village/Subdivision/Purok, Barangay, City/Municipality, Province, Postal Code) *
Nearest Landmark and Meters away from Home Address*
Assisted by Sales Agent*
Facebook Profile Name*
Attached 1 Primary Valid ID with 3 Specimen Signature, with Printed Name & Fiber Plan. (Valid ID must be clear & readable. Please upload a high quality photo of your valid. See example below)*

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Attached the BACK of the Valid ID if National ID or PRC with Printed Name & Fiber Plan. (Valid ID must be clear & readable. Please upload a high quality photo of your valid. See example below)

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Provide a Selfie with your valid ID. (Valid ID must be clear. Please upload a high quality photo of your valid. See example below).*

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Should be Empty: