Application Form
Type of Application
*
Please Select
New (UniFi)
New (Streamyx Only)
New (Streamyx + Fixed Line)
Upgrade
New (Maxis)
New (TIME)
Packages
*
Please Select
UniFi Home 30Mbps (NO FREE CALL + NO UniFi TV) @ RM89
UniFi Home 30Mbps (FREE CALL + UniFi TV) @ RM139
UniFi Home 50Mbps (NO FREE CALL + NO UniFi TV) @ RM99
UniFi Home 100Mbps (NO FREE CALL + NO UniFi TV) @ RM129
UniFi Home 100Mbps (FREE CALL + UniFi TV) @ RM159
UniFi Home 300Mbps (FREE CALL + UniFi TV) @ RM199
UniFi Business 30Mbps (FREE CALL RM70 Local & National - VDSL Only) @ RM139
UniFi Business 100Mbps (FREE CALL RM30 Local & National) @ RM139
UniFi Business 30Mbps (FREE CALL RM50 Local & National) @ RM249
UniFi Business 50Mbps (FREE CALL RM50 Local & National) @ RM299
UniFi Business 100Mbps (FREE CALL RM70 Local & National) @ RM349
UniFi Lite (Mega Value 4.0M) @ RM69
UniFi Lite (Mega Value 8.0M) @ RM69
UniFi Lite 10Mbps (SUBB) + Aneka (Q2 2018) @ RM129
UniFi Lite 10Mbps (SUBB) + Ruby (Q2 2018) @ RM129
UniFi Lite 10Mbps (SUBB) + Varnam (Q2 2018) @ RM129
UniFi Lite 10Mbps (SUBB) + Ultimate (Q2 2018) @ RM159
Maxis Home Fibre Internet 30Mbps [RM89/month]
Maxis Home Fibre Internet 30Mbps + Unlimited Domestic Phone Call [RM99/month]
Maxis Home Fibre Internet 100Mbps [RM129/month]
Current Package
Full Name / Company Name
*
IC Number / Company No.
*
Contact No.
*
Email Address
*
Installation Address
Type of Property
Landed (Terrace, etc)
High Rise (More than 5 storey)
Existing Streamyx Login ID (For Upgrade Only)
Existing Home Phone Number (For Upgrade Only)
Preferred User ID
Preferred User ID # 2
Keep Existing Line & Number?
Yes (Under same owner name)
Yes (Different owner name, RM25/month)
No
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