EmailMeForm
UniFi / Streamyx Online Registration
1] Details
Full Name 姓名
(as shown on I/C)
*
eg: Tan Ming Ming
I/C Number 身份证号码
*
e.g. 88092207xxxx
Home Tel No. (if applicable)
家里电话（如有）
eg: 04-3565305 (area code - phone number)
Handphone Number
联络号码
*
###
-
###
-
####
Billing Method:
(For Streamyx Only)
*All UniFi are E-Billing
Paper Billing (Extra RM5 Paper Billing Charges)
E-Billing (Customer must provide valid Email Address)
Email 邮址
*
Address 地址
(Installation address)
*
Internet status
安装状态
*
New installation 新安装
Upgrade 升级
Package name :
配套
*
Please select 请选
UniFi Pro 100Mbps + Ruby @ RM299
UniFi Pro 100Mbps + Aneka @ RM299
UniFi Pro 100Mbps + Varnam @ RM299
UniFi Pro 100Mbps + Jumbo @ RM329
UniFi Biz Pro 100Mbps @ RM379
UniFi Advance 30Mbps + Aneka + Voice 20 (Q2 2016 Campaign) @ RM199
UniFi Advance 30Mbps + Ruby + Voice 20 (Q2 2016 Campaign) @ RM199
UniFi Advance 30Mbps + Varnam + Voice 20 (Q2 2016 Campaign) @ RM199
UniFi Advance 30Mbps + Jumbo + Voice 20 (Q2 2016 Campaign) @ RM229
UniFi Advance Plus 50Mbps + Aneka + Voice 20 (Q2 2016 Campaign) @ RM249
UniFi Advance Plus 50Mbps + Ruby + Voice 20 (Q2 2016 Campaign) @ RM249
UniFi Advance Plus 50Mbps + Varnam + Voice 20 (Q2 2016 Campaign) @ RM249
UniFi Advance Plus 50Mbps + Jumbo + Voice 20 (Q2 2016 Campaign) @ RM279
UniFi BIZ Advance 30Mbps + SVP50 (Q2 2016 Campaign) @ RM299
UniFi BIZ Advance Plus 50Mbps + SVP50 (Q2 2016 Campaign) @ RM349
UniFi BIZ Pro 100Mbps + SVP70 (Q2 2016 Campaign) @ RM379
(Business) Streamyx OIAB me 4M Merdeka 2015 - RM248
(Business) Streamyx OIAB me 8M Merdeka 2015 - RM288
Streamyx 1.0M BIZFEST 2016 @ RM178
Streamyx 2.0M BIZFEST 2016 @ RM238
Streamyx 4.0M BIZFEST 2016 @ RM248
Streamyx 8.0M BIZFEST 2016 @ RM288
Streamyx BB Deal 384k RM60
Streamyx BB Deal 512k RM90
Streamyx BB Deal 1Mbps RM110
Streamyx BB Deal 2Mbps RM130
Streamyx BB Deal 4Mbps RM140
Streamyx BB Deal 8Mbps RM160
Business Broadband Biz Starter Pack (BSP) 1.0M - RM99
SOHO ADSL 1.0M - RM 148 per month
SOHO ADSL 1.0M - Office-in-a-box (Promotion) - RM198 per month
SOHO ADSL 2.0M - Office-in-a-box (Promotion) - RM258 per month
SOHO ADSL 4.0M - Office-in-a-box (Promotion) - RM268 per month
BIZ5 RM199 (5Mbps) - Dynamic IP
BIZ10 RM289 (10Mbps) - Dynamic IP
BIZ10 RM599 (10Mbps) - 1 Fixed IP
BIZ20 RM359 (20Mbps)- Dynamic IP
BIZ20 RM899 (20Mbps) - 1 Fixed IP
HyppTV please refer: http://fibremalaysia.blogspot.sg/2016/05/hypptv.html
Date Time
DD
/
MM
/
YYYY
HH
:
MM
AM
PM
AM/PM
For UniFi applicant - Installation date and time is subjected to slot availability. The earliest date is 3 working days after form submission.
For Streamyx applicant - Ignore this section as technician will contact you to make appointment.
-------------------2] For Upgrade Use Only [只给升级申请填写]------------------
1. Existing Streamyx Login ID/现有的Streamyx登录ID
eg: XXX@streamyx
2. Keep Existing Phone Line: Yes/ No
保留旧电话号码：
**If keep Existing Phone Line, every month don't need pay extra RM25 for phone monthly fee (Now Promotion) / 如果保持现有的电话线，电话月租费每月无需额外支付25令吉 （现在促销）
Please select (If applicable)
YES
NO
---------------3] For Business Plan Only [只给生意配套申请填写] ------------------
Preferred Domain 1:
(For Business plan only)
"Free Domain"
Desired website address：eg. www.tmnetmalaysia.com
[Can choose ended with
.com / .com.my / .net / .org / .my ]
Preferred Domain 2:
(For Business plan only)
Preferred Domain 3:
(For Business plan only)
1] For busiess package please upload your company form 9/
生意配套请附上一张表格9
2] Other/ 其他
3 Other/ 其他
4] Other/ 其他
----------------4] For all applicants [给所有申请者]--------------
Documents required:
Personal - photocopy IC [*Front & Back] or passport (Expiry date must not be less than 2 years from registration date)
Business - Application form with company stamp and documents below:
Sole Proprietor - SSM ROB (Form D or Form E) and NIRC/Passport
Snd Bhd - SSM ROC (Forms 9, 24 and 49) and NIRC/Passport
Berhad - SSM ROC (Forms 8 and 23) and NIRC/Passport
Foreign Company - (Form 79, 80 or 80A, 83 or 83A) and NIRC/Passport
Law Firm - Bar Council Malaysia Acknowledgement Letter and NIRC/Passport
Clinic - (Letter from Malaysia Medical Council and Form 12) and NIRC/Passport
NGO/Others - Acknowledgement Letter from the Related Ministry/Department and NIRC/Passport
Application form (Business): http://fibremalaysia.blogspot.sg/2016/05/forms.html
*Your order will not be processed if you fail to provide full documents mentioned above.
1] Upload a photocopy I/C (scan/take photo/Scan by Using Camscanner Mobile Apps)
附上一张复印 I/C 然后拍照（清楚一点的）
Front & Back 前后 *
*
2] Others/ 其他
3] Others/ 其他
Remarks/备注