MaxisONE Home Fibre Application eForm

MaxisONE Home Fibre Application eForm

Borang Pendaftaran MaxisONE Home Fibre
Section 1: Registration Details (Maklumat Pendaftaran)
Plan (Pelan):*
All prices are exclusive of 6% SST (Semua harga tidak termasuk 6% SST)
Full Name (Nama Penuh):*
IC Number:*
Installation Address (Alamat Pemasangan):*
Contact Number:*
Email:*
Remarks:
CG ID, LYN ID, Bank Account Number For Rebate Purpose(owner of bank account must be same as applicant)
Internet Forums (Carigold, LYN etc)Search Engine (Google, Yahoo etc)Friend or familyFacebookOther
Section 2: Supporting Documents (Dokumen Sokongan)

Please upload your copy of IC(both sides). U can cross 'For MaxisONE Home Use Only'
Sila lampirkan salinan IC(depan belakang). Anda boleh palang 'For MaxisONE Home Use Only'
Attachment*

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Section 3: Terms & Conditions (Terma & Syarat)
- 24 months contract is applicable to all MaxisONE Home Fibre plans
- Termination fee of RM500 is applicable if termination is within contract period
Signature
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