unifi Home / unifi Lite (Streamyx) Application eForm

Section 1: Registration Details (Maklumat Pendaftaran)

Type of Application (Jenis Permohonan): *

New (Pendaftaran Baru) Register Interest for unifi Home. We will contact you when unifi is available

Plan (Pelan): *

All prices are exclusive of 6% SST (Semua harga tidak termasuk 6% SST)

Full Name (Nama Penuh): *

IC/Passport Number: *

Malaysian Citizen, please upload a copy of IC below. Non-Malaysian, please upload a copy of passport below

Installation Address (Alamat Pemasangan): *

Mobile Number: *

Email: *

Preferred Installation Day (Hari Pemasangan Pilihan):

Monday Tuesday Wednesday Thursday Friday Saturday Any day

Remarks: Please provide any additional info or request here

CG ID, LYN ID

Where did you know about our registration service: (Dari mana anda tahu mengenai servis pendaftaran kami): *

Internet Forums (CG, LYN etc) Search Engine (Google, Yahoo etc) Friend or family Facebook

Please upload your copy of IC (both sides) or passport(non-Malaysian).
Sila lampirkan gambar/salinan IC depan belakang atau passport anda.

Attachment *

Attachment

Section 3: Terms & Conditions (Terma & Syarat)

Starting 1st Oct 2016, all unifi Home/unifi Lite (Streamyx) registrations require biometric verification of applicant's IC & thumbprint, in order to comply with FULL BIOMETRIC SYSTEM implemented by TM. TM reserve the right to reject any registration without biometric verification of IC & thumbprint
For new & upgrade registration, a registration runner in your area will contact you to discuss when & where to meet, to do the biometric verification of IC & thumbprint
For non-Malaysian, no biometric verification needed. Non-Malaysian will be subject to RM500 upfront payment which is payable within 10 days, starting from date of Service Activation, failing which the account will be suspended. The amount will be credited into the customer's bill
For non-Malaysian, your passport expiry date must be more than 2 years from now
This is a free registration. No registration or runner fee will be charged
unifi Home standard installation is free
Streamyx/unifi Lite installation fee is RM50 for the first 5 meter of cable length INSIDE your house. RM5 for every next meter
24 months contract is applicable to unifi Home plans, 12 months contract is applicable to Streamyx/unifi Lite plans
Termination within contract period will incur penalty of the remaining balance (monthly fee multiply by balance months)
First relocation is free for unifi Home & no relocation fee for Streamyx/unifi Lite
No upgrade fee