RESIDENTIAL PACKAGE

1.  Please read all the Terms & Conditions and FAQ's accompanying the subscription of the Service(s) before completing this application form.

APPLICATION TYPE


(Please choose your application request)




A. APPLICANT'S INFORMATION

Full Name
NRIC/Passport No.
Email Address
Contact Number (Primary)
Contact Number (Secondary)

Not mandatory

Customer Account Number/Customer Code

Your customer code starts with A123456789 or B123456789. Please refer to your bill invoice to get your customer code. For more details on billing, click here or call our Careline at 1300-38-8000.

B. SERVICE ADDRESS

No.
Level

*Please fill up if applicable

Block

*Please fill up if applicable

Street/Lot
City
State
Postcode

C. SERVICE DETAILS

Package Type




* Price is subject to 6% service tax





* Price is subject to 6% service tax






* Price is subject to 6% service tax

Contract Term

* 24-month contract is only for customers with contracts expired 24 to 36 months or nearly expired, with add-on device.
Add On Device

SUPPORTING DOCUMENT

Attachment

D. DECLARATION


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