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Billing / Technical
Unifi Application Form
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Select Internet Package:
*
Home
Business
Home Package:
*
Internet
Unifi Home 100Mbps Broadband (24M) @ RM 89
Unifi Home 300Mbps Broadband with Netflix (24M) @ RM139
Unifi 500Mbps - Home Broadband @ RM159
Unifi Home 1Gbps @ RM 249
Unifi Home 2Gbps @ RM 319
Internet + Netlfix
Unifi Home 100Mbps + Netflix @ RM 117
Unifi Home 500Mbps + Netflix @ RM 198.9
Unifi Home 1Gbps + Netflix @ RM 288.9
Unifi Home 2Gbps+ Netflix @ RM 358.9
Internet + Unifi TV
Unifi Home 300Mbps Broadband with Entertainment Pack (24M) @ RM 159
Business Package:
*
Unifi Biz 100M - Business Broadband @ RM99
Unifi Biz 300M - Business Broadband (MESH6) @RM199
Unifi Biz 500M - Business Broadband (MESH6) @RM239
Unifi Biz 1Gbps - Business Broadband (MESH6) @RM319
Unifi Biz 2Gbps - Business Broadband (MESH6) @RM369
Full Name:
*
Company Name:
*
SSM Business Registration No:
*
NRIC / Passport No:
*
Mobile Number:
*
Email:
*
Installation Address:
*
Postcode:
*
State:
*
Selangor
Selangor
Kuala Lumpur
Pulau Pinang
Johor
Perak
Melaka
Negeri Sembilan
Kedah
Perlis
Terengganu
Kelantan
Pahang
Sabah
Sarawak
Labuan
Putrajaya
Preferred Installation Date:
*
Upload Your IC (Front )/ Passport:
Click or drag a file to this area to upload.
Upload Your IC (Back):
Click or drag a file to this area to upload.
Upload Director's IC
Click or drag files to this area to upload.
You can upload up to 2 files.
Utilities Bill (Electric or Water Bill)
Click or drag a file to this area to upload.
Company SSM Document
Click or drag files to this area to upload.
You can upload up to 5 files.
For Trading / Enterprise: SSM Business Profile, Form D
For Sdn Bhd: SSM Company Profile, Form 9
Message (if any):
Submit
