Thursday, October 29, 2009

Application Form (Tel & Streamyx)

STREAMYX & TELEPHONE LINE APPLICATION

Applicant Name
IC / Co. Reg. No.
Old IC No.
House No
Building
Lot No
Street
Floor
Garden
Apartment No.
City
Postcode
State
Neighbour TM Fixed No
Contact Person
IC No. ................................ Mobile No..................................
Streamyx
Package

Monthly Fee
SIB Yes / No
Modemwith / without
Preferred
- Login 1

Preferred
Domain Name 1

- Login 2
Domain Name 2

- Login 3
Domain Name 3
Remark

Document Required:-
A) Personal Package
  • 1 copy of Applicant's IC Photostat
B) Business Package
  • 1 copy of Applicant's IC Photostat
  • 1 copy of Form 9 / 24 / 49 (Sdn Bhd)
  • 1 copy of Form D (Sole Proprietor / Partnership)

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