UNIFI REGISTRATION FORM

UNIFI - REGISTRATION FORM

PLEASE CHOOSE AND FILL ALL INFORMATION AS PROVIDED.

A . UNIFI - RESIDENTIAL

A. REGISTRATION FORM - RESIDENTIAL.  Please fill up all data required as below. YOUR CHOSEN PACKAGES : *  VIP 5 - RM149 / Monthly   VIP 10 - RM199 / Monthly  VIP 20 - RM 249 / Monthly   FULL NAME : * NRIC / ARMY ID /  POLICE ID / PASSPORT : * OLD NRIC (IF Any). INSTALLATION ADDRESS: * No / Unit / Lot / Km / Jalan: * Building / Kampung / Taman / Seksyen: Town : * State : * Poskode : * Nationality : * Residential Type : *  Landed - Terrace / Banglow.   High Rise - High Building. Contact Number : * Telephone Number (Resident) : Telephone Number (Office) : Email : * * Your existing / primary email. 3 Preferred LOGIN ID * * Please choose 3 unique ID/USERNAME which will be use to surf Internet, Hotspots and other purposes. Example: manpro2369@unifi.my Preferred Installation Date: * 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 DD / 01 02 03 04 05 06 07 08 09 10 11 12 MM / 1920 1921 1922 1923 1924 1925 1926 1927 1928 1929 1930 1931 1932 1933 1934 1935 1936 1937 1938 1939 1940 1941 1942 1943 1944 1945 1946 1947 1948 1949 1950 1951 1952 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024 2025 2026 2027 2028 2029 2030 YYYY 00 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 HH : 00 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 MM AM PM AM/PM * Please provide DATE and TIME preferred for Installation appointment. All installation will be base on the nereast available slot and complete registration process received by TM. Comment or Questionnaire : * If you have doubt on any aspect of our service please do not hesitate to write here any I'll respond as soon as possible based on my ability.  Image Verification Please enter the text from the image: [Refresh Image] [What's This?] Powered byEMF Contact Form Report Abuse

IMPORTANT NOTES! 1. All applications / new registration requires a copy of the identity card or document relating to the applicant. To ensure it does not fall into the hands of irresponsible parties, please email it to me. 2. All applications will be processed by us as soon as possible. The time it takes around at least 14 days depending on the completeness of the supporting documents attached. We will contact you from time to time.

B . UNIFI - BUSINESS

B. REGISTRATION FORM - BUSINESS Please fill up all data based on your Business Registration YOUR CHOOSEN BUSINESS PACKAGES: *  BIZ 5 DYNAMIC - RM199 Monthly   BIZ 10 DYNAMIC - RM289 Monthly   BIZ 10 FIXED - RM 599 Monthly    BIZ 20 DYNAMIC - RM359 Monthly   BIZ 20 FIXED - RM899 Monthly  BUSINESS DATA. BUSINESS NAME : * BUSINESS TYPE . Kategori ROC - Sendirian Berhad ROB - Enterprise BUSINESS REGISTRATION NUMBER : * INSTALLATION ADDRESS : * No: / Unit: / Lot: / Tingkat: / Building: /Jalan: * Kampung / Taman: / Seksyen: TOWN : * STATE : * POSKODE : * NATIONALITY : * PERMIS TYPE : *  Landed - Teres / Banglow.  High Rise  - Bangunan Tinggi. CONTACT NUMBER : * OFFICE NUMBER : OWNER INFORMATION Business owner or partner information / data. FULL NAME : (Owner / Partner) * NRIC: /  ARMY ID: / POLICE ID: / PASSPORT: CONTACT NUMBER : EMAIL: * Your existing / primary Email for communication. 3 PREFERRED LOGIN ID * * Please choose 3 unique ID/USERNAME which will be use to surf Internet, Hotspots and other purposes. Example: berjayaholding@unifi.my Preferred Installation Date: * 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 DD / 01 02 03 04 05 06 07 08 09 10 11 12 MM / 1920 1921 1922 1923 1924 1925 1926 1927 1928 1929 1930 1931 1932 1933 1934 1935 1936 1937 1938 1939 1940 1941 1942 1943 1944 1945 1946 1947 1948 1949 1950 1951 1952 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024 2025 2026 2027 2028 2029 2030 YYYY 00 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 HH : 00 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 MM AM PM AM/PM * Please provide DATE and TIME preferred for Installation appointment. All installation will be base on the nereast available slot and complete registration process received by TM. COMMENT OR QUESTIONNAIRE: * If you have doubt on any aspect of our service please do not hesitate to write here any I'll respond as soon as possible based on my ability.  Image Verification Please enter the text from the image: [Refresh Image] [What's This?] Powered byEMF HTML Form Builder Report Abuse

IMPORTANT NOTES ! All application / registration of new Unifi Business requires 1. Copy of the applicant's identity card or related documents. 2. A copy of the Business Registration. (SSM). To ensure it does not fall into the hands of irresponsible parties, please email it to me.