Please fill in your information

Fibre Internet Package:
New IC No:
Applicant Name:
Date Of Birth:
Contact No:
Contact Email:

Note: Strictly enter only customer's email for billing purposes, e-bill will be sent to this email address.

Are You Existing Account At the Same Premise?
Property Type:
Installation Address:
Permanent Address:
Billing Address:
Preferred Installation Date:
Preferred Installation Time: