UniFi Residential New Application

UniFi Residential Application Information

Package (required)

—Please choose an option—UniFi 100Mbps@rm89@free3mthUniFi 300Mbps@rm129@free3mthUniFi 500Mbps@rm149@free3mth----------------------------------------------------UniFi 1Gbps@STD20@rm249UniFi 2Gbps@STD20@rm319----------------------------------------------------UniFi 100Mbps@free Netflix@rm117UniFi 300Mbps@free Netflix@STD20@rm139UniFi 500Mbps@free Netflix@UniFi 1Gbps@free Netflix@UniFi 2Gbps@free Netflix@----------------------------------------------------UniFi 300Mbps@family/ultimate@tvbox@STD20@rm159----------------------------------------------------UniFi 100Mbps@aneka+/ruby+/varnam+@tvbox@rm134UniFi 300Mbps@aneka+/ruby+/varnam+@tvbox@STD20@rm169UniFi 500Mbps@aneka+/ruby+/varnam+@tvbox@STD20@rm189----------------------------------------------------UniFi Air5G RM149

Property Type (required)

—Please choose an option—LandedHigh Rise (5 Storey and more)

Contact Person Name (required)

Country

—Please choose an option—MalaysiaAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArctic OceanArubaAshmore and Cartier IslandsAtlantic OceanAustraliaAustriaAzerbaijanBahamasBahrainBaker IslandBangladeshBarbadosBassas da IndiaBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandClipperton IslandCocos IslandsColombiaComorosCook IslandsCoral Sea IslandsCosta RicaCote d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDemocratic Republic of the CongoDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaEuropa IslandFalkland Islands (Islas Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern and Antarctic LandsGabonGambiaGaza StripGeorgiaGermanyGhanaGibraltarGlorioso IslandsGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHowland IslandHungaryIcelandIndiaIndian OceanIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJan MayenJapanJarvis IslandJerseyJohnston AtollJordanJuan de Nova IslandKazakhstanKenyaKingman ReefKiribatiKerguelen ArchipelagoKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMidway IslandsMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNavassa IslandNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorth SeaNorthern Mariana IslandsNorwayOmanPacific OceanPakistanPalauPalmyra AtollPanamaPapua New GuineaParacel IslandsParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarReunionRepublic of the CongoRomaniaRussiaRwandaSaint HelenaSaint Kitts and NevisSaint LuciaSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth KoreaSpainSpratly IslandsSri LankaSudanSurinameSvalbardSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTokelauTongaTrinidad and TobagoTromelin IslandTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUSAUruguayUzbekistanVanuatuVenezuelaViet NamVirgin IslandsWake IslandWallis and FutunaWest BankWestern SaharaYemenYugoslaviaZambiaZimbabwe (Only for Passport)

NRIC or Passport No (required)

Mobile No (required)

Email (required)

Preferred Communication

MailE-mailOffice PhoneMobile

VAS(value added service)

Value Added Service

JUMBO PACK@RM60SPORT PACK@RM50ANEKA PACK@RM30RUBY PACK@RM40VARNAM PACK@RM30NONE

UniFi Residential Installation Address

Address (required)

City (required)

State (required)

—Please choose an option—JohorKedahKelantanMelakaNegeri SembilanPahangPerakPulau PinangPerlisSabahSarawakSelangorTerengganuWilayah Persekutuan KLWilayah Persekutuan LabuanWilayah Persekutuan PutrajayaOthers

Postcode (required)

UniFi Residential Additional Information

Dealer Remarks

Supporting Documents (Max 1mb gif png jpg jpeg)(Void for TM use)

NRIC Front or Passport (required)

NRIC Back

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