Unifi Residential Upgrade Application Information
Existing Package (required)
—Please choose an option—UniFi Lite 10Mbps + Aneka@RM129UniFi Lite 10Mbps + Ruby@RM129UniFi Lite 10Mbps + Varnam@RM129UniFi Lite 10Mbps + Jumbo@RM159UniFi Lite 10Mbps + Aneka@RM149UniFi Lite 10Mbps + Ruby@RM149UniFi Lite 10Mbps + Varnam@RM149UniFi Lite 10Mbps + Jumbo@RM179Promo UniFi Advance 30Mbps + Aneka@RM179Promo UniFi Advance 30Mbps + Ruby@RM179Promo UniFi Advance 30Mbps + Varnam@RM179Promo UniFi Advance 30Mbps + Jumbo@RM209UniFi Advance 30Mbps + Aneka@RM199UniFi Advance 30Mbps + Ruby@RM199UniFi Advance 30Mbps + Varnam@RM199UniFi Advance 30Mbps + Jumbo@RM229UniFi Advance Plus 50Mbps + Jumbo@RM279UniFi Advance Plus 50Mbps + Aneka@RM249UniFi Advance Plus 50Mbps + Ruby@RM249UniFi Advance Plus 50Mbps + Varnam@RM249Promo UniFi PRO 100Mbps + Aneka@RM329Promo UniFi PRO 100Mbps + Varnam@RM329Promo UniFi PRO 100Mbps + Ruby@RM329Promo UniFi PRO 100Mbps + Jumbo@RM359
Package (required)
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 Upgrade 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 Upgrade Billing AddressSame as Installation Address
Address
City
State
Postcode
Please enter 4 digit for telephone no (xxxx last 4 digit only)
Preferred UniFi ID (20 chars)
Unifi Residential Upgrade Additional Information (Existing TM customer, please fill in the following)(Streamyx will be terminated upon UniFi installation)
Streamyx Login ID
TM Homeline Number
Unifi Residential Upgrade 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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