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Termination Form

Type of service:

Virus Shield & Anti-Spamming

PowerSurf

Tmnet Hotspot

Others, please specify _____________________

I wish to terminate the above value added service with immediate effect.
My details are as follow:

Name : _______________________________

Login : _______________________________

Account No. : _______________________________

I/C No. : _______________________________

Address : _______________________________

_______________________________

_______________________________

Signature : _______________________________

Date : _______________________________

For Official Use Only

The service for the above customer login ____________ has been terminated on
______________.

Signature : ______________________________

Name : ______________________________

Date : ______________________________

Official Stamp:

TM Net Sdn. Bhd. (451011-M)


3rd Floor, TM IT Complex, 3300 Lingkaran Usahawan 1 Timur
63000 Cyberjaya Selangor

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