Tel No: Fax No P.O Box No.

:
Residential: 1688 (Toll- Fax: 6796 1767 Orchard P.O Box 309
free) Fax: 6737 5151 Orchard P.O.Box 398
Business : 1606 (Toll-
free)

Application for Number Portability for Local Telephony Service

Notes : 1. Please bring along the following original document together with this application form, duly completed, for verification.
(a) NRIC or passport for application under Personal Basis.
(b) Work Permit or Employment Pass for non-citizen applicants.
2. Please allow at least five (5) working days for the services to be effected.
3. The telephone number(s) must be on “working” status on the effective date of porting i.e that shall have been no disconnection of service whether
permanent or temporary.

Personal Particulars
*
Name of Applicant (in block letters & underline surname) NRIC / Passport No.
Mr / Miss / Mrs / Mdm / Dr

Installation Address

Postal Code
Correspondence Address (if different from installation address)

Postal Code
Local Telephony Service to be ported
For Official Use Service Activation
List of Local Telephone/1800/1900 Types of Services that Customer Signs Date:
(SingTel to enter N2 number (excl Sat, Sun & PH)
Number(s) to be ported:- for N1 number – if required) up:

 Residential Home Line Only

N2 Number: _ _/_ _/_ _ _ _
 Port In Telephone Number  Residential mio Voice Only (dd /mm/ yyyy)
* *

[StarHub / M1] ( SingTel N2 number  SNBB with Home Line

*

required)  SNBB with mio Voice

-------------------------------------------
 mio TV with Home Line

 mio TV with mio Voice

*
-------------------------------------------
---------------------------------------------  mio Home/Plan with Home Line
*

 mio Home/Plan with mio Voice

---------------------------------------------  Others (please specify)

---------------------------------------------
 Port Back Telephone Number *

Please indicate your Broadband speed of

[StarHub / M1]
plan

--------------------------------------------- ---------------------------------------------

---------------------------------------------
 Tel No: Fax No P.O Box No.:
Residential: 1688 (Toll- Fax: 6796 1767 Orchard P.O Box 309
free) Fax: 6737 5151 Orchard P.O.Box 398
Business : 1606 (Toll-
free)

Terms & Conditions

 I/We agree that SingTel and StarHub/M1 will not be responsible for losses or service interruptions arising from the termination of
services and/or porting of Local in relation to the above Local Telephone/1800/1900 number(s) and/or porting of Local
Telephone/1800/1900 number(s).
 I/We shall be responsible to StarHub/M1 for all charges incurred up to the date and time the Local Telephone/1800/1900 Number(s)
is/are ported to SingTel.
 I/We shall settle all outstanding charges with StarHub/M1 within 14 days from the date of StarHub’s/M1’s bill.
 I/We hereby authorize SingTel to request that my/our existing number(s) as noted above be ported or transferred from a StarHub/M1
service to my/our SingTel service, and to carry out any other necessary steps on my/our behalf so that I/we can continue to use the
same number(s) with effect from the date noted on this form.
 I/We agree that as of the date the Local Telephony Service is ported to SingTel, the existing Terms and Conditions for Telephone
Service (in the latest version of the Singapore Phone Book Business Listings) shall, in respect of such Local Telephony Service)
ported to SingTel, bind me/us.
 I/We acknowledge and agree that the porting will result in the disconnection of the Local Telephony Service from StarHub/M1 and
finalisation of the StarHub/M1 account(s) for the Local Telephony Service.
 I/We confirm that the above information as given is true and correct.
 I/We certify that I have the authority as the subscriber or as the authorised officer for the subscriber of the Local Telephone Service(s)
listed on this form to request porting of the Local Telephone/1800/1900 Service(s) stated above.

Signature Of *Applicant/Authorised Name and Designation Company Stamp

Officer and Date of Signatory (if applicable)

For Official Use Only

Document Submitted By (Name & Documents Checked & Verified Serial Number
NRIC/passport no.) By (Name & date)

Faxed On (*am/pm)

*
Please delete whichever is applicable