Termination Form

Requirements and instructions

Please write in capital letters. Tick or delete where applicable.
For Corporate Registrations, only the Authorised Signatory may request line termination.

A. Customer Details
Name (as per IC/MyKad) Mr. Ms. Mdm. Others (e.g. Dr. / Dato, etc.) Non-Malaysian

NRIC / MyKad No. - - Old IC / Passport

Other Contact No. Email.

Company Name

Home / Business

Address Postcode

B. Account / Line Termination Details

Account No. *Request : Termination Port Out

Mobile Number to be Terminated

1) - 4) -
2) - 5) -
3) - 6) -

C. Reason for Termination

Personal Network Billing Service

Economic/ Financial Constraints No Coverage Bill Errors Account Manager

Leaving Country Unable to Make/ Receive Calls Late Billing Credit Limit

Leaving Company Frequent Dropped Calls Bill Not Received Call Centre

Deceased Poor Data Service Autodebit Problem Agency/ Agent Issue

IDD/ Roaming Problem Payment Not Updated Packages Unattractive

Will not Disclose Others Reasons

D. Customer Declaration
I/ We hereby authorise Red One Network Sdn Bhd to terminate the above mentioned account/ line(s) on
my/our behalf.

Notes :
Authorised Signatory Signature 1 ) Unbilled charges for recent calls or International Roaming will not appear in current bill.
2 ) As per the Terms and Conditions of the Customer Agreement Form, the deposit is
Date - - refundable subject to any deductions due to Red One Network Sdn Bhd.
3 ) Upon Termination, Red One Network Sdn Bhd shall re-use or re-allocate any mobile number(s).
d d m m y y y y

E. For redONE Use Only

Deposit RM Processed By: Termination Autorisation

Previous Outstanding RM

Current Bill RM Date: Business/ Dept. Mgr./ HOD

Total Outstanding RM Checked & Verified By: Date:

Amount Due RM Approved

Denied
Date:

Red One Network Sdn Bhd. A-3-42, Blok A, 3rd Floor, IOI Boulevard,Jalan Kenari 5, Bandar Puchong Jaya, 47170 Puchong, Selangor, Malaysia.
Customer Care: 1800 11 0800 www.redone.com.my