TUR Medel] este SVS) ot © 99% (iva 9:08 a | ee ee ma & : BORANG PENDAFTARAN UNIFI HOME |si Detail dibawah dan sertakan pict/ salinan 1. MyKAD depan & belakang (terang & jelas) 2. Bill elektrik atau bill air 3. Location GPS rumah NAMA : MOHAMAD AKMAL BIN ZAINODIN NO MYKAD : 951116-01-6957 NO YANG BOLEH DIHUBUNGI : 0192003132 EMAIL : mohamadakmal5991@gmail.com ALAMAT PEMASANGAN : No. 21 JALAN BPP 1/8 PUSAT BANDAR PERMAI 43300 SERI KEMBANGAN SELANGOR ¥ PLAN YANG INGIN DILANGGAN :TU ell] Mste= ys) tL © 99% (ia 9:10 a | ee ae maw: SELANGOR PLAN YANG INGIN DILANGGAN : (30Mbps) TARIKH PEMASANGAN : As soon as posible Term & Condition: | hereby consent to subscribed the service with subscription contract of 24 months. | have read, understand and agree to be bound by the Terms & Condition of service. | agree to pay advance payment within 10 days after installation complete RM100 for Resident Home & RM200 for Premis Business | hereby consent TM representative to proceed and process my order. Kindly notify me if there is any issues pertaining to my request. YES