BUSINESS REGISTRATION FORM - Black & Prepaid

1. BUSINESS INFORMATION
Registered Company Name ONEXOX SDN BHD Poscode 47410
Business Registration No. 1072886D Billing E-mail br@onexox.my
Lot 5.2, 5th Floor, Menara Lien Hoe, No 8, Persiaran Tropicana,
Billing Address Office Tel No. 0378825000
Tropicana Golf & Country Resort
City / State Petaling Jaya, Selangor Darul Ehsan Fax No. 0378825111

2. APPLICANT INFORMATION
Full Name as per NRIC/Passport AHMAD BIN ABDULLAH

NRIC/Passport/Army/Police 87882-82-5000 Signature & Company's Stamp

Permenant Address No. 5, JLN BERSATU

Contact Number 601120990211 Nationality MALAYSIAN

Job Position MANAGER Poscode 47800

City / State PETALING JAYA Gender MALE

3. TYPE OF REQUEST
New Register c Ownership Transfer c MNP, kindly state current Telco____________________________________

Plan: Prepaid Black MSISDN/Number 601164555855 Serial Number 896015555666145000

Package: B10 B39 B59 B39P20 B89 B149 Others:___________________________________

c c c

*Kindly state in page 2 for request more than 1 number

A. PURPOSE OF REGISTRATION B. BUSINESS NATURE
FOR GPS TRACKING USAGE SELLING GPS TRACKER PRODUCT

4. PREVIOUS OWNER INFORMATION (if any)

Onexox MSISDN/Contact No (*please provide in excel file if contact number more than 1)
Full Name as per NRIC/Passport
NRIC/Passport/Army/Police Signature & Company's Stamp

Alt Contact Number Gender

City / State Poscode
Nationality Race

5. DEALER INFORMATION & DECLARATION (if any)

Full Name as per NRIC/Passport ADAM BIN IDRIS

NRIC/Passport/Army/Police 87882-82-5003

Dealer ID DYSD10 Contact Number 6011111125664

I hereby agree:

A. To allow One XOX Sdn Bhd (HQ) to use my dealer's account for Business Registration purposes.

B. I agree that certain amount based on request MYR_______49.00________________will be deduct from my e-Recharge balance for this Business Registration.

D. I / We agree that XOX Mobile shall have the right to reject this application or terminate the MSISDN in accordance to the Terms & Conditions (as the case maybe) in the event that the
information which I have provided herein are false and incomplete.

E. I agree that listed MSISDN with the required plan will be registered as a Business Registration. Signature/Company's Stamp

F. I agree that listed MSISDN will be park into my hirerachy as per above dealer's ID.

6. DECLARATION
I hereby declare:
A. I / We declare that all the above information & attach documentation given is true.
B. I / We have read, understood and agreed to be bound by all the Terms & Conditions.
C. I / We agree to provide additional information/documentations when requested by XOX.

D. I / We agree that XOX Mobile shall have the right to reject this application or terminate the MSISDN in accordance to the Terms & Conditions (as the case maybe) in the event that the
information which I have provided herein are false and incomplete.

E. I / We agree that listed MSISDN with the required plan will be registered as a Business Registration.
F. I / We agree that listed MSISDN will be part as above dealer's hirerachy.

Signature & Company's Stamp Signature & Company's Stamp Signature & Company's Stamp

APPLICANT: AHMAD BIN ABDULLAH MAJORITY SHAREHOLDERS: ZAINAL BIN ABD KADIR PREVIOUS OWNER (f any):
DATE: 21/03/2022 DATE: 21/03/2022 DATE:
7. FOR OFFICE (HQ) USE ONLY
Type of Request Date Attend

Processed & Approved by Date Register

Register by Date Complete

Page 1 of 2

Onexox Sdn Bhd, Lot 5.2, 5th Floor Menara Lien Hoe, No 8 Persiaran Tropicana, Tropicana Golf & Country Resort, 47410 Petaling Jaya, Selangor
 BUSINESS REGISTRATION FORM - Black & Prepaid
1. BUSINESS INFORMATION
Registered Company Name ONEXOX SDN BHD Poscode 47410
Business Registration No. 1072886D Billing E-mail br@onexox.my
Lot 5.2, 5th Floor, Menara Lien Hoe, No 8, Persiaran Tropicana,
Billing Address Office Tel No. 0378825000
Tropicana Golf & Country Resort
City / State Petaling Jaya, Selangor Darul Ehsan Fax No. 0378825111

2. APPLICANT INFORMATION
Full Name as per NRIC/Passport AHMAD BIN ABDULLAH

NRIC/Passport/Army/Police 87882-82-5000 Signature & Company's Stamp

Permenant Address No. 5, JLN BERSATU

Contact Number 601120990211 Nationality MALAYSIAN

Job Position MANAGER Poscode 47800

City / State PETALING JAYA Gender MALE

3. TYPE OF REQUEST
New Register Ownership Transfer c MNP, kindly state current Telco____________________________________

Plan: Prepaid Black MSISDN/Number 601164555855 Serial Number 896015555666145000

Package: B10 B39 B59 B39P20 B89 B149 Others:___________________________________

c c c

*Kindly state in page 2 for request more than 1 number

A. PURPOSE OF REGISTRATION B. BUSINESS NATURE
FOR GPS TRACKING USAGE SELLING GPS TRACKER PRODUCT

4. PREVIOUS OWNER INFORMATION (if any)

Onexox MSISDN/Contact No 601164555855 (*please provide in excel file if contact number more than 1)
Full Name as per NRIC/Passport ZALIKA BIN NAZRI

NRIC/Passport/Army/Police 87882-82-5111 Signature & Company's Stamp

Alt Contact Number 60311155555 Gender FEMALE

City / State PETALING JAYA Poscode 44410

Nationality MALAYSIAN Race MALAY

5. DEALER INFORMATION & DECLARATION (if any)

Full Name as per NRIC/Passport ADAM BIN IDRIS

NRIC/Passport/Army/Police 87882-82-5003

Dealer ID DYSD10 Contact Number 6011111125664

I hereby agree:

A. To allow One XOX Sdn Bhd (HQ) to use my dealer's account for Business Registration purposes.

B. I agree that certain amount based on request MYR______600________________will be deduct from my e-Recharge balance for this Business Registration.

D. I / We agree that XOX Mobile shall have the right to reject this application or terminate the MSISDN in accordance to the Terms & Conditions (as the case maybe) in the event that the
information which I have provided herein are false and incomplete.

E. I agree that listed MSISDN with the required plan will be registered as a Business Registration. Signature/Company's Stamp

F. I agree that listed MSISDN will be park into my hirerachy as per above dealer's ID.

*fill up e-recharge amount if related with topup or Welcome Deal/SP purchase by HQ

6. DECLARATION
I hereby declare:
A. I / We declare that all the above information & attach documentation given is true.
B. I / We have read, understood and agreed to be bound by all the Terms & Conditions.
C. I / We agree to provide additional information/documentations when requested by XOX.

D. I / We agree that XOX Mobile shall have the right to reject this application or terminate the MSISDN in accordance to the Terms & Conditions (as the case maybe) in the event that the
information which I have provided herein are false and incomplete.

E. I / We agree that listed MSISDN with the required plan will be registered as a Business Registration.
F. I / We agree that listed MSISDN will be part as above dealer's hirerachy.

Signature & Company's Stamp Signature & Company's Stamp Signature & Company's Stamp

APPLICANT: AHMAD BIN ABDULLAH MAJORITY SHAREHOLDERS: ZAINAL BIN ABD KADIR PREVIOUS OWNER (f any): ZALIKA BIN NAZRI
DATE: 21/03/2022 DATE: 21/03/2022 DATE: 21/03/2022
7. FOR OFFICE (HQ) USE ONLY
Type of Request Date Attend

Processed & Approved by Date Register

Register by Date Complete

Page 1 of 2

Onexox Sdn Bhd, Lot 5.2, 5th Floor Menara Lien Hoe, No 8 Persiaran Tropicana, Tropicana Golf & Country Resort, 47410 Petaling Jaya, Selangor
 BUSINESS REGISTRATION FORM - Black & Prepaid
1. BUSINESS INFORMATION
Registered Company Name ONEXOX SDN BHD Poscode 47410
Business Registration No. 1072886D Billing E-mail br@onexox.my
Lot 5.2, 5th Floor, Menara Lien Hoe, No 8, Persiaran Tropicana,
Billing Address Office Tel No. 0378825000
Tropicana Golf & Country Resort
City / State Petaling Jaya, Selangor Darul Ehsan Fax No. 0378825111

2. APPLICANT INFORMATION
Full Name as per NRIC/Passport AHMAD BIN ABDULLAH

NRIC/Passport/Army/Police 87882-82-5000 Signature & Company's Stamp

Permenant Address No. 5, JLN BERSATU

Contact Number 601120990211 Nationality MALAYSIAN

Job Position MANAGER Poscode 47800

City / State PETALING JAYA Gender MALE

3. TYPE OF REQUEST
New Register Ownership Transfer MNP, kindly state current Telco: MAXIS

Plan: Prepaid Black MSISDN/Number 601164555855 Serial Number 896015555666145000

Package: B10 B39 B59 B39P20 B89 B149 Others:___________________________________

c c c

*Kindly state in page 2 for request more than 1 number

A. PURPOSE OF REGISTRATION B. BUSINESS NATURE
FOR GPS TRACKING USAGE SELLING GPS TRACKER PRODUCT

4. PREVIOUS OWNER INFORMATION (if any)

Onexox MSISDN/Contact No (*please provide in excel file if contact number more than 1)
Full Name as per NRIC/Passport
NRIC/Passport/Army/Police Signature & Company's Stamp

Alt Contact Number Gender

City / State Poscode
Nationality Race

5. DEALER INFORMATION & DECLARATION (if any)

Full Name as per NRIC/Passport ADAM BIN IDRIS

NRIC/Passport/Army/Police 87882-82-5003

Dealer ID DYSD10 Contact Number 6011111125664

I hereby agree:

A. To allow One XOX Sdn Bhd (HQ) to use my dealer's account for Business Registration purposes.

B. I agree that certain amount based on request MYR_______49.00________________will be deduct from my e-Recharge balance for this Business Registration.

D. I / We agree that XOX Mobile shall have the right to reject this application or terminate the MSISDN in accordance to the Terms & Conditions (as the case maybe) in the event that the
information which I have provided herein are false and incomplete.

E. I agree that listed MSISDN with the required plan will be registered as a Business Registration. Signature/Company's Stamp

F. I agree that listed MSISDN will be park into my hirerachy as per above dealer's ID.

6. DECLARATION
I hereby declare:
A. I / We declare that all the above information & attach documentation given is true.
B. I / We have read, understood and agreed to be bound by all the Terms & Conditions.
C. I / We agree to provide additional information/documentations when requested by XOX.

D. I / We agree that XOX Mobile shall have the right to reject this application or terminate the MSISDN in accordance to the Terms & Conditions (as the case maybe) in the event that the
information which I have provided herein are false and incomplete.

E. I / We agree that listed MSISDN with the required plan will be registered as a Business Registration.
F. I / We agree that listed MSISDN will be part as above dealer's hirerachy.

Signature & Company's Stamp Signature & Company's Stamp Signature & Company's Stamp

APPLICANT: AHMAD BIN ABDULLAH MAJORITY SHAREHOLDERS: ZAINAL BIN ABD KADIR PREVIOUS OWNER (f any):
DATE: 21/03/2022 DATE: 21/03/2022 DATE:
7. FOR OFFICE (HQ) USE ONLY
Type of Request Date Attend

Processed & Approved by Date Register

Register by Date Complete

Page 1 of 2

Onexox Sdn Bhd, Lot 5.2, 5th Floor Menara Lien Hoe, No 8 Persiaran Tropicana, Tropicana Golf & Country Resort, 47410 Petaling Jaya, Selangor
 LIST OF MSISDN

NO. MSISDN SERIAL NUMBER (ICCID) PLAN NO. MSISDN SERIAL NUMBER (ICCID) PLAN
1 01111123322 8960155558852212 Prepaid 51
2 01111123324 8960155558852222 Prepaid 52
3 01111173322 8960155558852232 Prepaid 53
4 01511153322 8960155558852242 Prepaid 54
5 01511193322 8960155558852252 Prepaid 55
6 01111163322 8960155558852262 Prepaid 56
7 01111125322 8960155558852272 Prepaid 57
8 01111124322 8960155558852282 Black B10 58
9 01111121322 8960155558852292 Black B10 59
10 01111125322 8960155558852210 Black B10 60
11 61
12 62
13 63
14 64
15 65
16 66
17 67
18 68
19 69
20 70
21 71
22 72
23 73
24 74
25 75
26 76
27 77
28 78
29 79
30 80
31 81
32 82
33 83
34 84
35 85
36 86
37 87
38 88
39 89
40 90
41 91
42 92
43 93
44 94
45 95
46 96
47 97
48 98
49 99
50 100

Page 2 of 2
 PRIVACY NOTICE

YOUR RIGHTS AND OBLIGATIONS REGARDING THE PERSONAL DATA PROVIDED TO XOX

1. From time to time, we may ask you to review and update Personal Data of your directors,
representatives and/or relevant personnel to ensure that the said Personal Data is complete,
accurate and not misleading.

2. Please note that, by giving your consent herein, you shall be deemed to have accepted any
changes, updates (including make amendments, variations and/or addition) to this Notice and
Statement by XOX from time to time to reflect our current policy or subsequent to any rules,
regulations, acts applicable at that time.

CONTACT US

You may address any queries, concern or complains or request for access or correction of the Personal
Data or information for the attention of XOX by:

a. emailing to us at enquiries@xox.com.my;
b. or calling us at 12273 from your XOX phone / 1300 888 010 from any other phone;
c. writing to us at the following address: XOX Com Sdn Bhd, Lot 8.1, 8th Floor, Menara Lien
Hoe, No. 8, Golf & Country Resort, Persiaran Tropicana, Tropicana, 47410 Petaling Jaya,
Selangor.

Kindly indicate your consent by signing and returning to us the “Consent Form” as set out below

CONSENT

We, ONEXOX SDN BHD (please provide company name) with Company No.: 1072886-D hereby
consent to the processing of the Personal Data as stated in the Personal Data Protection Notice and
Statement to Third Parties (Contractual, Agreement or Arrangement with XOX) (“Notice and
Statement’).

Further to the above, we hereby agree to comply with all reasonable requests of XOX to enable XOX
to comply with its obligations under the PDPA or other applicable laws, regulations and/or guidelines

Signature/Signatures :

Name of Authorized

Signatory/Signatories : AHMAD BIN ABDULLAH

Company Stamp :

Date : 21/03/2022