PT.

Cyberindo Aditama
FORMULIR PERUBAHAN JENIS LAYANAN E-mail : customercare@cbn.net.id
Website : www.cbn.id
SERVICE TYPE CHANGING FORM

DATA PELANGGAN - Customer Data

:
oktavianti86
No. Pelanggan - Customer ID 30129974 Username :

Nama pemilik rekening - Account holder : Ocktavianti Puspitasari

Nomor untuk dihubungi - Contact number : Rumah - Residence : - Handphone : 081385674944
-

Kantor - Office : - Fax : -

E-mail :

Jenis Layanan - Current service type : cbn fiber 30 combo ke fiber combo 15

LAYANAN - Service

Corporate Service Retail & Residen!al Solu!ons Service

Merubah layanan menjadi - Changing current service type to become : Merubah layanan menjadi - Changing current service type to become :

Premier service CBN Mail - Basic / Plus / Premium / Supreme

_______ Kbps DirectNet PLAY - Bronze / Silver / Gold

_______ Kbps (Addi!onal Local Bandwidth) DirectNet MALL - Lite / Value / Basic / Plus / Premium

Broadband service CBN WiFi - Voucherless POP / Voucherless SA / EDU / Residence

XCESS SOHO : _______ Mbps CBN Fiber Broadband APT Lite / Bronze / Silver / Gold / Pla!num

XCESS SOHO Wirelesss - Bronze / Silver / Gold / Pla!num CBN Fiber FB 15 / FB 30 / FB 50 / FB 100 / 1 Gbps

Data Communica!on / Global Ethernet : _______ Kbps Other _____________________________________

Financial Data Access : _______ Kbps

ADSL Unlimited

Others ________________________________________________________

Petunjuk - Instruc"on :
Penurunan jenis hanya dapat dilakukan di akhir bulan. Bila Pelanggan ingin merubah jenis layanan menjadi yang lebih !nggi,maka harus membayar selisih biaya Registrasi dari jenis layanan
baru yang diinginkan di bulan berjalan. Untuk penurunan jenis layanan ke Anywhere Basic, apabila !dak ada konfirmasi dari Pelanggan, maka semua alamat email yang diasosiasikan di
Customer ID tersebut akan dihapus. - Downgrading service can only be done at the end of the billing cycle. To Upgrade a service Type, customer has to pay registra"on charge of the new
service type as per deducted with registra"on charge already paid for the first service. For any service downgrade to Anywhere Basic, should there be no confirma"on from the Customer,
any associated email address within the Customer ID will be deleted.

Harap paraf apabila Anda telah memahami pernyataan di atas - Please ini"al
that you have understood the statement stated above Bagian ini diisi oleh CBN - To be completed by CBN

Tanggal efek!f - Effec"ve date

Tanggal - Date 3 Januari 2023 Email Utama - Username
Customer ID

Harga belum termasuk PPN 10% - Prices excludes VAT 10%

Ocktavianti P.
Tanda tangan - Signature CA-JKT-RRS-FRM-1103005-1.6