Application - Time Internet Plan

Contact Details
24 Months contract
Internet Package*
Voice Package*
Personal Details
Full Name (As Per NRIC)*
MyKad/Passport Number*
Nationality*
Mobile Number*
Secondary Mobile Number
Email*
MyKad Front*
Accepted file types: jpg, gif, png, pdf.
MyKad Back*
Accepted file types: jpg, gif, png, pdf.
Building Name*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
*
- I hereby declare that all of the information and document(s) provided are true and valid.
*
- I have read, understood and agree to be bound by the Terms and Conditions of TIME Fibre Home Broadband which accompany the subscription of the product(s) and/or service(s).
*
- I hereby consent to the collection, use, and disclosure of my personal information in accordance with the Privacy Policy.
Remarks

Contract Details
24 Months contract
Internet Package*
Voice Package*
Company Information
Company Name*
Company Type*
Business Registration Number*
SSM Business Resgistration Document*
Accepted file types: jpg, gif, png, pdf.
Director / Authorised Personnel Info
Full Name (As Per NRIC)*
MyKad/Passport Number*
Nationality*
Mobile Number*
Secondary Mobile Number
Email*
MyKad Front*
Accepted file types: jpg, gif, png, pdf.
MyKad Back*
Accepted file types: jpg, gif, png, pdf.
Building Name*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
*
- I hereby declare that all of the information and document(s) provided are true and valid.
*
- I have read, understood and agree to be bound by the Terms and Conditions of TIME Fibre Home Broadband which accompany the subscription of the product(s) and/or service(s).
*
- I hereby consent to the collection, use, and disclosure of my personal information in accordance with the Privacy Policy.
Remarks

Contact Details