TIME Broadband Application Form

Applicant Name (required)

Apartment / Condo Name

Mobile No. (required)

Email (required)

Housing Type

Unit/ House No. (required)

Street Name (required)

City (required)

State (required)

Postcode (required)

Fibre Broadband Package

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 & Condition 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.

Sample of Identification Card (MyKad):

Front:

Back:

Sample of TNB Bill & Water Bill

TNB Electricity Bill:

Indah Water Bill:

TIME Broadband Application Form

Sales enquiry

CUSTOMER SERVICE & TECHNICAL ISSUE

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