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Your Name (NRIC) *

No Kad Pengenalan (NRIC) *

Contact Number (0123456789) *

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Nama Ibu *

Email Untuk Pengesahan *

Address For Billing *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Alamat Terima PhoneSama seperti Alamat BillingAlamat Lain

Alamat Terima Phone

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

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Pilih (Android/IOS/Fiber) *— Select Choice —AndroidIphone/IpadHome FiberInterested(Minat)

Pilih Plan AndaPlan35Plan58Plan80 – 1phonePlan80 – 2phoneplan98 – 1phoneplan98 – 2phone

PIlih Phone (Plan58) – 24mREALME C71(6+128)VIVO Y19S PRO(6+128)VIVO Y29T 5G(8+256) +RM199OPPO A5 5G(8+256) +RM199HONOR 400 SMART 5G(8+256) +RM199

Pilih Phone (Plan80) – 24mVIVO Y29T 5G(8+256)OPPO A5 5G(8+256)HONOR 400 SMART 5G(8+256)HONOR 400 LITE 5G(12+256) + RM99REDMI NOTE 14 5G(12+512) + RM99

Pilih Phone (Plan80-2phone) – 24monthREALME C71(6+128) + VIVO Y19S PRO(6+128)

Pilih Phone (Plan98) – 24monthHONOR 400 LITE 5G(12+256)REDMI NOTE 14 5G(12+512)SAMSUNG A36 5G(12+256)

Pilih Phone (Plan98-2phone) – 24monthVIVO Y29T 5G(8+256) + REALME C71(6+128)VIVO Y29T 5G(8+256) + VIVO Y19S PRO(6+128)OPPO A5 5G(8+256) + REALME C71(6+128)OPPO A5 5G(8+256) + VIVO Y19S PRO(6+128)HONOR 400 SMART 5G(8+256) + REALME C71(6+128)HONOR 400 SMART 5G(8+256) + VIVO Y19S PRO(6+128)

Pilih Plan – 36monthPlan70 – iPad A16 11 WiFi128GBPlan90 – iPad A16 11 Cellular 128GBPlan95 – iPhone 13 128GBMOE138 – iPhone 16E 128GBMOE138 – iPad Air M3 11 WiFi 128GBMOE178 – iPhone 16 128GBMOE178 – iPad Air M3 11 Cellular 128GB

Fiber Plan – 24monthRM89 – 300mbpsRM109 – 500mbps

Interested (Minat)

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Nombor Untuk Upgrade/Principal *

Plan No 24month

Telco Sekarang *

No Kedua – 4 Digit Belakang (Jika Perlu)

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