Time Fibre Plan

Contract Duration *

Plan *

Application Information

Full Name (as per MyKad/Passport) *

Nationality *

MyKad Number/Passport Number *

Phone Number *

Gender *

Date of Birth *

Email Address *

Secondary Phone Number *

IC/Passport/Visa Front *

IC/Passport/Visa Back *



Acceptable formats: jpg, jpeg, png, pdf, doc, docx
Max file size is 5MB/file.
Installation Address

Building Name / Apartment Name / Condo Name *

Block

Address *

Floor No. *

Unit No. *

City/State *

Postcode *

Special Remark

Our sales will contact you soon once you submit the application.

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