SERVICE ORDER FORM - RESIDENTIAL PACKAGE

IMPORTANT NOTES

Please ensure your home is within our coverage area before submitting. You may click here for coverage checking.

1.  Please read all the Terms & Conditions accompanying the subscription of the Service(s) before completing this application form.
2.  Please write in CAPITAL LETTERS and tick (✔) where required.

APPLICATION TYPE

(Please choose your application request)
   

 

Subsidiary Company Name

A. APPLICANT'S INFORMATION

Full Name
Nationality
 
Gender
 
Date of Birth
NRIC/Passport No.
Staff ID
Customer Code/Account Number
Email Address
Contact Number (Primary)
Contact Number (Secondary)

Not mandatory

Do you have current internet service Provider?
 
Please specify (ie Maxis, Unifi)

B. INSTALLATION ADDRESS

No.
Level
Block
Street/Lot
City/State
Postcode

C. SERVICE DETAILS

Preferred Installation Date1
Appointed Representative2

The applicant to be present during installation day. However, if you are not available during the installation date and time, you may appoint an individual aged 18 years and above, who can decide for placement of the equipment or any other decision, especially when it involved non- standard installation at your premises, and you have to acknowledge the completion of installation.

Representative's Contact No
Preferred Timing
 
Billing Cycle
NOTES
1.  Required For Service (RFS) date is subject to the availability of required infrastructure and/or equipment.
2.  The appointed representative must be available during service installation.
3.  Your e-bill will be sent to your registered email address. Early termination will subject to RM500 penalty.

D. PACKAGE DETAILS

TNB Staff Broadband Package
1. City Broadband Residential1



2. Add-On
3. Contract Term
NOTES
1.  All packages includes an ONU, WiFi Router and 1 Dynamic Private IP.
2.  Promo price is valid as employed with TNB or/and TNB subsidiaries https://www.allo.my/tnb-staff-broadband-promotion/.
3.  Voice calls are charged at RM0.08/min and low IDD call rates for international calls.

All price(s) are subject to 6% Service Tax.
UPFRONT PAYMENT

(Payable to Allo Technology Sdn Bhd prior installation date)

Deposit*
Applicable for Non-Malaysian

*Deposit is refundable upon termination

E. DOCUMENTS AND DECLARATION

Documents Required (please upload here):

✔ Photocopy of NRIC (both sides) or passport (Non-Malaysian)

File allowed (.jpg, .png, .pdf only)*

✔ Photocopy of Staff ID

File allowed (.jpg, .png, .pdf only)*

✔ Utility Bill

File allowed (.jpg, .png, .pdf only)*

✔ Internet Current Bill

File allowed (.jpg, .png, .pdf only)*



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