=~ een et ees TM ‘Application LI) New (J Upgrade [J Downgrade [J Relocation [_] Termination Packages [J échannet/ 30 DDI Number [1 20 Channel / 150 001 Number [S64 channel / 480 00! Number (J @Channet/ 60 DDI Number [] 24Channet / 180 001 Number (J 128 Channet/ 960 DDI Number (] 12 Chaney 90 DDI Number [=] 28 Channel / 210 001 Number (J 16channet/120001Number — [_] 32 Channel / 240 001 Number ‘Segment 1 Entorprise [—] Government [—] sME_ Type of Business [Tetectre& Electronic [JInformation Technology [] Manufacturing [Mechanica Engineering SVagretarePamanon VERMA Acg I Ret S bleu elem s Media [= Health Product & Services _[_] Education © Eneray TJ Logistic [J Propertios & Construction [__] Other Service Providers TD ulitities Leisure (=) Transportation Carrier, Alliance & Partners (—) Services: Profit Organizatio. [] Services: Non Profit [5] Government TD others _{Please Specify) comary Business Entiy Name Businoss Registration Numbers [Mets erctoseocipy enc caricateoincrproun/ Busnes Regsraten Cruel ond ote supper Gunes pelea 1M) Property Typet (i banded [1 bigh-Rise 65 storeys oF more ‘Anoual Turnover Sc ratomiten Co] ea s0mition C=] 81 100mition =] eator-280 ition [—] > Reas0 nition No. of Employees (etnanso [Ist 100 [ot 250) 251-00 [J sor- 1.000” J > 1000 No. of Branches 1 (ios De-w i 11-20 Chea Do you subscribe o other telecommunications product ather than TM?/I Yes, Please Specty (i maxis C1 pigi Caring [1 Roctono [| Packet one [I time [I um Installation Address” iy a tatodet tater Office Tet. No.* ee ‘Authorised Reprasentaive/Contact Person NRIC asp ARICPsa™| ost enose ¢any OPN Passport No.* Inenetly ser crzens, eos enise oop a PsspeR] Mobile No. Preferred Communication [—] E-mail [fice Phone] Mobile Emall® ont feld_ Fae SME Cstmar, Pa ie Cntot Parson ond NA TION: SERVICE DETAILS Po ; = = For billing media, please chooso one: [| E-mail J itemised paper bill tensed poper bil wil be charged RM&/Trunk Co onary ta TAU Mult-Line IP pckages ae subjected to 12 Month Minturn Suberipson an Customer shal be lable to pay 0 TM um of RZ, 00 as agreed Liuiated dares in {he evento suspension or termination af the Mult-LineSences pit to epi ef the Minimum Suaceripton Perea 21 ntrnetPrtocl Private Branch Exchange PPE being one of Customer's Equipment and ater related equpment must be proved and stalled by Customer tits owe cost And expenses and compatible with TH s)sem. 31 Fees tho Customer wil poy TM for the subscription athe Mult-Line IP Services comprises of ane Hine charge and manthiy recurring charges rental charges and usa {the appliatle rate ncatoan the Quotation ora such ter pulsed rte for usage fe) ae ma be determined by TH ron time fo ine. Pulsed at fe sub ‘hanges wom tn to meas may be determined iy TM Whore appucabe please refer to Quotation o pated publzhed rate 3: May be made ovalode by TM fark {ime Stor tmomny. 1) Neuuthstanding Customers aplication approved and a the Mul-Line SIP Services oye made slab, (inal aaiaily en connect wl be subject fast {re easiness and ee thin the aieceg HEE Area, ab) final sali tan plot en ther umber proposed for Custom under te Guotation ce this ‘Aopitaton Form forthe Mal Lie Sores wi cutee to gray and al contrmabon a het ot metalotin.Norberstranka/chenete that Customer fallewed {tusccribed shall be subject to TM's prior approval and numbers for new istaladon or any adel tonal request er sdldonal numbers wl he necessary bein sequence SI Castner bl be fly rages fr ay nage and charges obtetntg ay cli of aude! ates or unas eof the Mul-Line SP Seres by the fee) Product Updates \Wevoud Uke eshare your personal information thin TMs group of companies andor thelr business affiliates to contact you about other products or srvices avilable from Th and it group ot coripates and ther Business afustes wth maybe or iteret to Jou, Please tick th relevant box yeu woud ke to receive marketing andpromctionalmateriaistrem: [—]TMandits groupot companies] Tandits group of companies busines fates Plate ick thi box [] you would tke to sign upand become a member of th TM Rewards programme Visit ihn com myftmronard for mer informationESnea i IMPORTANT NOTIFICATION: CUSTOMER'S INFORMATION AND PRIVACY POLICY. eam no sypenion Form, Caster promdg tems persoa emo uwitbe processing custemer ntormaten/perona oration proved inte fopica- ‘en'fem Snor farner isan and ats at maybe Teens 9 1 sr ath (Gebtomer or rom ay rd partes esecaty rom red areeu, batt, creat epotng Sper or Subnet prac inomatin terete agence rane Tepomence sumpocesng wees sa Terein whichever spate, * ® - ustarting acverasaments ad comet an the webstes) and the Stes af TM ands ‘raup compan orturde nfnraon em ihe TMs gry of empanee, please Soin Som Fespandng te Customers enquires Festaren purposes casing zon nd Saeeal pupae ‘Rggatgheraton anton of be cress or ds proved rein nig ating any at hes by TM it grupo compan eating to Customer rm neo + provide Cactomer wath rola commaniatine ator thn det marketing mater! 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