Company / Individual Registration Form

Demoline, Flexi e-load, Broadband and Supplementary SIM Data

Supporting Document :
Owner/Director's NRIC (both sides) / Passport (non-Malaysian) / Other ID Document

A. Company / Individual Information C. Declaration

Name of Company / Individual I / We, , duly authorised by

, hereby:

a) declare that the above information is true and complete and I / we authorize Digi
to verify the information furnished above. In this regard, my / our consent (or if
applicable, our employees and/or agents) for the disclosure of any information
to relevant third parties in connection with credit checks and/or financial matters
shall include the consent for Digi to disclose to financial institutions, credit agencies
etc and the consent for the relevant third parties to disclose such information
Dealer Code and/or findings to Digi.
- b) acknowledge that Digi reserves the right to reject this registration at Digi’s
discretion without assigning any reason for so doing.

c) authorise as well as consent to (or if applicable, undertake to procure the

B. Sim Card Information authorisation and consent of its relevant employees and/or agents) my / our
personal information including sensitive personal data being processed as and
when required in accordance with the Personal Data Protection Act 2010, our
1. MSISDN - Data Protection Obligations and our Privacy Notice. You further consent to
Sim Card Serial Number your personal information being disclosed to third parties identified by Digi to
be relevant for the purposes of this registration. Please note that our Data
8 9 6 0 Protection Obligations (http://new.digi.com.my/Page/tnc/default/tnc_data_
Rate Plan Demo Line Flexi e-load Broadband Supplementary SIM Data
protection_obligation) and Privacy Notice (http://new.digi.com.my/Page/tnc/
default/tnc_privacy_statement_en) are available on our website and may vary
from time to time. No prior notice will be given for the variation. Please visit our
2. MSISDN - website stated above periodically to review any changes made to our Data
Sim Card Serial Number Protection Obligations and Privacy Notice.

8 9 6 0 d) acknowledge that Digi reserves the rights to recover from me / us, such amounts
as may be due and owing by me / us to Digi, should I / we be found to have
Rate Plan Demo Line Flexi e-load Broadband Supplementary SIM Data falsely declared any information with regard to this registration.

3. MSISDN - e) By signing below, I / we, the authorised person(s) wish to subscribe to the
Sim Card Serial Number service(s) above. I / We declare the above information given is true and
complete. I / We confirm that I / we have read the terms and conditions below
8 9 6 0 and all relevant documents provided and agree to be bound by them. I / We
agree to jointly and severally be liable for all fees, charges and taxes arising
Rate Plan Demo Line Flexi e-load Broadband Supplementary SIM Data from this registration. I / We authorise Digi Telecommunications Sdn Bhd
(201283-M) to verify the information given herein from whatever sources as
4. MSISDN - may be required and to release such information as may be obtained without
Sim Card Serial Number
further reference to me / us.

8 9 6 0 Full Name as per NRIC

Rate Plan Demo Line Flexi e-load Broadband Supplementary SIM Data

5. MSISDN -
Sim Card Serial Number

8 9 6 0
Rate Plan Demo Line Flexi e-load Broadband Supplementary SIM Data NRIC No./Passport
6. MSISDN -
Mobile Phone No. -
Sim Card Serial Number

8 9 6 0 Designation
Rate Plan Demo Line Flexi e-load Broadband Supplementary SIM Data
E-mail Address
7. MSISDN -
Sim Card Serial Number

8 9 6 0
Authorised Signatory Date
Rate Plan Demo Line Flexi e-load Broadband Supplementary SIM Data

8. MSISDN -
Sim Card Serial Number

8 9 6 0
Rate Plan Demo Line Flexi e-load Broadband Supplementary SIM Data

Company / Business Official Stamp

 Terms and Conditions
Demoline, Flexi e-load, Broadband and Supplementary SIM Data

Agreement. The agreement between the Dealer (“Dealer”) and Digi Telecommunications Sdn. Bhd. (“Digi”) SPECIFIC TERMS & CONDITIONS APPLICABLE TO DEMOLINE, BROADBAND AND SUPPLEMENTARY
is made up of: SIM DATA ONLY
Note: Please note that the clauses on “Value Added Services (VAS)”, “Fair use”, “Dealer’s responsibilities” and
(a) this Terms and Conditions;
Digi’s responsibilities” may vary from time to time. No prior notice will be given for the variation. The Dealer is
(b) Data Protection Obligations; (http://new.digi.com.my/Page/tnc/default/tnc_data_protection_obligations)
advised to visit Digi’s website periodically to review the changes.
(c) Digi Privacy Statement; and (http://new.digi.com.my/Page/tnc/default/tnc_privacy_statement_en)
(d) the General Terms and Conditions which shall be applicable to the extent there are matters not provided Please note that continued use of the Service following any changes to the Dealer Benefits T&Cs constitutes
for in this Terms and Conditions, in which case, the definition of “Customer” contained therein shall an acceptance to those changes.
refer to the Dealer, (http://new.digi.com.my/cs/Satellite/Page/tnc/default/tnc_business) Service. For the duration of the Term, Digi shall at its sole and absolute discretion and from time to time provide
the Dealer with an appropriate offering or rate plan (which may include calls, short messaging service and/or
((a), (b), (c) and (d) together shall be referred to as the “Dealer Benefits T&Cs”). data) (“Service”). International roaming service for the Dealer’s account will only be made available upon the
Dealer’s request and upon Digi’s acceptance.
In the event there is any discrepancy between the Dealer Benefits T&Cs and the General Terms and Conditions
during the Term, the Dealer Benefits T&Cs shall prevail. For the avoidance of doubt, Digi shall at its sole and absolute discretion be entitled to change or terminate the
Services for any reason whatsoever (including but not limited to when Digi’s classification of the Dealer
Variation. We reserve the right at our absolute discretion to vary, delete or add to any of the Dealer Benefits changes).
T&Cs from time to time without prior notice. This includes revising and/or modifying the Data Protection If the Services are changed or terminated, Digi shall also at is sole and absolute discretion be entitled to
Obligations, Digi Privacy Statement and the General Terms and Conditions. In the event of such revision and/or convert, recover, revoke or terminate any mobile telephone numbers issued or assigned by Digi to the Dealer.
modification, Digi will communicate the same to the Dealer via its website and/or in writing (where relevant). The In such circumstance, the Dealer shall no longer have the right to use any such mobile telephone numbers. Digi
Dealer may also request for hard copies to be delivered to the Dealer. is under no obligation to maintain, reserve or re-issue any mobile telephone numbers to the Dealer.

Benefits. Digi may at its sole and absolute discretion provide the Dealer with certain benefits including: Value Added Services (VAS). “VAS” are additional functions, features or facilities which are currently available
(a) Demoline; (b) Flexi e-load; (c) Broadband; (d) Supplementary SIM Data; and/or (e) such other benefits as or will be made available by Digi from time to time and may be subscribed to and/or used by the Dealer in
Digi may decide from time to time. connection with the Service to enable the Dealer to access and use information, data, content, wireless
application protocol (WAP) and other interactive applications and/or services over the internet and/or intranets.
Term. The Dealer Benefits T&Cs shall take effect from the date the Service is activated and shall continue to be The Dealer’s ability to access and use information via VAS is dependent upon the features and functionality of
in force until terminated by either Digi or the Dealer. the Dealer’s device as well as the nature and quality of the information being accessed. Please note that Digi
do not represent, warrant or guarantee the extent to which the Dealer’s device will be able to access information
Note that Digi may, at any time without assigning any reasons, terminate the Benefits at any time during the via VAS or on the internet or elsewhere.
Term without cause in whole or in part by giving the Dealer a three (3) day advance notice (verbal or via any
Digi reserves the right to withdraw VAS at any time without notice and shall not be liable to any party for
other method deemed reasonable by Digi) to such effect.
doing so.
SIM Card. The Dealer shall exercise due care in ensuring the safety of the SIM card issued and shall only use Both parties agree to be further bound by the clause on “Value Added Services” as set out in http://new.di-
it in accordance with any instructions given by Digi to the Dealer. If the Dealer loses the SIM card or if the SIM gi.com.my/cs/Satellite/Page/tnc/default/tnc_business.
card is stolen, the Dealer shall immediately report to Digi by calling Partner Support at 016 299 8899 or adhere Charges. The Dealer will be responsible for and will pay any fees, charges and taxes if the Dealer subscribes
to any other method as may be advised by Digi from time to time. The Dealer agrees that it shall be responsible for VAS and/or if the Dealer’s usage exceeds the agreed scope of Service. This is regardless of whether the
for all acts of unauthorised use of the SIM card including any action or request made by any third party user of Service is used by the Dealer or someone else and includes all fees, charges and taxes resulting from
the SIM card (which shall be deemed to have been made by the Dealer) and such request may be carried out unauthorised or fraudulent use.
by Digi without further enquiry.
Payment. We will invoice the Dealer, and the Dealer will pay us, in Ringgit Malaysia. At the end of the Term, any
The Dealer acknowledges and agrees that there is no warranty for the SIM card and Digi shall not be under any fees, charges and taxes outstanding (which may be determined by us from time to time), shall become
obligation to replace or compensate the Dealer for any lost, stolen, damaged, faulty or cloned SIM card or for immediately due and payable to us. All due payments shall be paid promptly and Digi reserve the right to
any costs or expenses incurred by the Dealer. charge interest on all late payments at the rate of 1.5% per month or such other rate as Digi may notify the
Dealer from time to time.
Digi reserves the right to charge an administration fee for the issuance of any replacement SIM card and/or any If the Dealer dispute any of the fees, charges and/or taxes in our statement to the Dealer or the amount
other charges which amount shall be determined at the absolute discretion of Digi. outstanding, the Dealer must write to Digi within fourteen (14) days from the date of Digi’s statement to the
Dealer, failing which Digi shall deem the statement to be correct and binding on the Dealer. Upon our receipt of
All SIM cards issued are the property of Digi and the ownership thereof shall not at any time pass to the Dealer, the Dealer’s written notice, Digi shall review the Dealer’s account and make any amendments, if necessary.
and shall be returned upon demand (including if the SIM card is suspended or cancelled).
Digi reserves the right to take any action it deems necessary for the recovery of any of the unpaid fees, charges
Data protection. Digi is required to comply with the Personal Data Protection Act 2010 and Digi stands by its and/or taxes including penalties or fees. The Dealer will bear any and all costs incurred by Digi in relation to the
privacy statement when dealing with the Dealer’s personal information. Digi Privacy Statement is available on recovery process.
Digi’s website. Please note that Digi Privacy Statement may vary from time to time. No prior notice will be given Fair use. Digi’s Fair Usage Policy (http://new.digi.com.my/cs/Satellite/Page/tnc/default/tnc_fair_usage_policy)
for the variation. Please visit Digi’s website (http://new.digi.com.my/Page/tnc/default/tnc_privacy_state- will apply to the Dealer. The policy sets out an acceptable level of conduct of a person using the internet
ment_en) periodically to review any changes made to our privacy statement. services provided by Digi. We believe all internet users (including the Dealer) should be responsible in their
usages and how it affects the other users.
Personal data. Upon signing this Dealer Benefits T&Cs and by continuing to use the Service, the Dealer
Dealer’s responsibilities. The parties agree to be bound by the clause on “Customer’s Responsibility” as set out
consents and permits us to process/use/disclose the Dealer’s personal data including sensitive personal data
in http://new.digi.com.my/cs/Satellite/Page/tnc/default/tnc_business.
for purposes including but not limited to the provision of the Service, data matching, trans-border, transfer of
data, Call Line Identification Presentation (CLIP), credit checking as and where required, and in accordance with Digi’s responsibilities. The parties agree to be bound by the clause on “Rights and Liability of Digi” as set out
the Data Protection Obligations and Digi Privacy Statement and for compliance with any laws and regulations. in http://new.digi.com.my/cs/Satellite/Page/tnc/default/tnc_business.

The Dealer further consents to the disclosure of information relating to any of its employees and/or agents (if SPECIFIC TERMS & CONDITIONS APPLICABLE TO FLEXI E-LOAD ONLY
applicable) to relevant third parties in connection with credit and/or financial matters to financial institutions, The Dealer’s obligations.
credit agencies etc. and for the relevant third parties to share such information and/or findings to Digi. (a) Upon Digi’s acceptance and approval of the registration, the Dealer shall be authorised to use
Digi’s flexible electronic payment platform (“Flexi e-load system”). Use of the Flexi e-load system requires
Liability and Indemnity. The Dealer will indemnify Digi and keep Digi indemnified against, and hold Digi a SIM card and the Dealer shall be issued a SIM card.
harmless from, any and all loss, damage, claim or expense (including legal expenses) arising from or relating to
any of the following: (b) Upon receipt of the SIM card, the Dealer may purchase airtime credit via the Flexi e-load system. Any
sums paid for the purchase of the airtime credit shall not be transferable or refundable. Digi reserves the
(a) any fraud, misrepresentation and/or unauthorised or unlawful use of the the SIM card provided and/or right to forfeit any remaining airtime credit after the expiry of 2 years from the date of the airtime
the Flexi e-load system by the Dealer or a third party user; credit purchase.
(b) any use of the SIM card provided and/or the Flexi e-load system by the Dealer or a third party user; (c) The Dealer shall be solely responsible for any and all fees, charges and taxes (where applicable) in respect
(c) any failure by the Dealer to perform or observe any term or condition under the Dealer Benefits T&Cs; of transactions effected by and through the use of its SIM card for the Flexi e-load system regardless
(d) any interruption, downtime, fault, or loss of use of the SIM card provided and/or the Flexi e-load of whether it is used by the Dealer or by any third party user (with or without permission). This includes
system; and/or all fees, charges and taxes (where applicable) incurred resulting from unathorised or fraudulent use of
(e) any termination of the SIM card provided and/or the Flexi e-load system. the Flexi e-load system.

The Dealer acknowledges that Digi will not be liable to the Dealer or any third party user, under any (d) The Dealer may terminate its use of the Flexi e-load system by returning the SIM card to Digi and any fees,
circumstances for any type of loss or damage whatsoever, including loss of profit, savings, business, contracts charges and taxes outstanding (which may be determined by Digi from time to time), shall become
or revenues, and all other forms of actual, direct, special, incidental or consequential loss or damage, relating immediately due and payable to Digi. All due payments shall be paid promptly and Digi reserves the right
to or arising out of any of items listed above, even if Digi knew, or should have known, of the possibility of such to charge interest on all late payments at the rate of one point five per centum (1.5%) per annum calculated
loss or damage. In particular, Digi shall not be liable and shall not be required to reimburse or compensate the on a daily rest basis or such other rate as Digi may notify the Dealer from time to time from the date the
Dealer for any losses suffered as a result of the discontinuation, disconnection, interruption, barring, amount is due until receipt and settlement of the outstanding amount.
suspension, termination or withdrawal of the SIM card or usage of the Flexi e-load system. (e) Digi further reserves the right to take any action it deems necessary for the recovery of any of the unpaid
fees, charges and/or taxes including penalties or fees. The Dealer shall bear any and all costs incurred by
The Dealer acknowledges that the SIM card provided and/or the Flexi e-load system and any related Digi in relation to the recovery process.
technology, software, hardware components and data are provided “as is” and “with all faults” and there are no
warranties, express or implied, by operation of law or otherwise, made by Digi with respect thereto. The Dealer Digi’s rights.
acknowledges that to the maximum extent permitted by law, Digi expressly disclaims all implied warranties, (a) Digi may upgrade the Dealer’s SIM card for the Flexi e-load system at anytime without any prior
terms or conditions of satisfactory quality, merchantability, fitness for a particular purpose, title or non-infringe- notice given to the Dealer.
ment, and any implied warranties arising out of the course of performance, course of dealing or usage of trade,
(b) Digi, at its sole and absolute discretion, reserves the right at any time (regardless of whether there is
relating to the SIM card provided and/or the Flexi e-load system.
remaining balance in the Dealer’s airtime credit) without being liable to the Dealer to discontinue,
disconnect, interrupt, bar, suspend, terminate or withdraw the Dealer’s SIM card and/or access to the Flexi
Miscellaneous. Digi reserves the rights to recover from the Dealer, such amounts as may be due and owing by
e-load system without assigning any reasons.
the Dealer to Digi, should the Dealer be found to have falsely declared any information with regards to its
registration. (c) The Dealer agrees that Digi shall be permitted to reverse any transaction or re-transfer any amount wrongly
credited to the Dealer or unwind any transaction or take any action as Digi deems fit and reasonable
Governing law. This Terms and Conditions shall be governed by, and construed in accordance with the laws without having to obtain any consent from the Dealer.
of Malaysia. (d) In cases of fraud, including but not limited to tampered or modified SIM cards, Digi reserves the right to
unwind the transaction, recover and/or forfeit any airtime used or purchase.
 Company / Individual Registration Form
Demo Line, Flexi e-load, Broadband & Supplementary SIM Data

D. Package Information (additional package) Information may be attached to the Registration

Form in the event)
No. MSISDN (01X) Rate Plan (Demo Line / Flexi e-load /
Sim Card Serial No.
Broadband / Supplementary SIM Data)
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Acknowledgement of Customer:

Signature of Authorised Signatory Date Company Stamp/Chop