CONTACT DETAILS

Are you an existing U Mobile subscriber? *

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State *

PIC Name *

PIC Contact *

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Delivery Contact Name *

Delivery Contact Number *

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Delivery Address with Postcode *

PIC NRIC * Click here for sample.

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Company Director / Owner NRIC Click here for sample. Required if PIC is not the Company director/ owner.

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Authorized Letter Click here for sample. Required if PIC is not the Company director/ owner.

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COMPANY DETAILS

Company Name *

Company Email *

New BRN/Local Council License/Trading License Number *

Company Document * Click here for sample.

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Tax Identification Number (TIN) *

+60

TIN Document * Click here for sample.

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SST Registration Number (if applicable) Visit https://mysst.customs.gov.my > Registration Status

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Utility Bill/Bank Statement (Only applicable for Local Council License/Trading License Number)

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BUS Code

I have given my consent for U Mobile to collect, record, hold, store, use and disclose my personal information for purposes which are necessary or related to the provision of Service by U Mobile according to U Mobile’s Privacy Notice.

First Plan Name

First Device Name

First Device Color

First Device Capacity

Plan/Device Name

Package Name

Channel