EFAIZENT Network ( LA 0004838 - X )
No. 29. Lorong Bunga Bakawali 4,
Taman Penampang,Jalan Penampang,
88200 Kota Kinabalu, Sabah.
Malaysia.
Phone : 088 - 456361
Fax : 088 - 456362
Mobile Phone : 019 - 8813858

 

Advertise Your Banner HERE

Application Form Personal
Account Category :  Personal

Apply New Telephone Line  :

Yes

No

Self Installation Modem :

Yes

No

This Application Assumes for :

Your Neighbor Tel No. ( If Any ) :
  for New Tel Lines application only
Full Name / Company Name * :
  ( As on your phone bill and NRIC or Passport )
NRIC  No. / Company  No. :
  ( Old IC Number is not Accepted )
Email * :
  ( Must be Valid Email )
Address :
  for Streamyx : As on your Telekom Phone Bill
       Your Current Address :
      for New Tel Lines : As on your Telekom Phone Bill
       City :
       Zip / Postcode :
       State :
Phone  No. :
  ( Where Streamyx is to be installed )
Mobile  No. * :
  ( For contact purpose )
Preferred  Username :
  ( Choice 1 - 3 or 8 characters )
 
  ( Choice 2 - 3 or 8 characters )
 
  ( Choice 3 - 3 or 8 characters )
Remarks :

                                                          

 

Important :
 Please Contact Us Via Phone or SMS if you do not Receive our Reply within 12 Hours. If you're address outside Kota Kinabalu, Sabah. Please scan your IC and send to us via email.....

 

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