Unlimited Love, Unlimited Internet

SERVICE ORDER FORM - RESIDENTIAL PACKAGE

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.

ORDER NO:

APPLICATION TYPE

APPLICATION: *

New

A. APPLICANT'S INFORMATION

Full Name *

Nationality *

Malaysian Non-Malaysian

Gender *

Male Female

NRIC/Passport No. *

Customer Code/Account Number *

Email Address *

Please provide active email address for Allo to send the verification email.

Contact Number (Primary) *

Contact Number (Secondary)

Not mandatory

Do you have current internet service Provider?

Yes No

Please specify (ie Maxis, Unifi)

B. INSTALLATION ADDRESS

State *

City *

Address *

C. SERVICE DETAILS

Preferred Installation Date *

Appointed Representative *

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 *

Morning Evening

Billing Cycle *

Monthly

NOTES

1.	Preferred installation date is subject to the Service Installer availability.
2.	The appointed representative must be available during service installation.
3.	Early termination will be subject to a penalty of remaining months or RM500 (whichever is higher).
4.	Your e-bill will be sent to your registered email address.

D. PACKAGE DETAILS

Allo Fibre Residential

1. Allo Fibre *

100Mbps    ~~RM69~~  RM49
300Mbps      RM99
500Mbps      RM139
1Gbps    ~~RM199~~  RM139
(Comes with additional WiFi 6 router with built in Easy Mesh for FREE)

2. Promotion *

FREE 6 Months

3. Add-On

Voice Home Plan RM30/month

4. Contract Term *

24 months

5. Referal Code

Enter the referral code (e.g., PA12345) from a friend or family member, if any

NOTES

1.	All packages includes an ONU, WiFi Router and 1 Dynamic Private IP.
2.	Promo price is valid for up to 24 months. Terms and conditions apply.For more information refer to https://www.allo.my/faqs-unlimitedloveunlimitedinternet/
3.	For more information on our "Refer and Earn" program,please visit https://www.allo.my/faqs-referandearn/
4.	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

Broadband RM300

*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)^*

Declaration: *

I hereby consent to the collection, use, disclosure of my personal information in accordance with the Privacy Policy available on https://www.allo.my/policies/.

I hereby declare that the above information, documents and any appendices attached are true and valid. I have read and understood the contents of this form and agreed to be bound by general Terms & Conditions as stated on the https://www.allo.my/residential/help-contact/faq/ which accompany the subscription of product(s) and/or service(s).

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