I WANT TO TERMINATE MY


IMPORTANT NOTES
1.  A minimum of 30 days notice is required for any cancellation request.
2.  A minimum of RM500 will be imposed as termination charges on service termination within contract period as stipulated in the Terms & Conditions accompanying the subscription of the Service(s).
3.  If your subscription is within contract period , we'll call you to arrange for the retrieval of your Broadband termination Unit (BTU), router and DECT phone ( if any).
4.  Refunds will be made in Ringgit Malaysia (RM) via bank transfer.
5.  Refunds will be processed within 90 days from the final bill date and made payable to the account owner ( if applicable).

A. CUSTOMER INFORMATION

Name (Individual Name as per IC/Passport)
Nationality
MyKad/Passport Number
Contact Number (Primary)
Contact Number (Secondary)

Not mandatory

Email Address
Customer Code
Cancellation Date
Do you have Voice Plan?

B. REASON OF TERMINATION

Termination Reason(s)
Please state new Service Provider
Reason why?






Where are you moving to?




Please specify why

C. REFUND BANK DETAILS

Name of Bank
Bank Location
Currency
Beneficiary Name
Account Number
Swift Code
IBAN/ABA Number

D. DECLARATION