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014-929 2955

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Mobile No.

unifi Home Registration Form

Full Name as per NRIC / Passport

NRIC No. / Passport No.

Mobile No.

Alternative Mobile No.

Installation Address

Email Address

unifi Home Fibre Broadband Plan

Remark or Add-on Package (Unifi Mobile, Unifi TV, All-In-One)

Upload documents for verification purposes.
*Only image file types are allowed, alternatively register with WhatsApp unifi agent by pressing the WhatsApp button below.

Front NRIC or Passport

Front NRIC or Passport

Upload supported file (Max 15MB)

Back NRIC

Back NRIC

Upload supported file (Max 15MB)

Utilities Bill (Eletricity or Water Bill)

Utilities Bill

Upload supported file (Max 15MB)

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014-929 2955

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