Streamyx Registration

Agents Only please fill:

Agent Code:*	J0158 -
Agent Name:*
	* Mandatory Field (Mesti di isi jika berkenaan)
	Fill in for company registration:
Company Name *
Company Reg. No *
Authorized Name *

	Fill in for all registration:
Name *
NRIC / Passport *	* eg. 771031031234 (YYMMYYXXBBBB)
Old NRIC (please provide if it exists)	* eg. 01234567
Street *
City *
Postal Code *
State	Negeri:
Country	Malaysia
Phone *	* eg. 0379808301 (Streamyx Installation No)
Mobile *	* eg. 0126781234 (Installation Contact No)
Current E-mail
	*Streamyx Combo and SOHO Promo Packages are at the top part of this list:*
Package Type *
	Optional items for Streamyx Combo, such as RM10 for unlimited fixed line calls, please state in Notes field below
	*Note: For Streamyx-In-A-Box and Self Install, package will autoactivate after 7Days*
	*Any cancellation after activation, penalty RM300 per case (New rule by TMNET)*
Application Status	New
Login1 *	* Key in all three preferred login (max 8 characters)
Login2 *
Login3 *
Notes
	Note: Please scan and email a copy of the applicant's NRIC (both sides) to broadband@acdra.net.

Note: Please scan and email a copy of the applicant's NRIC (both sides) to broadband@acdra.net.
For SOHO and Business packages, please also send a copy of your company registration to us.