UniFi SERVICE ACCEPTANCE FORM

PRE-INSTALLATION CHECKLIST
Premise Type: LINK HOUSE(SINGLE/DOUBLE)
Verification of work order before *TM Installer MUST return the order if any the following is
Installation address is different from customer's premise location.
Activation until FDP only (Except for Payphone).
Owner/occupant at premise denied applying for TM service.
SECTION 1: CUSTOMER & SERVICE INFORMATION
A. Service Details
All prices quoted shall be payable on a monthly basis, unless mentioned
Order Number: 1-12263642568
Service Id:

3-1-12263642568-A9EE566D-

Type of Application:

New Install

Package:
UniFi Advance 30Mbps + Aneka

For BIZ Fixed IP Package

Gateway IP: Subnet
Mask:

255.255.255.-

DNS: 202.188.0.133 & 202.188.1.5

Notes: 1) Customised Local Area Network and connectivity such as server, VPN, firewall or
scope
of the
Service
switches
are UniFi
not within
the offering.
2) Please note that upon migration to the UniFi Service, the customer's existing IP address will be
This applies to all situations.
changed.
3) Any cost incurred for any IP address reconfiguration on customer's existing network will be under
the customer's
responsibility.

B. Customer Details
Name/Organisation: NOOR IZZAH BINTI ABD AZIZ
NRIC: Passport
881203-11-5506
No:
Business Registration
Installation Address:

37 - JALAN 37/154 56000 KUALA LUMPUR WILAYAH PERSEKUTUAN

Mobile No: Home

0136368795
Tel. No: 0136368795
Office Tel. No: Fax No: (All equipment provided by TM is subject to a 1 year warranty period from the installation date and
SECTION
for manufacturing
fault/defects
2:only)
EQUIPMENT
Email: eisya0312@gmail.com
AND MATERIALS

Page 1 of 6

Technology: FTTH (On Pole)/FTTH (UG)/FTTH (High Rise)/FTTH Pedestal/VDSL

i. Customer's confirmation on acceptance of standard equipment package and any
additionalare
equipment
services
required
provided and
in this
form. Upon customer's acceptance of the work order
conditions
shallterms
be deemed
thereunder,thereof
additional
and incorporated as part of the Terms and Conditions of
theAll
UniFi
Service.provided by TM is subject to a 1 year warranty period for
ii.
equipment
manufacturing faults or defects only
Standard equipment provided in the
Service Point

a4c7de4087c0

Wi-Fi (RG)

7062b8ec5961

Set-Top-Box (STB) 08a5c8113261

Phone

SECTION 3: CUSTOMER PREMISES LAYOUT FOR STANDARD

INSTALLATION
External Fibre Internal
11 Fibre
14 hall
metre(s)
BTU Location:
metre(s)
External Wiring: Single storey or Double storey
(existing pipe)

External Wiring: Single storey or Double storey

(new pipe)

External Wiring: SDU (Single storey) External Wiring: SDU (Double storey)

Page 2 of 6

Internal Wiring: Basic setup for internal wiring Internal Wiring: Basic setup of internal
wiring,

PART A: ADDITIONAL ITEM TO BE CHARGED (in next billing cycle)

Description

Additional meter

Total Charges (RM)

A. On-site Support
1. On-Site Support Charge (RM50)

B. Equipment
1. BTU Replacement *(RM500/unit)

2. BG/RG Replacement *(RM120/unit)

3. STB Replacement *(RM400/unit)

4. DECT Phone Replacement *(RM74/unit)

*Faulty after warranty period/damaged within

C. Cabling
1. Additional Internal Fibre (FTB-FWS) Wiring 0

2. Additional Raceway (RM25/5m)

3. Additional RJ45 Wiring (RM25/5m)

4. Additional RJ11 Wiring (RM15/5m)

00

D. Others (Price Inclusive of RM50 On-Site Support Charge)

1. Re-wiring charges without FTB movement

2. Re-wiring charges with FTB movement

3. Relocation (RM300)

Total Charges (will be reflected in the next bill):

PART B: OPTIONAL ACTIVITIES FOR FTTH

Description

Additional WiringTotal Charges

Distance Proposed
Pricing (RM) Total Length Total Charges
(RM)
A B C (A x B)
Residential & Business Premises

1. On pole to FTB via

ground surface wiring

1st 30 meter

Additional meter
2. Over
3.
Total
3MCharges
surface
the ceiling
wiring
(cash1st
payment
1st
30m
15m
170
to
(FTBContractor):
Additional
290 meter 220

450
6

450
0
0

0
0
0Page 3 of
290
170
910
60

Additional Terms and Conditions:

1. All costs of are inclusive of labour and microduct piping or 30M materials where
2. Work includes a 30-day warranty period effective from job completion date. This
applicable.
warranty
does
notparty
coverand
anycustomer negligence or force majeure.
fault
due to
third
3. The customer must contact the respective contractor directly within the warranty
period for any optional installation
activities.
4. The customer is responsible for any maintenance costs on all optional installation
5. Charges only apply for work carried out by TM Authorised Contractors.
activities.
6. The contractor/installer shall have the absolute right to refuse any optional
installation work or activities as requested by

SECTION 4: ACKNOWLEDGEMENT AND SERVICE ACCEPTANCE

A. Important Notes (Must Read)
General
All UniFi packages are subject to a 24-month minimum subscription period.
Package downgrades will be subjected to a fee of RM200. For any upgrade or
by
TM to a request
customer's
additional fee of RM200 will be imposed.
downgrade
thatpremises,
requires aanvisit
UniFi residential packages will be subjected to a Fair Usage Policy (FUP) which is a
global
The 1stpractice.
UniFi bill will include the Installation Fee as well as 2 months Subscription
subsequent
Fee payablemonth).
upfront (current and
Internet Access Speed
The Internet access speed depends on various factors such as:
Factor Explanation
Location of websites

Access to some international websites could be slow due to traffic volume, etc.

Web server capacity

Some web servers have a restricted capacity to handle huge traffic demand or may
evenrestrict download speed to ensure fair access to all.

Network congestion

Temporary congestion due to unavoidable network maintenance/outages.

Multiple users or

PC operating systems
WiFi (wireless)
Home Plug

Running multiple applications at the same time such as peer-to-peer BitTorrent, etc,
can degrades access speeds. Multiple users sharing the connection at the same time
Some configurations of the PCoperating systems can compromise the Internet access
Compared to wired connectivity, wireless connectivity can slow down Internet

If you wish to use HomePlug/BPL for your HyppTV, the service may be affected by
various factors such as interference from other electrical equipment in the vicinity,
actual
copper
quality of your power line wiring, the length of the power line, etc. TM will not
be

B. Terms
By
New
hereby
signing
I/Cacknowledge
No.
and
this
881203-11-5506
Conditions
UniFiand
Service
agree
of Service
Acceptance
Business
that:
Registration
Form,
-

NOOR IZZAH BINTI ABD AZIZ Page 4 of 6

i. I/We shall be responsible for all obligations for the UniFi service with
any
service charges
due and/or
anytodemand/claim
standard/optional
activities
and for
agree
be liable for and any cost arising from legal
action service
pertaining
to the
of the
UniFi
under
myusage
account.
ii. Work mentioned under SECTION 2 (PART B) herein is not within TM's standard
practive,
or obligations
event,
if customer
agreesand
to in
thesuch
appointment of the contractor, the customer shall be
fully
for payment
to
theresponsible
said contractor
for optional activities done and that the said contractor shall be
for
any
action,
omission,
defect, loss and/or damage in the course of carrying out or
directly liable to the customer
arising from any work carried

All UniFi Services Connected

v. In the event that I/we choose to the provision of only part of the *Triple Play/Dual
shall
nonetheless
the full
of Service Charges as stipulated in the
Play UniFi
servicepay
offered
byamount
TM, I/we
Application Form of the *Triple Play/Dual
I am not interested although I have a TV (With TV)
I do not possess a TV (No TV)
I have no available AV ports (No AV port)
The STB is too far from the BTU (STB-BTU distance too far)
I will do my own wiring later (Customer to do wiring)
vi. If, at any time during the subscription of the UniFi service, I/we later opt to utilise
service
shall bear
and all additional costs incurred and imposed by
all of theoffered,
*TripleI/we
Play/Dual
Playany
UniFi
TM connection.
for the purpose of installation
and
vii. I/We understand that TM may, from time to time and at its absolute discretion,
provide
special
offers
to its customers
if
the
UniFi
service
is subscribed
via a specific
mode or channel as determined by TM or,
for any to
other
reason
whatsoever
subject
terms
of offer
as may be applicable. The customer further acknowledges that
TM
may notoffers
necessarily
be by
applicable to all of its UniFi service Customers.
any special
provided

*Not applicable where customer has accepted that all UniFi services are connected.
I/We do hereby confirm and acknowledge that I/we have read and understood the
Conditions
contained
this Service
Acknowledgement
andinTerms
and Acceptance Form. I/We agree to be bound by all
such Terms and Conditions and

Customer's/Authorised
SECTION
TMTM
5:
Installer
FOR
Order
Installer
TM
Id:
Id: Representative's
USE
TM
1-12263642568
Q000492
601112235229
Installer
ONLY
Installation
Date/Tim 15-FEB-2016
Completion
TM Installer
08:16:56Name:
PM

Mohd
POF
15-FEB-2016
SDN.
Solihin
BHD.
Bin Abu
08:16:56
Page
Hassan
5 of
PM
6

Zone/Exchange: ZONE BUKIT ANGGERIK

Remark

Page 6 of 6