TELEKOM MALAYSIA BERHAD

AGREEMENT LETTER
Date
Order Id
Order Type
New Bill Period
New Account No.
New Subscriber No.
New Name
New Bill Frequency
Customer ID No.
Service Class
Service Address

Service No.

: 30-Jul-2013
: 1-18ZU3
: New Install
:
:
:
: TMICP000010
:
: 780818-09-5678
: Residential
:

Details
Home Line
RADS Free Telephone Set
Deposit
Connection Fee
Home Line
RADS Free Telephone Set
Deposit
Connection Fee
Home Line
RADS Free Telephone Set
Deposit
Connection Fee
Stamp Duty

REVENUE
STAMP
RM10

Qty
1
1
1
1
1
1
1
1
1
1
1
1

Amount
RM
RM
RM

0.00
75.00
50.00

RM
RM
RM

0.00
75.00
50.00

RM
RM
RM

0.00
75.00
50.00

RM

10.00

CUSTOMER'S DECLARATION
I/We the undersigned:
1) I/We warrant that all information given is/are true, accurate and correct.
2) I/We agree to be bound by the terms and conditions imposed by TELEKOM MALAYSIA
BERHAD as in application form.
For and on behalf
TELEKOM MALAYSIA BERHAD

Signature of Customer

: ___________________

Signature

: ___________________

Name
Customer ID No.
Date
Certificate No.

: ___________________
: ___________________
: ___________________
: ___________________

Name
ID No.

: ___________________
: ___________________

Company's Stamp

: ___________________

Witnessed by
Name
ID No.
Date

:
:
:
:

___________________
___________________
___________________
___________________

FOR OFFICE USE

Deposit Charge
Order Id
Order Type
Date
Name
Billing Address
Service Class
Service Type
Account No.
Service No.
Revenue Code
Amount

:1-18ZU3
:New Install
:30-Jul-2013
:TMICP000010
:
:Residential
:Home Line
:
:
:017
:RM 225.00

(-225.0030072013017)

CUSTOMER'S COPY

TELEKOM MALAYSIA BERHAD

Deposit Charge
Name
Billing Address
Service Class
Service Type
Account No.
Service No.
Revenue Code
Amount

: TMICP000010
:
: Residential
: Home Line
:
:
: 017
: RM 225.00

FOR OFFICE USE

Single Charges Bill

Order Id
: 1-18ZU3
External Order No. :
Order Type
: New Install
Date
: 30-Jul-2013
Account No.
:

Revenue Type
Telephony Connection Charge

Revenue Code
015

(-150.0030072013015)

CUSTOMER'S COPY

TELEKOM MALAYSIA BERHAD

Single Charges Bill
Order Id
: 1-18ZU3
External Order No. :
Order Type
: New Install
Date
: 30-Jul-2013
Name
Billing Address

: TMICP000010
:

Account No.
Service Type
Service Class

:
: Home Line
: Residential

Connection Fee

RM50.00

Connection Fee

RM50.00

Connection Fee

RM50.00

Total Amount:

RMNaN

Amount
RMNaN