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Subscription Type*
Online SMS2-Way SMS

Applicant Type*
CorporateIndividualExistingBranchRelated

Name* (Personal or Company)

Billing Address*

Postcode*

Town/City*

State*

Billing Contact Person*

Telephone No.*

Facsimile No.

Mobile No.*

Email Address*

Co. Reg. No.

Sole Proprietor: Forms D & A
Partnershiop: Forms D & B
Sdn. Bhd.: Forms 9/13 & 49
Foreign Co.: Forms 79, 80, 83 & 83A
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Upload Co. Reg. Form (2):

Type of Business

Business Since

NRIC or Passport No.

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Work Permit No.

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Declaration of Applicant*: I hereby declare that I am
applying on my own accordauthorised to apply on behalf of the applicant's company
to subscribe to the service provided by MySMS Network Services and that the above information is true and valid.

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