You are on page 1of 6

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: 1-12533857715
Service Id: 3-1-12533857715-0D7671EE-

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 switches are not within the
scope of the UniFi Service offering.
2) Please note that upon migration to the UniFi Service, the customer's existing IP address will be changed.
This applies to all situations.
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: MOHD KHALIED HAFEEZ BIN SULZIAMI
NRIC: 940511-11-5599

Passport No: -

Business Registration Installation Address: 23A JALAN CERDIK 2 43000 KAJANG SELANGOR
Mobile No: 0387417254
Office Tel. No: -

Home Tel. No: 01132947881


Fax No: -

Email: sosej94@gmail.com
SECTION 2: EQUIPMENT AND MATERIALS
(All equipment provided by TM is subject to a 1 year warranty period from the installation date and for manufacturing
fault/defects only)

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 additional equipment and services
required are provided in this form. Upon customer's acceptance of the work order thereunder, additional terms and
conditions thereof shall be deemed incorporated as part of the Terms and Conditions of the UniFi Service.
ii. All equipment provided by TM is subject to a 1 year warranty period for manufacturing faults or defects only

Standard equipment provided in the


Set-Top-Box (STB)

08A5C81CCE41

Phone

Wi-Fi (RG)

1C5F2B433C20

Service Point

A85840709C28

SECTION 3: CUSTOMER PREMISES LAYOUT FOR STANDARD INSTALLATION


External Fibre

100

metre(s)

Internal Fibre

15

metre(s)

BTU Location: in the living

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

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
2. Additional Raceway (RM25/5m)
3. Additional RJ45 Wiring (RM25/5m)
4. Additional RJ11 Wiring (RM15/5m)
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 (RM)


0
0
0
0
0

0
0
0
0

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

0
0
0
0
0
0
0
0

PART B: OPTIONAL ACTIVITIES FOR FTTH


Description

1. On pole to FTB via


ground surface wiring
2. 3M surface wiring
3. Over the ceiling

Additional Wiring
Total Length
Total Charges
A
B
C (A x B)
Residential & Business Premises
1st 30 meter
450
Additional meter
6
0
0
1st 15m (FTB290
Additional meter
20
0
0
1st 30m
170
Additional meter
2
0
0
Distance

Proposed
Pricing (RM)

Total Charges
(RM)

450
0
290
0
170
0

Total Charges (cash payment to Contractor):

910

Page 3 of 6

Additional Terms and Conditions:


1. All costs of are inclusive of labour and microduct piping or 30M materials where applicable.
2. Work includes a 30-day warranty period effective from job completion date. This warranty does not cover any
fault due to third party and customer negligence or force majeure.
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 activities.
5. Charges only apply for work carried out by TM Authorised Contractors.
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 downgrade request that requires a visit
by TM to a customer's premises, an additional fee of RM200 will be imposed.
UniFi residential packages will be subjected to a Fair Usage Policy (FUP) which is a global practice.
The 1st UniFi bill will include the Installation Fee as well as 2 months Subscription Fee payable upfront (current and
subsequent month).
Internet Access Speed
The Internet access speed depends on various factors such as:
Factor

Explanation

Location of websites
Web server capacity

Access to some international websites could be slow due to traffic volume, etc.
Some web servers have a restricted capacity to handle huge traffic demand or may even
restrict download speed to ensure fair access to all.

Network congestion
Multiple users or

Temporary congestion due to unavoidable network maintenance/outages.


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

PC operating systems

Some configurations of the PCoperating systems can compromise the Internet access

WiFi (wireless)
Home Plug

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 and Conditions of Service


By signing this UniFi Service Acceptance Form,
New I/C No.

940511-11-5599

MOHD KHALIED HAFEEZ BIN SULZIAMI

Business Registration

hereby acknowledge and agree that:

Page 4 of 6

i. I/We shall be responsible for all obligations for the UniFi service with standard/optional activities and agree to be liable for
any service charges due and/or for any demand/claim and any cost arising from legal action pertaining to the usage of the
UniFi service under my account.
ii. Work mentioned under SECTION 2 (PART B) herein is not within TM's standard practive, or obligations and in such
event, if customer agrees to the appointment of the contractor, the customer shall be fully responsible for payment
to the said contractor for optional activities done and that the said contractor shall be directly liable to the customer
for any action, omission, defect, loss and/or damage in the course of carrying out or 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 Play UniFi service offered by TM, I/we
shall nonetheless pay the full amount of Service Charges as stipulated in the 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 all of the *Triple Play/Dual Play UniFi
service offered, I/we shall bear any and all additional costs incurred and imposed by TM for the purpose of installation
and connection.
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 other reason whatsoever
subject to terms of offer as may be applicable. The customer further acknowledges that any special offers provided by
TM may not necessarily be applicable to all of its UniFi service Customers.

*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 Acknowledgement and Terms and
Conditions contained in this Service Acceptance Form. I/We agree to be bound by all such Terms and Conditions and

Customer's/Authorised Representative's

Date/Tim 31-MAR-2016 02:45:50 PM

SECTION 5: FOR TM USE ONLY


Order Id: 1-12533857715
TM Installer Id: Q003067
TM Installer null

Installation Completion 31-MAR-2016 02:45:50 PM


TM Installer Name: Abdul Qhayum Bin Mohamad
TM Installer ITSERVICES SDN BHD

Page 5 of 6

Zone/Exchange: ZONE BANGI


Remark

Page 6 of 6