SymBiz Online Application

Product / Service Details

Choose your desired products or services

Company's Contact Person

Fill up your details

Billing Information

Fill up your billing details

Financial / Billing Contact Person

Fill up your details

Important Notes and T&C

Confirmation step

  • Section A
  • Section B
  • Section C
  • Section D
  • Section E

Product / Services Details

Contract Period: 24 months

SymBiz Fibre Broadband Dynamic IP

SymBiz Fibre Broadband Fixed IP

SymVoice VOIP Telephone Line

Please state number of line(s) you need (RM30 per month) (Flat Rate: RM0.15/minute to nationwide mobile and fixed line)

Installation Details

Company Name

Business Reg. No

Outlet Name

Unit Number

Building

Street

City

Postcode

State

Country

Preferred Installation Date

Preferred Installation Time (Our installer will contact you to confirm appointment)

Applicant Particulars

Name

Email Address

Designation

IC / Passport Number

Copy of IC / Passport

Company / Business Registration Certificates

Mobile Number

Office Number

(Please leave address details blank if the address same as Section A)

Billing Address

(Please leave address details blank if the address same as Section A)

Unit Number

Building

Street

City

Postcode

State

Country

Payment Method

Please select your payment method

Other payment options available:

  • Via JomPay. Please key in your 7-digit account number as Reference-1 in the JomPay system. Your 7-digit account number is stated on your invoice.
  • Online Transfer. Please indicate your account number or invoice number as the payment detail.
  • Credit/Debit Card & FPX Payment. Please visit https://epayment.symphonet.com.my/
  • Cash/cheque at a Maybank ATM machine/counter. Please email the bank-in & remittance slip once payment is made to payment@symphonet.com.my

Billing Mode

Note: Default billing method via Symphonet Online Portal

Please select your billing mode

Financial / Billing Contact Person Particulars

(Please leave address details blank if the address same as Section B)

Name

Email Address

Designation

IC / Passport Number

Copy of IC / Passport

Mobile Number

Office Number

Agreement Section

Kindly read the T&Cs and Important Notes

Important: There is a RM250 installation fee and DO NOT pay directly to the installer

Please check the option below to agree with the above T&Cs and Important Notes