SECTION 6 : CUSTOMER'S INFORMATION AND PRIVACY POLICY

MULTI-LINE SIP APPLICATION FORM IMPORTANT NOTIFICATION: CUSTOMER’S INFORMATION AND PRIVACY POLICY
By submitting the Application Form, Customer is providing information/personal informa- The information as required herein (unless stated otherwise) is obligatory on Customer and
Telekom Malaysia Berhad (128740-P) tion to TM. failure by Customer to provide any information as required may affect Customer’s applica-
TM will be processing Customer’s information/personal information provided in the Applica- tion or the continued provisioning of the services provided herein.
tion Form and/or further information and data that may be required by TM either from In the course of processing this application, TM may disclose Customer’s personal informa-
SECTION 1 : SERVICE DETAILS* Customer or from any third parties especially from credit bureau, banks, credit reporting tion to the following parties for the purposes stated above:-
agencies and other businesses that provide like information or reference agencies from time • TM’s service providers or agents who are involved in providing the services or goods
*All prices quoted in the Quotation attached to this Application Form or on the basis of published rate, as the case may be, shall be payable on a monthly basis, unless mentioned otherwise. to time. provided herein;
Application New Upgrade Downgrade Relocation Termination The purposes of such processing would include:- • third parties (including those overseas) who provide data processing services;
Packages • assessing Customer’s application and/or continued provisioning of the services provided • any credit reference agencies or, in the event of default, any debt collection agencies;
4 Channel / 30 DDI Number 20 Channel / 150 DDI Number 64 Channel / 480 DDI Number herein (whichever is applicable); • any person, who is under a duty of confidentiality to which has undertaken to keep such
8 Channel / 60 DDI Number 24 Channel / 180 DDI Number 128 Channel / 960 DDI Number • customizing advertisements and content on the website(s) and the sites of TM and its data confidential, which TM has engaged to fulfil its obligations to Customer; and
12 Channel/ 90 DDI Number 28 Channel / 210 DDI Number group of companies (for further information on the TM’s group of companies, please visit • any actual or proposed assignee, transferee, participant or sub-participant of TM’s rights
www.tm.com.my); or business.
16 Channel / 120 DDI Number 32 Channel / 240 DDI Number • responding to Customer’s enquiries; TM may also disclose Customer’s personal information if required to do so by law or in good
Segment Enterprise Government SME • research purposes including historical and statistical purposes; faith, if such action is necessary to (i) comply with any law enforcement agency requirement,
• general operation and maintenance of the services or goods provided herein including court orders or legal process or; (ii) protect and defend the rights or property of TM and its
Type of Business Electric & Electronic Information Technology Manufacturing Mechanical Engineering audit and its related website(s); group of companies and their users.
Agriculture & Plantation Banking, Finance, Retail Information Technology & • matching any data held by TM or its group of companies relating to Customer from time to If Customer would like to make any inquiries or complaints or request access or correction
Securities & Finance Computer/Communication time; of Customer’s personal information, Customer may also contact TM Contact Centre or
Media Health Product & Services Education Energy • provide Customer with regular communications (other than direct marketing materials) Customer can visit the nearest TMpoint. Any request of access of correction of personal data
Other Service Providers from TM relating to the services or goods provided herein; and may subject to a fee and also to any privacy or data protection laws.
Logistic Properties & Construction Utilities • investigation of complaints, suspected suspicious transactions and research for service or Where Customer elect to limit TM’s right to process personal information, Customer may
Leisure Transportation Carrier, Alliance & Partners Services: Profit Organization goods improvement. contact Customer Support at http://www.tm.com.my/ap/contact/Pages/ contactus.aspx or
Services: Non Profit Government Others : _________________________(Please Specify) By submitting the Application Form, Customer consent and authorise TM obtaining and 100 or TM Privacy Officer in writing. For avoidance of doubt, the limitation does not include
Organization verifying any information about Customer which TM may require in connection with processing of mandatory personal data.
Customer’s application for any of TM’s services and/or review of the existing account with TM may review and update this privacy policy from time to time to reflect changes in the law,
SECTION 2 : APPLICANT DETAILS TM from any third party, especially credit bureau or reference agencies. Such consent and changes in our business practices, procedures and structure, and the community’s changing
authorization herein will extend to any information obtained from any of the account(s) privacy expectations. While it is not generally feasible to notify Customer of changes to this
Company/ presently maintained for Customer, any new application for any form of services rendered or privacy policy, the latest version of the privacy policy may be available on TM’s website or
Business Entity Name* goods provided by TM, such historical financial or credit records, data or information Customer can contact our Privacy Officer to obtain the latest version of the Privacy Notice at
whether or not provided personally or by any other sources relating to Customer which was any time.
Company Number/ collected, gathered, received, captured, compiled, secured and/or obtained by TM through or
by whatever means or methods or forms.
Business Registration
Number* SECTION 6A : PEMBERITAHUAN PENTING: MAKLUMAT PELANGGAN DAN POLISI PRIVASI
(Please enclose a copy each of Certificate of Incorporation/ Business Registration Certificate and other supporting documents as specified by TM )
Property Type* Landed High-Rise (5 storeys or more) PEMBERITAHUAN PENTING: MAKLUMAT PELANGGAN DAN POLISI PRIVASI
Dengan menyerahkan Borang Permohonan, Pelanggan akan memberikan maklumat Dalam pemprosesan permohonan ini, TM boleh memdedahkan maklumat peribadi kepada
Annual Turnover < RM10 million RM11 - 50 million RM51 - 100 million RM101 - 250 million > RM250 million /maklumat peribadi kepada TM. pihak-pihak berikut untuk tujuan-tujuan yang dinyatakan di atas:-
No. of Employees < than 50 51 - 100 101 - 250 251 - 500 501 - 1,000 > 1,000 TM akan memproses maklumat/maklumat peribadi Pelanggan yang diberi dalam Borang • Pembekal-pembekal perkhidmatan atau ejen-ejen TM yang terbabit dalam memberi
Permohonan dan/atau maklumat lanjut serta data yang mungkin diperlukan oleh TM sama perkhidmatan-perkhidmatan atau barang-barang yang diberikan di sini;
No. of Branches 1 2-5 6 - 10 11 - 20 > 21 ada dari Pelanggan atau dari pihak ketiga terutamanya dari biro kredit, bank, ejen pelapor • pihak-pihak bertiga (termasuk yang mana di luar negara) yang memberi perkhidmatan-
Do you subscribe to other telecommunications product other than TM?/If Yes, Please Specify kredit dan perniagaan-perniagaan lain yang memberikan maklumat sedemikian atau agensi perkhidmatan pemprosesan data;
rujukan dari semasa ke semasa. • apa-apa agensi rujukan kredit atau, sekiranya berlaku keingkaran, apa-apa agensi-agensi
Maxis Digi Jaring Redtone Packet One Time UM
Tujuan-tujuan untuk pemprosesan ini adalah termasuk:- kutipan hutang;
Installation Address* • menilai permohonan Pelanggan atau meneruskan peruntukan perkhidmatan yang • sesiapa yang dibawah kewajipan kerahsiaan untuk memastikan bahawa data akan
diberikan di sini (yang mana berkenaan); disimpan secara sulit, yang diminta oleh TM telah untuk memenuhi obligasinya kepada
• menyesuaikan iklan-iklan dan kandungan di laman web TM dan syarikat-syarikat kumpu- Pelanggan;
City* Postal Code* lan TM (untuk maklumat lanjut syarikat-syarikat kumpulan TM, sila layari • mana-mana pemegang serah hak yang sebenar atau yang dicadangkan, penerima
State* www.tm.com.my); pindahan, peserta atau sub-peserta hak atau perniagaan TM.
• menjawab pertanyaan-pertanyaan Pelanggan; TM boleh mendedahkan maklumat peribadi Pelanggan sekiranya dituntut oleh undang-
Office Tel. No.* Fax No.* • tujuan penyelidikan termasuk tujuan rekod dan statistik; undang atau jika perlu sahaja untuk (i) mematuhi kehendak-kehendak agensi penguatkua-
Authorised Representative/Contact Person NRIC (as per NRIC/Passport)* • operasi umum dan penyelenggaraan perkhidmatan-perkhidmatan atau barang-barang saan undang-undang,, perintah mahkamah, ataupun proses undang-undang ataupun; (ii)
(Malaysian citizens, yang diberikan di sini termasuk audit serta laman-laman web yang berkenaan; melindungi dan mempertahankan hak dan hartatanah TM serta syarikat-syarikat kumpulan
please enclose a copy of NRIC) • pemadanan apa-apa data yang disimpan oleh TM atau syarikat-syarikat kumpulan TM serta pengguna-penggunanya.
yang berkenaan dengan Pelangga dari semasa ke semasa; Jika Pelanggan ingin membuat apa-apa pertanyaan-pertanyaan atau aduan-aduan atau
Passport No.* permintaan akses atau pembetulan maklumat peribadi Pelanggan, Pelanggan boleh
(Non-Malaysian citizens, please enclose a copy of Passport) • menyediakan komunikasi yang kerap (selain daripada bahan-bahan pemasaran langsung)
dari TM kepada Pelanggan untuk perkhidmatan atau barangan yang diberikan di sini; dan menghubungi Pusat Panggilan TM atau Pelanggan boleh mengunjungi pusat TMpoint yang
Mobile No.* • penyiasatan aduan, transaksi-transaksi yang mencurigakan dan penyelidikan untuk terhampir. Sebarang permintaan akses untuk pembetulan maklumat peribadi Pelanggan
pembaikan perkhidmatan dan barangan. tertakluk kepada suatu yuran dan juga undang-undang perlindungan data atau undang-
Preferred Communication E-mail Office Phone Mobile undang kerahsiaan.
Dengan menyerahkan Borang Permohonan, Pelanggan bersetuju dan memberi kebenaran
Email* kepada TM untuk memperolehi dan mengesahkan apa-apa maklumat berkenaan dengan Sekiranya Pelangan memilih untuk mengehadkan TM dalam memproseskan maklumat
* Mandatory field * For SME Customer, Please fill the Contact Person and NRIC. Pelanggan yang mana diperlu oleh TM berkenaan dengan permohonan Pelanggan untuk peribadi, Pelanggan boleh memohon dengan menulis kepada Customer Support di
apa-apa perkhidmatan-perkhidmatan TM dan/atau semakan akaun yang sedia ada dengan http://www.tm.com.my/ap/contact/Pages/contactus.aspx atau 100 atau Pegawai Privasi TM.
SECTION 3 : SERVICE DETAILS TM daripada pihak ketiga, terutamanya biro kredit atau agensi rujukan. Persetujuan dan Bagi mengelakkan keraguan, pengehadan ini tidak termasuk pemprosesan maklumat
kebenaran di sini akan meliputi apa-apa maklumat diperolehi daripada apa-apa akaun(- peribadi yang wajib.
Pilot Numbers akaun) yang pada masa ini diselenggara untuk Pelanggan, sebarang permohonan baharu TM mungkin akan mengkaji semula dan megemaskini polisi privasi ini dari semasa ke
Single Pilot Number - Multi-Line SIP : untuk apa-apa bentuk perkhidmatan yang disediakan oleh TM, seperti latarbelakang semasa untuk mencerminkan perubahan dalam undang-undang, perubahan dalam amalan
kewangan atau rekod kredit, data atau maklumat sama ada diberi secara peribadi atau dari perniagaan, prosedur dan struktur, dan perubahan dalam jangkaan privasi masyarakat.
Range DDI Numbers : 1)______________________ to ______________________ apa-apa sumber yang berkaitan dengan Pelanggan yang telah diambil, dikumpul, diterima, Walaupun tidak adalah munasabah untuk memaklumkan perubahan polisi privasi ini kepada
2)______________________ to ______________________ ditangkap, digabungkan, dilindungi dan/atau diperolehi oleh TM melalui apa jua kaedah atau Pelanggan, versi terbaru polisi privasi boleh didapati di laman web TM atau Pelanggan boleh
cara atau bentuk. menghubungi Pegawai Privasi TM untuk memperolehi versi polisi privasi yang terbaru pada
3) ______________________ to ______________________ bila-bila masa.
Maklumat yang dikehendaki di sini (kecuali dinyatakan sebaliknya)adalah wajib dan kegaga-
4) ______________________ to ______________________ lan Pelanggan untuk memberikan maklumat yang diperlukan mungkin akan menjejaskan
permohonan Pelanggan atau meneruskan permasangan perkhidmatan yang diberikan di sini.
SECTION 4 : BILLING INFORMATION
For billing media, please choose one : E-mail Itemised paper bill (Itemised paper bill will be charged RM4/Trunk SECTION 7 : APPLICANT ACKNOWLEDGEMENT
Email* We, _________________________________________________ (Multi-Line SIP Services Applicant), Company Number / Business Registration Number
Billing Address* ____________________________ hereby accept any and all responsibilities for the Multi-Line SIP Services and agree to be liable for any demand /claim and any cost arising from legal
action pertaining to our usage of the Multi-Line SIP Service. We understand and agree to accept and be bound by the Terms and Conditions which accompany the usage of the Multi-Line
SIP Services. These Terms and Conditions may be subjected to change by Telekom Malaysia Berhad and we will be notified in such manner as Telekom Malaysia Berhad deems appropri-
City* Postal Code* ate. We confirm that the information given herein is true and correct.
State*
* Mandatory field
SECTION 5 : IMPORTANT NOTES
1) All Multi-Line SIP packages are subjected to a 12 Month Minimum Subcription and Customer shall be liable to pay to TM a sum of RM200.00 as agreed liquidated damages in ____________________________
the event of suspension or termination of the Multi-Line Services prior to expiry of the Minimum Subscription Period. Name :
2) Internet Protocol Private Branch Exchange (IPPBX) being one of Customer's Equipment and other related equipment must be provided and installed by Customer at its own cost Company's /Business Entity Authorised Signatory Date : In the presence of (TM Authorised Rep) : NRIC :
and expenses and compatible with TM’system. NRIC : (dd/mm/yyyy)
3) Fees that Customer will pay TM for the subscription of the Multi-Line SIP Services comprises of one time charge and monthly recurring charges (rental charges and usage fee)
at the applicable rate indicated in the Quotation or at such other published rate ( for usage fee) as may be determined by TM from time to time. Published rate are subjected to
changes from time to time as may be determined by TM. Where applicable, please refer to Quotation or updated published rate as may be made available by TM from time to
time at www.tm.com.my.
Company/Business Entity Rubber Stamp
4) Notwithstanding Customer’s application is approved and that the Multi-Line SIP Services may be made available, (a) final availability on connectivity will be subject to infrastruc-
ture readiness and technical testing within the affected HSBB Area, and (b) final availability of any pilot and other numbers proposed for Customer under the Quotation or this SECTION 8 : FOR TM USE ONLY
Application Form for the Multi-Line Services will be subject to availability and final confirmation at the time of installation. Number of trunks/channels that Customer is allowed
to subscribed shall be subject to TM’s prior approval and numbers for new installation or any additional request for additional numbers will not necessarily be in sequence. AE Staff ID : Division/Unit : Date :_____/_____/______ (dd/mm/yyyy)
5) Customer shall be fully responsible for any usage and charges notwithstanding any claim of fraudulent activities or unauthorized use of the Multi-Line SIP Services by the Office Telephone No. : Fax No.
Customer.
Order No. (NOVA) :
Product Updates Pilot No. :
We would like to share your personal information within TM's group of companies and/or their business affiliates to contact you about other products or services available from Range DDI Reservatio Numbers :
TM and its group of companies and their Business affliates which may be of interest to you.
Account No. :
Please tick the relevant box if you would like to receive marketing and promotional materials from : TM and its group of companies TM and its group of companies
business affliates. Upon receipt of this application, Telekom Malaysia Berhad reserves the right to verify any information provided by you and reserves the right to decline any application
Please tick this box if you would like to sign up and become a member of the TM Rewards programme. Visit http://www.tm.com.my/tmrewards for more information. without any reason thereof and is not obligated to respond to any request on any unsuccessful application.