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    Cuckoo

    Uploaded by

    Eeya Elle

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    © All Rights Reserved
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    Cuckoo

    Uploaded by

    Eeya Elle
    5 views2 pages

    Copyright

    © © All Rights Reserved

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    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    5 views2 pages

    Cuckoo

    Uploaded by

    Eeya Elle

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    You are on page 1of 2

    V25082023

    Product Application Form

    Customer Details
    Name of Customer : ELIRIA BINTI MINSIR

    NRIC/Passport/Company No : 850328125538

    Email : VANILLA_EEYA@YAHOO.COM

    Contact No : +60-138341326

    Address : NO 49, LORONG RIMBA 1 TAMAN RIMBA BANDAR SIERRA TELIPOK 88450 TELIPOK SABAH MALAYSIA

    Product(s) Details
    Order Date : 2024-08-24

    Order No : AC257800

    Outright Purchase/ Product


    Plan : GooodPlan

    Rental Period : 84 MONTHS

    84 MONTHS
    Warranty Period :

    Service & Maintenance Priod : EVERY 4 MONTHS

    HEALTHY APPLIANCE

    Product(s) : WATER PURIFIER


    CP-AEN501HW - KING TOP 2

    Delivery/Installation Address : NO 49, LORONG RIMBA 1 TAMAN RIMBA BANDAR SIERRA TELIPOK 88450 TELIPOK SABAH MALAYSIA

    Delivery/Installation Date : The day when the Product is delivered and/or installed at the Delivery/Installation Address

    Outright Purchase Price : -

    Obligatory Period : 1 - 84 MONTHS

    Monthly Rental : Remaining Period : -

    1-84 months

    RM 58.00 RM 0.00 RM 0.00 RM 0.00 RM 0.00

    Early Termination Fee : Total Monthly Rental Sum for Obligatory Period - Total Paid Rental

    Total Loss Fee : Total Monthly Rental Sum - Total Paid Rental

    Advanced Fee : RM 58.00

    Processing Fee : -
    -
    Promotion Code :

    I/We hereby declare that:

    o I/We wish to outright purchase the Product(s) or subscribe to the Product Plan.

    o The information provided by me/us is true and correct.

    o I/We have read, accepted and agreed to be bound by the terms in https://app.cuckoo.com.my/STCP_GTCP/WP_KingTop2_v2.0.pdf (GTCP & STCP) and the above as well
    as any amendments provided to you via email, SMS or CUCKOO+APP and the same shall be read together and considered as one original and binding agreement between
    o I/We hereby consent to the collection and processing of my/our personal data in accordance with CUCKOO’S Privacy Notice (at https://www.cuckoo.com.my/pdpa-consent ).
    I/ We further agree and accept that the terms and conditions in the CUCKOO’s Privacy Notice form an integral part of the terms and conditions of the outright purchase or
    Product Plan.

    Signed by )
    ELIRIA BINTI MINSIR
    )

    850328125538 )

    Signatory Name : ELIRIA BINTI MINSIR


    Signatory NRIC : 580328-12-5538

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