Unifi SERVICE ACCEPTANCE FORM

SECTION 1: PRE-INSTALLATION CHECKLIST

Premise Type: LOW COST HOUSE

SECTION 2: Customer AND SERVICE INFORMATION

SECTION 2(A): Service Details

All prices quoted shall be payable on a monthly basis, unless mentioned otherwise:

Order Number: 1-101727555417 Type of Application: Modify

Package: -

Login ID: zakiah012@unifi VOBB Number: 6077721762

For BIZ Package with Fixed IP

Fixed IP: Subnet Mask:

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.
4) For those customers subscribing to 1 or 5 Fixed IPs, the remaining IPs are based on subsequent running IPs from the Gateway IP.

SECTION 2(B): Customer Details

Name/Organisation: ZAKIAH BINTI TUKIMAN

NRIC: 810611-01-6330 Passport No: -

Business Registration No: -

Installation Address: No. 19, Floor No. -, TAMAN KLUANG BARAT, JALAN, 1, 86000, KLUANG, JOHOR. MALAYSIA.

Mobile No: 0177991598 Home Tel. No:

Office Tel. No: Fax No:

Email: zakiah8106@gmail.com

SECTION 3: EQUIPMENT AND MATERIALS

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 which will be effective from the installation date of the relevant equipment.
iii. New equipment will be provided for New Installation order or based on package entitlement.
iv. For any upgrade / downgrade and Relocate order, new equipment will be provided as and when necessary.

Standard equipment provided in the package

Material Name Serial Number Equipment Vendor Equipment Model Equipment Technology

COMBO BOX AX3000 UNCFH5F32408023341 FIBERHOME HG6145F3 HG6145F3 AX3000

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SECTION 4: Customer PREMISES LAYOUT FOR STANDARD INSTALLATION

External Fibre Length: metre(s) Internal Fibre Length: metre(s)

BTU Location: RG Location:

SECTION 5: TECHNICAL TESTING RESULT (to be filled up by installer)

A. Wi-Fi Strength Testing (prior to installation)

Wired Service Result Testing (after installation)

Wireless Service Result Testing (after installation)

RG Location:

Area Signal Strength

Living Room EXCELLENT

Living Room EXCELLENT

Living Room EXCELLENT

B. Service Result Testing (after installation)

FTTH

Optical Rx power reading

VDSL

SNR Upstream (db)

SNR Downstream (db)

Achieve Rate Upstream (Kbps)

Achieve Rate Downstream (Kbps)

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SECTION 6: CHARGES IMPOSED

PART A: ADDITIONAL ITEM TO BE CHARGED (in next billing cycle)

Please tick where applicable and write down the total charges

Modify Internal Premise (Price Inclusive of RM53 On-Site Support Charge)

1. Re-wiring charges without Entry Wall movement (RM212)

2. Re-wiring charges with Entry Wall movement (RM318)

Total Charges (will be reflected in the next bill): RM 0

* Price displayed is inclusive of ST

Abbreviation

BTU - Broadband Termination Unit

BG - Business Gateway

CPE - Customer Premises Equipment

DECT Phone - Digital Enhanced Cordless Telecommunications Phone

DP - Distribution Point

FWS - Fibre Wall Socket

ODF - Optical Distribution Frame

OH - Overhead

ONU - Optical Network Unit

RG - Residential Gateway

SDF - Subscriber Distribution Frame

STB - Set-Top-Box

UG - Underground

VDSL2 - Very High Speed Digital Subscriber Line 2

PART B: OPTIONAL ACTIVITIES FOR UNIFI INSTALLATION

Please tick where applicable and write down the additional metre and total charges

Standard Pricing (RM) Additional Metre Total Charges (RM)

Description Distance (A) Required (A x B)
(B)

Residential & Business Premises

1. On pole:
- Outside Customer compound via underground cabling

- Within Customer compound via surface wiring to Entry 212

2.
Wiring inside the ceiling with microduct protection
66

3. Total 1st 50m FREE

Internal cabling (Entry Wall up to last CPE)

Each additional 1m 2.50

4. Total 1st 50m FREE

Raceway installation Each additional 1m 2.50

Total Charges (cash payment to Contractor): 0

Additional Terms and Conditions:

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 1. All costs of are inclusive of labour and microduct where applicable.
2. Works includes a 30-day warranty period effective from job completion date. This warranty does not cover any fault due to third party, Customer's 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 works or activities as requested by the Customer if such optional works or activities may result in
potential risk or damage to the Customer's premises or any part thereof or if the skill required to perform such work is beyond the contractor's capability.
7. TM shall not be responsible to Customer for any loss or damages arising from any optional installation works or activities attended by Unifi Installer upon the request of the Customer and
agree that any claim for any loss or damage in connection thereof (if any) shall be made directly with the Unifi Installer.

SECTION 7: ACKNOWLEDGEMENT AND SERVICE ACCEPTANCE

SECTION 7(A): Important Notes (Must Read)

General

All Unifi packages are subject to a 24-month minimum subscription period.

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 Access to some international websites could be slow due to traffic volume, etc.

Web server capacity Some web servers have a restricted capacity to handle huge traffic demand or may even restrict download speed to ensure

Network congestion Temporary congestion due to unavoidable network maintenance/outages.

Multiple users or applications 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 can also degrade the speed.

PC operating systems Some configurations of the PCoperating systems can compromise the Internet access performance.

Electronic devices eg: Microwaves, remote control, wireless CCTV, Bluetooth etc may cause interference to your WiFi devices.

WiFi (wireless) connectivity Compared to wired connectivity, internet access through wireless connectivity may cause the speed becomes slower if used and connected
concurrently with other devices (Tablet, Hand phone, Media player, CCTV, other old version devices). WiFi speed will be reduced to work at the
lowest standard protocol (802.11a/b/g/n/ac) to enable all devices that are connected to work properly.

It is highly recommended to place dect phone away (more than 2.5meters) from Satellite TV (ASTRO) as it may cause interference to your WiFi device.

If you wish to use HomePlug for your Unifi TV, 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 able to support or provide any guarantee to the service quality.

SECTION 7(B): Terms and Conditions of Service Acceptance

By signing this Unifi Service Acceptance Form, I/we, ZAKIAH BINTI TUKIMAN [Customer/Authorised Representative of Customer named in this Service Acceptance
Form], New I/C No. 810611-01-6330 Company No. Business Registration No. (-) hereby acknowledge and agree that:

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 6 (PART B) herein is not within TM's standard practice, 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 out by the said contractor, his/her agent or servant.

iii. The Customer is required to pay in cash to the contractor upon completion of the work carried out under SECTION 6 (PART B).

iv. Telekom Malaysia Berhad ('TM') or its authorised agent has properly installed and activated the Unifi service and maintained the effected area(s) in good condition.

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 Play Unifi service package offered.

I agree that Unifi TV (IPTV) is not connected, although it is activated, because:

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)

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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.

viii. In the event that any of the Terms and Conditions as attached hereto is inconsistent with any terms and conditions agreed by the customer prior to the acceptance of this Service Acceptance
Form, the Terms and Conditions as attached hereto shall prevail to the extent of any inconsistency.

*Not applicable where Customer has accepted that all Unifi services are connected.

I have read, understand and agree to be bound by the Terms and Conditions which accompany the usage of TM products & services and I hereby consent to the
collection and processing of my personal information in accordance to the Privacy Notice.

In the Presence of (TM Personnel's Name and I/C)

TM Installer Name: Mohd Raizan Bin Irwan

TM Installer I/C: Q100117

Date/Time: 24/11/2024 12:36:34

Customer's/Authorised Representative's Signature

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 SECTION 8: RETURN ORDER (INSTALLATION NOT ACCEPTED)

By signing this Unifi Service Acceptance Form, I/we, - [Customer/Authorised Representative of Customer named in this Service Acceptance Form], New I/C No. -
Company No./ Business Registration No. (-) hereby confirm the following:

To cancel the Unifi service (see Remark if applicable)

That the Unifi service Installation be deferred (see Remark if applicable)

Remark:

In the Presence of (TM Personnel's Name and I/C)

TM Installer Name:

TM Installer I/C:

Date/Time:

Customer's/Authorised Representative's Signature

SECTION 9: FOR TM USE ONLY

Order Id: 1-101727555417 Installation Completion Date: 24/11/2024 12:36:12

TM Installer Id: Q100117

TM Installer Name: Mohd Raizan Bin Irwan

TM Installer Handphone Number: 01110345005

TM Installer Company: KN BERSATU SDN BHD

Zone/Exchange:

Remark:

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