Service Application Form Business Fibre Static Broadband

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1 Application Form Business Fibre Static Broadband Reg. No C New Subscrip on Modifica on Recontract Addi onal Orders Others: Existing Customer Number: Business Customer Information Name of Business / Company as in ACRA: Company Details Authorised Officer Particulars Name of Authorised Officer, as in NRIC / Passport / FIN: (Mr/Miss/Mrs/Mdm/Dr) Business Registration Number (BRN): Registered Address as in ACRA: Designation: NRIC / Passport/ FIN of Authorised Officer: Postal Code: Date of Birth (dd/mm/yyyy): Company Contact Numbers: Main Office Contact Number: Contact Details of Authorised Officer Main Office Fax Number: Installation Address Installation Address: check here if same as Registered Address Kindly confirm if your office is now ready for site survey, cabling, and fibre installation. Yes No, it would be ready by (DD/MM/YYYY) Postal Code: Billing Details Billing Address: check here if same as Registered Address Name of Billing Contact Person, as in NRIC / Passport / FIN: Contact Details of Billing Contact Postal Code: Please attach: 1. Your ACRA BizFile or Registration of Company (ROC) 2. If the authorized officer is not listed in the ACRA BizFile or Registration of Company (ROC), an authorization letter on company s letterhead giving authority to authorized officer to act on behalf of company for installation 3. A copy of Identification Card (IC) or passport of the authorized officer MyRepublic Application Fibre Static Broadband Page 1 of 6

2 Fibre Static Broadband Description Business Fibre Static Broadband OTC MRC Business 100Mbps with 8 Static IP Business 200Mbps with 8 Static IP Business 300Mbps with 8 Static IP Business 500Mbps with 8 Static IP Others (please specify): FREE Rental of One (1) Fibre Modem (ONT) FREE One (1) Router 99.95% Uptime Level Assurance 8 Hours Mean-time-to-Repair (MTTR) s 24 Months 36 Months Other (please specify): Product/ Name OTC MRC Bandwidth Utilization Report We will create and send the user login name and password to the Fibre Installation Contact Person Router Upgrade to: Others (please specify detail in Additional Remarks) Total Business Fibre Static Broadband Charges (Before GST) Additional Remarks : Business Voice Description Business Voice (per line) Quantity OTC MRC FREE Unlimited Local Incoming Calls FREE One (1) Level 6 DDI Number FREE Caller ID Same as above Broadband FREE Call Waiting/ Forwarding FREE Voice-to- FREE 3-way Conference Level 6 Number Porting (requires separate application form) Private Number / Caller Number Non Display s Silver number Gold number Platinum number Others (please specify detail in Additional Remarks) Hardware Yealink SIP-T19P E2 Entry Level IP Phone POE without PSU Yealink SIP-T41P Ultra-elegant IP Phone POE without PSU Total Business Voice Charges (Before GST) Additional Remarks: MyRepublic Application Fibre Static Broadband Page 2 of 6

3 MySecure Cloud Firewall Description MySecure Cloud Firewall OTC MRC Standard Anti-Virus Anti-Spam Web Content Filtering Application Control Self- Web Portal to Configure Management Security Report Others (please specify): Same as above Broadband with Managed Wi-Fi Total MySecure Cloud Firewall Charges (Before GST) Additional Remarks: Advanced All standard features and URL blacklisting Time-based web-content blocking Managed Wi-Fi Description s Managed Wi-Fi OTC MRC Corporate WPA2 SSID Access (x2) Wireless@SG & Wireless@SGx SSID Access Guest SSID Access with Captive Portal login, Management & Analytics Dashboard Others (please specify): Rental of One (1) PoE Router/ PoE Switch Rental of One (1) Access Point (AP) Mounting of AP & Cabling of up to 40m from Router Pro-active monitoring of Router/ Switch & AP 8 Hours Mean-time-to-Repair (MTTR) 24 Months Same as Fibre Broadband Others (please specify): Additional Managed AP: 2nd AP Additional SSID (Please specify): Customisation of Captive Portal 3rd AP Others (please specify detail in Additional Remarks) Total Managed Wi-Fi Charges (Before GST) Set Identifier (SSID) Managed Wi-Fi Configuration Type of SSID: Corporate WPA2 SSID* Guest SSID* Wi-Fi Network Name/ SSID: Availability Period (Period where Wi-Fi is available): Maximum bandwidth (data transfer speed) per user: Always On Scheduled: 2Mbps 5Mbps 10Mbps Unlimited Others: Always On Scheduled: 2Mbps 5Mbps 10Mbps Unlimited Others: Default Website URL after User Registration (e.g. your shop/ company webpage): Captive Portal for Guest SSID Login This section is required if you are having a Guest SSID. We will request for a Logo (e.g. Company or Product logo) from you once the order is processed Gold Black White Blue Red Theme: Customised: MyRepublic Partner Designers Customer s Own Designers We will work with you or your designers to implement the customised Captive Portal. Additional charges apply. Display Name (e.g. Organisation/ Business Name): Tagline or Slogan: User Login for Management Dashboard with Analytics: This section is required if you are having a Guest SSID. We will send the Dashboard portal URL, Username, Password to the users. We will create maximum of 3 user logins. (1) (2) (3) User Name Address MyRepublic Application Fibre Static Broadband Page 3 of 6

4 Additional Remarks: Business SIP Trunking Description Business SIP Trunking Quantity OTC MRC FREE Unlimited Local Incoming Calls FREE One (1) Level 6 DDI Number per Trunk Standard SIP Trunking FREE Caller ID FREE Call Waiting/ Forwarding Dedicated SIP Trunking (Dedicated Fibre) 5 Channels 10 Channels 30 Channels 24 Months 36 Months Other (please specify): Additional SIP Trunking Channel(s) Additional Block of 10 DDI (Direct Dial-in Number) s Level 6 Number Porting (Requires separate Application Form) Private Number / Caller Number Non Display (CNND) on entire Trunk Golden/ Platinum* Number Others (please specify detail in Additional Remarks) Total Business SIP Trunking Charges (Before GST) Additional Remarks: *Delete where appropriate Business Hosted PBX Description Cloud Business Voice (Hosted PBX) Quantity OTC MRC FREE Unlimited Local Incoming Calls FREE One (1) Level 6 DDI Number FREE Access to all MyRepublic Hosted PBX Features Same as Business Fibre Broadband plan Level 6 Number Porting (requires separate application form) s Private Number / Caller Number Non Display Others (please specify detail in Additional Remarks) Hardware Yealink SIP-T19P E2 Entry Level IP Phone POE without PSU Yealink SIP-T41P Ultra-elegant IP Phone POE without PSU Total Hosted PBX Charges (Before GST) Additional Remarks: MyRepublic Application Fibre Static Broadband Page 4 of 6

5 Customer's Fibre/ Voice Installation Contact Details Name of Contact Person: (For On-site Installation & Provisioning) Contact Details of Contact Person Customer's MySecure Cloud Firewall Web-Portal User Details Name of Contact Person: (For creation of Web-Portal User Login Access) Check here if same as Fibre Installa on Contact Contact Details of Contact Person Customer's Post-sales Support Contact Details Name of Contact Person (For Troubleshooting and Maintenance Notification) Check here if same as Fibre Installa on Contact Contact Details of Contact Person Additional Information or Remarks (Attach additional sheets if space is insufficient) Payment Mode Payment By Credit Card Debit Card GIRO* CHEQUE Credit/Debit Card Details** Card No Card Type Visa Mastercard Name on Credit Card: Expiry Date: Card Holder Signature * Must attach a completed and signed GIRO form, otherwise no installation will be carried out. ** Customer must give seven (7) days notice to MyRepublic if credit card details are to change. Business Fibre Static Broadband Specific Terms & Conditions Business Fibre Static Broadband ( ) is a business internet broadband access service via GPON technology. At all times, the availability and provision of is subject to prevailing Netlink Trust (NLT) fibre network ( network ) coverage, service availability and availability of all relevant resources. NLT will be installing the fibre and termination point (TP) at your premises (or the agreed hand-off location) in order for the to be provisioned. Rescheduling of NLT installation appointment under any circumstances will be treated as cancellation, and cancellation charges will hence apply. On the same day (or the next business day) where the TP is installed, MyRepublic will install a modem (ONT) and router with accessories (collectively called CPE ) for the on rental basis. You need to provide us with a power supply for the CPE. We will collect back the ONT upon the deactivation of the. You are responsible to take care of the CPE in your premises. Should the CPE be damaged, stolen, lost or otherwise become unfit for use, we will charge you for the Field Engineer on-site service and the replacement CPE. We will also charge you for the CPE if we are unable to recover them after you have deactivated the. Installation (and subsequent maintenance support) within the Central Business District (CBD), on Jurong Island, within PSA Ports and in Changi Airport (including the cargo terminals) is subjected to a surcharge. Your Account Manager will inform you of the additional charges. We will do a standard installation on site during standard working hours (Mon-Fri, 9am-5pm, except Public Holidays). There will be additional charges if you require the to be activated after working hours. You need to sign off the Customer Acceptance Form if the is activated in order. Should you require complex configuration (such as support port forwarding, VPN, traffic shaping of bandwidth, multiple SSID), our Field Engineer will assist you to do so, with additional charges (OTC and MRC) which we will bill you in your subsequent invoice. You may enquire from your Account Manager for such charges. Multiple Static IP: We offer broadband services with 8/16/32/64/128 LAN Static IP addresses. You can use these static IP to configure your network equipment such as printers and CCTV cameras. Multiple Static IPv4 will be issued as an entire subnet as follow: No. of Static IP Subnet Prefix Size Usable Static IP Class 8 /29 6 C 16 /28 14 C 32 /27 30 C 64 /26 62 C 128 / C The Static Broadband LAN IP addresses will be permanently assigned to the circuit and can be relocated as long as you do not terminate your plan with us. Our provisioning team will provide you the static IP addresses prior to the circuit activation for most cases. We reserve the right to handle all requests for IPv4 address changes at our discretion. The MyRepublic IP address is not able to port to other ISP. We reserve the right to blackhole any IPv4 addresses upon any detection of abuse or in cases where an address is being targeted by any Denial of attacks for a period of minimum 24 hours or longer depending on the actual attack duration. All Static IPv4 usage has to be within MyRepublic s Acceptable Use Policy which can be found at legal section at Bandwidth Utilization Report : We will provide a user access to our Bandwidth Utilization portal. 4 Traffic Graphs will be available; Daily (5min average), Weekly (30min average), Monthly (2hour average) and Yearly (1day average). This service is provided on best-effort basis with no SLA. Should you have multiple circuits with us, you can request to group all your circuits into the same login access. The estimated provisioning lead time is 14 working days from order acceptance by us, subject to Netlink Trust (NLT) fibre network coverage, availability of network, service, resources, access, in-building cabling and tray and the procurement of all relevant approvals. Should the activation date communicated to you be revised due to unforeseen circumstances, you acknowledge that such change MyRepublic Application Fibre Static Broadband Page 5 of 6

6 will have no liability to MyRepublic. We do not warrant or give any guarantee on data transfer speed or any other aspect of the. We hereby exclude all warranties, whether express or implied by law, regarding the use of the (including without limitation the accessibility, reliability or accuracy of the service) and the performance and/or condition of the network. Business Voice Specific Terms & Conditions Business Voice ( BizVoice ) is a business voice service connected via our Business Fibre Broadband. At all times, the availability and provision of is subject to prevailing Netlink Trust (NLT) fibre network ( network ) coverage, service availability and availability of all relevant resources. BizVoice will be activated on the same day when the Fibre Broadband is activated. Local outgoing calls will be charged 0.90 cents for weekdays from 6pm to 8am, weekends and public holidays, and 1.6 cents for outgoing calls on weekdays from 8am to 6pm. Rates inclusive of GST. MySecure Cloud Firewall Specific Terms & Conditions MySecure Cloud Firewall ( Firewall ) is a cloud based firewall service for our Business Fibre Broadband. Firewall service will be activated on the same day when the Fibre Broadband is activated. We will provide you user login access to the Self- Web Portal. You will need to access the Web Portal to configure your security settings, set up the management report and notification alerts. Managed Wi-Fi Terms & Conditions The MyRepublic Managed Wi-Fi ( Wi-Fi ) is a comprehensive managed Wi-Fi service that is designed to provide a good user Wi-Fi experience, and help to your customer engagement through user insights provided from the data analytics platform. Customer can pick and choose to have their own corporate SSID, Wireless@SG and Wireless@SGx (collectively termed Wireless@SG ) and/ or Guest SSID with captive portal and analytics dashboard. Wireless@SG is governed by a set of Infocomm Media Development Authority (IMDA) guidelines, available at You agree to adhere to IMDA guidelines when deploying Wireless@SG The PoE router/ switches and access point (AP) with their accessories (collectively called CPE ) for the is provided to you on rental basis. You need to provide us with a power supply to power the CPE. We will collect back the CPE upon the deactivation of the. You are responsible to take care of the CPE in your premises. Should the CPE be damaged, stolen, lost or otherwise become unfit for use, we will charge you for the Field Engineer on-site service and the replacement CPE. We will also charge you for the CPE if we are unable to recover them after you have deactivated the. The access point(s) can be mounted to the wall, ceiling (no higher than 3 meters) or any permanent fixtures as requested by Customer. We shall provide up to 40m of cabling from the router to the AP, and mount the AP. The location of the AP is optimized to provide the best coverage within the premises. Our specialists may advise some areas with poor signal strength. You may consider additional AP if such situation arises. If you are unsure, please consult your account manager before the AP installation commences. We will do a standard installation on site during standard working hours (Mon-Fri, 9am-5pm, except Public Holidays). There will be additional charges if you require the to be activated after working hours. You need to sign off the Customer Acceptance Form if the is activated in order. Should you require complex configuration (such as support port forwarding, VPN, traffic shaping of bandwidth, multiple SSID), our Field Engineer will assist you to do so, with additional charges (OTC and MRC) which we will bill you in your subsequent invoice. You may enquire from your Account Manager for such charges. We do not warrant or give any guarantee on data transfer speed or any other aspect of the. We hereby exclude all warranties, whether express or implied by law, regarding the use of the (including without limitation the accessibility, reliability or accuracy of the service) and the performance and/or condition of the network. If you relocate your s, there will be charges for dismantling the Wi-Fi network and AP and re-instating the Wi-Fi network, including new cabling and mounting works, at the new site. Business SIP Trunking Specific Terms & Conditions For Dedicated SIP Trunking, a new fibre and TP will be installed at your premises. The availability and provision of is subject to prevailing Netlink Trust (NLT) fibre network ( network ) coverage, service availability and availability of all relevant resources. You may increase or decrease the number of channels via their portal, as long as they remain over the minimum number of channels. There is a setup fee per channel for increasing the number of channels and the minimum rental period is 1 month. You may reduce the number of channels via the portal any time, but the rental is charged on a per-month block basis. The quality of voice calls is not guaranteed if the SIP Trunking runs over different ISP broadband networks. The IDD dialing prefix is 1550 or 000 or +. Local outgoing calls will be charged 0.97 cents for weekdays from 6pm to 8am, weekends and public holidays, and 1.71 cents for outgoing calls on weekdays from 8am to 6pm. Rates include of GST. Minimum contract term for SIP Trunking is 12 months. Should you terminate the SIP Trunking within the 12 months contract, you are liable to the Early Termination Charges and a termination penalty of S$490 per trunk. If you opt for additional DDI numbers, it will be locked in to this SIP Trunking service for 12 months. Should you terminate the DDI numbers VAS within the 12 months contract, you are liable to the Early Termination Charges and an early termination fee of S$30 per block of 10 numbers. Business Hosted PBX Specific Terms & Conditions Local calls will be charged at 0.80 cents for weekends, public holidays and weekdays 6pm to 8pm, and charged 1.61 cents for weekdays 8am to 6pm. Rates inclusive of GST. You will be given a login access to the Hosted PBX Portal to view and reconfigure your voice settings. You may request for the configurable feature list of Hosted PBX functionalities from your account manager General Business Terms & Conditions Cancellation charges are applicable for any withdrawal of application before activation of. All Charges quoted are subject to change according to the application terms and conditions of MyRepublic and do not include GST or any other applicable sales or use tax or similar charge. You should read MyRepublic s Terms and Conditions at before registering and/or using our services. These terms and conditions are deemed incorporated by reference. Use of MyRepublic s services will constitute acceptance of these terms and conditions and any amendments thereto. Customer Acknowledgement We hereby apply for the services set out in this form. By signing this Application Form, we acknowledge and agree to be bound by the Terms and Conditions for the MyRepublic service set out above. We confirm that I have provided full and accurate information to MyRepublic. I warrant and undertake that I am a duly authorized signatory of the Customer named above. / / Printed Name of Authorised Officer Signature of Authorised Officer Date (dd/mm/yyyy) Company Stamp For Official Use Only Channel ID Remarks Sales Order: NetLink Trust Date/Time: MyRepublic Date/Time: Deposit Collected: Customer ID: MyRepublic Application Fibre Static Broadband Page 6 of 6

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