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Customer Service : 2157 2157

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Registration Form - Residential Service

Customer Information

Please complete in English
*Mandatory field
Preferred Language:
Customer Type:

Applicant Details

Title:
First Name: *
Surname: *
**Date of Birth: *
e.g. mm/dd/yyyy
**Registered customer must be over age 18

Contact Method

Contact Number: *
Mobile Number:
Email: *
**Sign up for Ebill NOW?
** Customer who chooses to receive email bill will be waived off administrative fee for postal bill

Registration Address

(Please provide full address if you are New Customer, no P.O. Box)
Room/Floor/Block: *
Building/Estate: *
Road/Street: *
District:
Region:

Postal Address

(If it is different from Postal Address)
Room/Floor/Block:
Building/Estate:
Road/Street:
District:
Region:

Service Selection

Register Number 1: *
Register Number 2:
Register Number 3:
Register Number 4:

Payment Method

*Please Select:
**Credit Card Type:
Credit Card Number:
Expiry Date (month/year):
Credit card must be valid for at least 3 months
Name of the Card Holder:
Name of the applicant and credit card holder must be the same

Other Information

How did you learn about us?
Other IDD Service Provider Registered:
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General Terms and Conditions
Our customer service representative will contact you within 2 working days.