YES 4G Registration Form
Applicant Name:
*
Applicant New IC Number:
*
Address:
*
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Antigua and Barbuda
Aruba
Bahamas
Barbados
Belize
Canada
Cook Islands
Costa Rica
Cuba
Dominica
Dominican Republic
El Salvador
Grenada
Guatemala
Haiti
Honduras
Jamaica
Mexico
Netherlands Antilles
Nicaragua
Panama
Puerto Rico
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Trinidad and Tobago
United States
Argentina
Bolivia
Brazil
Chile
Colombia
Ecuador
Guyana
Paraguay
Peru
Suriname
Uruguay
Venezuela
Albania
Andorra
Armenia
Austria
Azerbaijan
Belarus
Belgium
Bosnia and Herzegovina
Bulgaria
Croatia
Cyprus
Czech Republic
Denmark
Estonia
Faroe Islands
Finland
France
Georgia
Germany
Greece
Hungary
Iceland
Ireland
Italy
Latvia
Liechtenstein
Lithuania
Luxembourg
Macedonia
Malta
Moldova
Monaco
Montenegro
Netherlands
Norway
Poland
Portugal
Romania
San Marino
Serbia
Slovakia
Slovenia
Spain
Sweden
Switzerland
Ukraine
United Kingdom
Vatican City
?Afghanistan
Bahrain
Bangladesh
Bhutan
Brunei Darussalam
Myanmar
Cambodia
China
East Timor
Hong Kong
India
Indonesia
Iran
Iraq
Israel
Japan
Jordan
Kazakhstan
North Korea
South Korea
Kuwait
Kyrgyzstan
Laos
Lebanon
Malaysia
Maldives
Mongolia
Nepal
Oman
Pakistan
Palestine
Philippines
Qatar
Russia
Saudi Arabia
Singapore
Sri Lanka
Syria
Taiwan
Tajikistan
Thailand
Turkey
Turkmenistan
United Arab Emirates
Uzbekistan
Vietnam
Yemen
Australia
Fiji
Kiribati
Marshall Islands
Micronesia
Nauru
New Zealand
Palau
Papua New Guinea
Samoa
Solomon Islands
Tonga
Tuvalu
Vanuatu
Algeria
Angola
Benin
Botswana
Burkina Faso
Burundi
Cameroon
Cape Verde
Central African Republic
Chad
Comoros
Democratic Republic of the Congo
Republic of the Congo
Djibouti
Egypt
Equatorial Guinea
Eritrea
Ethiopia
Gabon
Gambia
Ghana
Gibraltar
Guinea
Guinea-Bissau
Cote d'Ivoire
Kenya
Lesotho
Liberia
Libya
Madagascar
Malawi
Mali
Mauritania
Mauritius
Morocco
Mozambique
Namibia
Niger
Nigeria
Rwanda
Sao Tome and Principe
Senegal
Seychelles
Sierra Leone
Somalia
South Africa
Sudan
Swaziland
United Republic of Tanzania
Togo
Tunisia
Uganda
Zambia
Zimbabwe
Country
Mobile Number:
*
E-Mail Address:
*
Select YES Prepaid Package:
N/A
YES Prepaid Starter ID: RM53
YES Prepaid Starter ID RM53 + 1GB+2GB Data RM26.50: RM79.50
YES Prepaid Go Starter Pack RM104.94 + RM10.60 Courier: RM115.54
YES Prepaid Zoom Starter Pack RM422.94 + RM10.60 Courier: RM433.54
YES Prepaid Huddle XS Starter Pack RM422.94 + RM10.60 Courier: RM433.54
Select YES Postpaid Package:
N/A
Super48 Without Contract RM50.88 Upfront Payment
Super68 Without Contract RM72.08 Upfront Payment
Super98 Without Contract RM103.88 Upfront Payment
Super128 Without Contract RM135.68 Upfront Payment
Super158 Without Contract RM167.48 Upfront Payment
Super48 FREE YES Go 12-Months Contract RM103.88 Upfront Payment
Super68 FREE YES Go 12-Months Contract RM125.08 Upfront Payment
Super48 FREE Zoom 24-Months Contract RM156.88 Upfront Payment
Super68 FREE Zoom 24-Months Contract RM178.08 Upfront Payment
Super78 FREE Zoom 24-Months Contract RM188.68 Upfront Payment
Super98 FREE Zoom 24-Months Contract RM209.88 Upfront Payment
Super128 FREE Zoom 24-Months Contract RM241.68 Upfront Payment
Super158 FREE Zoom 24-Months Contract RM273.48 Upfront Payment
Super48 FREE Huddle XS 24-Months Contract RM156.88 Upfront Payment
Super68 FREE Huddle XS 24-Months Contract RM178.08 Upfront Payment
Super78 FREE Huddle XS 24-Months Contract RM188.68 Upfront Payment
Super98 FREE Huddle XS 24-Months Contract RM209.88 Upfront Payment
Super128 FREE Huddle XS 24-Months Contract RM241.68 Upfront Payment
Super158 FREE Huddle XS 24-Months Contract RM273.48 Upfront Payment
Preferred Login ID:
(For Personalised ID Only. Provide 6 to 16 Character)
Preferred YES Mobile Number:
(For Personalised ID Only. Provide 4 Digits Number)
Upload Applicant IC:
(Front & Back)
*
Payment Detail
For Maybank2U, please click Maybank2U Pay icon to make the Upfront Payment:
Upload Payment Slip:
Please provide any additional information at Remark Section
Remark:
Agent ID / Name:
(For Agent Only)