Connect 4G+ Application Form






RESIDENTIAL CUSTOMER DETAILS


If Applicable;


Please provide proof of Billing and Street Address (Upload below)

Compulsory Requirement


Non-Fiji Citizens must produce passport during signup


Please provide ID during signup. (Upload below) Parent or guardian’s signature is required if customer is below 18 years of age.



BUSINESS CUSTOMER DETAILS



Please provide proof of Billing and Street Address (Upload Below)

Compulsory Requirement

Please provide the following essential documents during signup (Upload at bottom)



PLAN DETAILS







**Bundle Rental is additional to your existing Broadband Rental.

















LOGIN DETAILS


4-16 characters, a-z in lower case letters with first character an alphabet

4-8 characters, a-z or 0-9 in lower case letters



USER AGREEMENT


I/We hereby:

(a) Certify that the particulars hereinabove provided are true and correct.
(b) Agree to pay on demand all charges made by Connect in connection with the above service.
(c) Declare that I/We have read, understood and agreed to comply with and be bound by the provision of Connect 4G+ Terms and Conditions.




UPLOAD DOCUMENTS



Maximum 2 files, 3 MB per file allowed.