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Application For Services

Disclaimer
Please note this is a preliminary agreement and the information contained on the website is for preapproval purposes.  The consideration for this agreement shall be the same consideration as stated in the contract.
SURNAME: 

Please enter your surname.
FIRST NAME(S) AS PER ID:

Please enter your first name(s) as per ID.
TITLE:

Please choose a title
Please enter other title.
IDENTIFICATION:

Please choose type of Identification.
PASSPORT NUMBER:

Please enter your Passport Number
ID NUMBER:

Please enter your ID Number
DATE OF BIRTH:

Please select Date Of Birth.
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Application for Services
BILLING ADDRESS AND CONTACT DETAILS
TOWN/CITY: 

Please select Town or City
Please select Surbub
ADRRESS: 

Please enter ERF Number
Please enter Street Name

Please enter House Number
CONTACT: 

Please enter Email Address
Please enter Contact Number
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Application for Services
SERVICE DETAILS
SPECTRA:
Spectra is MTC's fastest internet for both home connectivity, business connectivity and remote areas.

Please select a Spectra Package

VSAT

This will enable customer in remote areas with little to no internet connectivity to have internet access and be able to communicate with colleagues, family and friends and as well as to improve services dependent on connectivity.

Benefits that VSAT provide:

  • Increased reliability and redundancy in remote regions
  • Easy deployment and no dependency on terrestrial links
  • Reliable, fast and permanently available broadband services

Please select Bandwidth (Mbps)
Please select Duration of Contract

SPECTRA HOME

Spectra Home provides high speed internet connection that gives your home fast connection ensuring you're always ahead of the curve.

Free Installation only applicable for 24 months and 36 months subscriptions.


Please select Bandwidth (Mbps)
Please select Duration of Contract

SPECTRA EDGE BUSINESS


Please select Bandwitdh (Mbps)
Please select Duration of Contract
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Application for Services
EMPLOYMENT DETAILS:
TYPE OF EMPLOYMENT:

Please choose Employment status
BUSINESS DETAILS:

Please enter Business Details
CONTACT NUMBER:

Please enter Contact Number
MONTHLY INCOME (NAD):

Please enter Monthly income
OCCUPATION:

Please enter your occupation
EMPLOYER:

Please enter your Employer
TELEPHONE NUMBER:

Please enter Telephone Number
MONTHLY INCOME:

Please enter your Monthly Income
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Application for Services
SUBSCRIBER DETAILS
PERSONAL HOBBIES:
If you have more than one hobby kindly use other option to indicate additional hobbies (kindly seperate with a comma).

Please select your hobby
Please enter your hobbies seperated by a comma
Please select Board Game
Please select Team Sport

Please enter Other Team Sports
ARE YOU THE OWNER OF THE PROPERTY INTENDED FOR INSTALLATION:

Please select your answer

LANDLORD DETAILS:
Installation confirmation from landlord.

Please enter property owners name
Please enter property owners contact details
PROPERTY OWNERS LETTER OF CONSENT:

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Application for Services
CREDIT REFERENCE
ADD:

Please select your answer
NAME OF COMPANY:

Please enter company name
ACCOUNT NUMBER:

Please enter account number
CONTACT NUMBER:

Please enter account number
DEALER CODE:
To be completed if you are a dealer

REFERRAL CODE / ADVISOR:
To be completed if you were referred (if MTC ambassador enter name)

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Application for Services
FILES & FORM SUBMISSION
APPLICATION FOR SERVICES FORM:
Private subscriber

Choose file or drag and drop file here
Please submit a completed copy of the Application for Services Form
DIRECT DEBIT PAYMENT INSTRUCTION FORM:

Choose file or drag and drop file here
Please submit a completed copy of the Direct Debit Payment Instruction Form
TERMS AND CONDITIONS:

Choose file or drag and drop file here
Please submit a signed Terms and Conditions Document
IDENTIFICATION DOCUMENT OR PASSPORT:

Choose file or drag and drop file here
Please submit a scanned copy of your ID or Passport
PROOF OF INCOME (3 MONTHS PAYSLIP):

Choose file or drag and drop file here
Please submit a scanned copy of your proof of income (3 months payslip)
BANK STATEMENT (3 MONTHS):

Choose file or drag and drop file here
Please submit a scanned copy of your proof of income (3 months payslip)
BANK CONFIRMATION LETTER:

Choose file or drag and drop file here
Please submit a scanned copy of your bank confirmation letter
Please acknowledge that all information entered is correct
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