Company Name : .......................................................................................................
Date : ................................ Company Number : ................................
Billing

: .......................................................................................................

Address .......................................................................................................
  .......................................................................................................
Tel. No. : ................................ Fax. No. : ................................
Email Address : ................................ Contact Person
(Full Name)		 : ................................
Domain Name to be apply : .......................................................................................................
Please attach one copy of Company Registration (Form 9 or 13) together with this application.
Login/ Jmail Pro setting information
POP3/ SMTP Server Name : mbox.netview.com.my
LOGIN ID : UserID@mbox.netview.com.my
LOGIN PASSWORD : (SECRET PASSWORD)
Note: UserID and Password will be provided afer the activation of the domain.
For office use only
User ID : ................................ Password : ................................
MyNIC Admin Login ID : ................................ MyNIC Admin Login Password : ................................
Activation Date : ................................ Dealer Name : ................................
Last updated 11 November 2002
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