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					                IDD 0030 IDD Service Registration Form

Please complete the following in BLOCK letters and put a    in appropriate box                                  F-NC-213E     N005 /F1
                                                       Register IDD 0030 Service

I would like to register the following 2b Broadband Phone/ Home Telephone/ Mobile Phone/ Facsimile number(s) for IDD 0030
International Calling Service with “F1” Rate Plan.


2b Broadband Phone
Number
Home Telephone Number
Mobile Phone Number
Facsimile number

IDD 0030 International Calling Service will be activated automatically within 4 working days upon this registration form are received
and approved by HKBN. Customers who have successfully registered IDD 0300 shall enjoy “F1” Rate Plan for making international
calls and/ or faxes through HKBN IDD 0030 in Hong Kong. Service rate plan will be kept unchanged for existing IDD 0030 Customers.
HKBN reserves all rights to amend, vary and/or terminate the Service Plan or any part thereof from time to time and HKBN shall
endeavour to provide notification 30 days prior or any other period as reasonably practicable in the circumstances in advance of its
effective date; and all decisions made by HKBN shall be final and conclusive.



                                                            Personal Data
Mr / Ms / Mrs                  Surname                              Given Name

                 #
HKID Card No.                  Date of Birth (Y/M/D)                Home Tel. No.                  Daytime Contact Tel. No.

Residential Address
Flat / Room                    Floor                                Phase / Stage                  Block

House / Building                                                    Estate / Garden

Street No. / Street                                               District
                                                                  HK / KLN / NT
Correspondence Address (if different from the above, overseas address and postal box are not accepted)



   If HKID Card Number is not available, please make a crossed cheque of HK$500 deposit payable to “Hong Kong Broadband Network
Ltd” and write down “deposit”, your name and daytime contact number at the back of your cheque, then mail it to HKBN together with
this registration form.

                                                           Payment Method


I hereby use Credit Card as the payment method for settling the service fee:
I hereby authorize HKBN to debit all amount due for services registered by me in HKBN, including but not limited to Internet access
service / IDD service /telephone service / television service / all telecommunications services / all related value added services
incidental to the aforesaid services, under my account in HKBN from the following credit card account, except that all amount due for 2b
Broadband Phone Service is processed independently and is not going to debit under the following credit card account.



                                                                                               Cardholder’s Signature
                 :
 Credit Card Type:          VISA           MasterCard            Diners

 Credit Card No : __________ __________ __________ __________

 Valid thru: _____ Month______ Year (Validity more than one month)                             X (Same as Credit Card Signature)

  Credit Card Holder’s Name:______________________________________                             Date: __________________________



                                                                                        HKBN-0030IDD F1-English-website-20051206 *CC*
                IDD 0030 IDD Service Registration Form
                                                                     Type of Statement

By Email       ------------------------------------------------------@---------------------------------------------------- (If no email address is provided in
this section, HKBN will follow the statement delivery instruction previously registered with HKBN. Otherwise, all statements and
correspondence will be sent by post, and a handling fee in the sum of HK$20 per month will be charged.) (Such amount is subject to
change at HKBN’s sole discretion)
                                                                 Declaration
Declaration Regarding Payment Method:
1. Except for the service as registered in this form, I agree and authorize Hong Kong Broadband Network Limited (“HKBN”) to include
all amount due for services registered by me, including but not limited to Internet access service / IDD service / telephone service /
television service / all telecommunications services / all related value added services incidental to the aforesaid services, under my
personal account (“Personal Account”) registered with HKBN and use the above selected method to settle all service charges under
my Personal Account. Except that all amount due for 2b Broadband Phone Service is processed independently and does not settle
under the credit card account listed above. 2. I agree and authorize HKBN to update the above card information from time to time as
HKBN may deem appropriate so as to settle the amount due under my Personal Account. 3. I also agree and authorize HKBN to
continue to keep the credit card (“the said Credit Card”) and/or the autopay account (“the said Autopay Account”) information, if
applicable, currently used to settle the service charges of my Personal Account for credit reference. In case the new credit card
information provided by me in this form fails to settle the service charges under my Personal Account for whatever reasons, HKBN is
authorized to use the said Credit Card and/or the said Autopay Account information, if applicable, to settle the services charges under
my Personal Account until further written notice. 4. I also understand and agree that if I settle the service charges by cash via 7-
Eleven / OK Convenience Store, a handling fee of not more than HK$10 will be charged by HKBN for each transaction. *5. If I select
to settle the payment by means of Autopay, I understand that I need to settle all amount due by means of Cash/Cheque before my
application for Autopay payment has been approved.
Others:
1. I acknowledge and agree that I have to register a Personal Account with HKBN in order to register for using HKBN IDD 0030
Service. 2. I hereby agree and authorize HKBN to open a Personal Account for me according to the information provided in this form
and to include the service registered herein, together with all HKBN services as may from time to time registered by me (excluding 2b
Broadband Phone Service), under my Personal Account so as to use the respective HKBN services. If I have my Personal Account
already, I agree HKBN to update the information of my Personal Account (excluding information for 2b Broadband Phone Service)
according to the information provided herein, if applicable. 3. I authorize HKBN to transfer my personal information to any subsidiary
or associated company of HKBN and any relevant agent, contractor or third party for the purpose of credit verification, administration,
marketing or disclosure in pursuance of the relevant applicable laws. 4. I acknowledge and agree that HKBN have the right to transfer
or disclose my personal information to the Telecommunications Authority or other relevant authorized institutions / organizations in
order to comply with the relevant obligations as imposed by the Telecommunications Ordinance (Cap.106) or other relevant laws and
regulations. 5. I acknowledge and agree that HKBN may contact me by means of telephone or such other means in order to verify the
personal information provided by me. 6. I acknowledge and agree that City Telecom (H.K.) Limited or any of its subsidiary or
associated company have the right to enforce all the rights and/or obligations of HKBN under this agreement.7. I agree that HKBN
have the right to transfer or assign all of its rights and/or obligations under this agreement to any of its subsidiary or associated
company or third party. 8. I confirm that I have read all the terms and conditions of this form and hereby agree to abide by all the
terms and conditions aforesaid, the terms and conditions for using HKBN International Calling Service and the General Terms &
Conditions of HKBN (including the terms and conditions as may be in force from time to time). 9. Unless other provided or with the
consent of HKBN, I understand that if I ask for obtaining copies of the statement, registration form, installation form or other related
documents from HKBN, an administrative charge of HK$50 or such other sum as may from time to time imposed by HKBN shall be
charged by HKBN for each copy of document. 10. I confirm that all information provided above by me is true and correct.

Note:
The IDD rates for new customer registering IDD 0030 service will follow the IDD 0030 “F1” rate plan, and the IDD rates for existing IDD
0030 customer will follow the existing IDD 0030 rate plan that previously registered with HKBN.



Customer’s Signature____________________________________________________                                        Date_____________________________
                    (If the Customer is the cardholder, the signature should be same)
                                                                     Customer Service

If you do not wish to receive any information of special offer, regarding products
or services of HKBN, its associated companies or any other related companies,
please send written request to the Customer Service Centre of HKBN (Room
1016-1018, Park-In Commercial Centre, 56 Dundas Street, Mongkok, Kowloon)                               Fax Hotline: 128 1818
For enquiry, please contact our Customer Service Hotline:128 110

                                                                                                                                  F-NC-213E N005 /F1
                                                                                                         HKBN-0030IDD F1-English-website-20051206 *CC*

				
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