Refund Request Form

  Customer Details

Individual   Corporate/Enterprise
redONE Mobile No:
other Contact No.:
redONE Acc. No. :
Email Address :

 Refund Details

Bank Name:
Account Holder Name:
Account No:
Current Account Savings Account
Reason for Refund : Application Terminated / Cancelled
Activation Issue
Sim Delivery Issue
Others

  Customer Declaration

I declared that all the above information is true and complete


Authorised Signatory Signature 

 Date :

  Required Supporting Document


Others
APPLICATION UNDER NAME OF: SUPPORTING DOCUMENT:
Individual 1. Signed Refund Form
2. NRIC / Passport Copy
3. Letter of Authorization**
4. NRIC Copy of Authorized Person (3rd Party)**
Sole Proprietorship / Enterprise
/ Partnership / Society
/ Government Body / Agencies
/ Legal Firm
1. Signed Refund Form
2. NRIC Copy of Authorized Person (Representative)
3. SSM
4. Letter of Authorization with Official Letterhead**
5. NRIC Copy of Authorized Person (3rd Party)**
Company 1. Signed Refund Form
2. NRIC Copy of Authorized Person (Representative)
3. Form 9/Form 13(if necessary) / Section 14/Section 7
Deceased Registered Owner* 1. Refund Form signed by next-of-kin
2. Death certificate of the deceased
3. NRIC Copy of next-of-kin
** Refund Details (3rd Party) NOT SAME with APPLICATION NAME

           

Red One Network Sdn. Bhd. (619094-D).
A-03-42, Block A, Third Floor, IOI Boulevard, Jalan Kenari 5, Bandar Puchong Jaya, 47170 Puchong, Selangor.
Customer Careline : 1800-11-0800 www.redONE.com.my