SERVICE APPLICATION FORM FOR POSTPAID & PREPAID ADSL BROADBAND

REQUIREMENTS FOR BROADBAND ACCESS SERVICE:

• You must have an existing telephone service that uses copper line infrastructure.
• Your landline must be connected to an exchange that is Broadband enabled.
• Have a computer that meets the minimum requirements indicated overleaf.

CUSTOMER DETAILS:
Customer's name (in full):
If Company/ Partnership, state Directors/Partners (Minimum of two):
Physical Address:
CUSTOMER CONTACT DETAILS:
Telephone:
Celullar No:
E-mail address:
Postal address:
BILLING DETAILS:
Telephone number (Line to receive ADSL):
HOME PREPAID PACKAGES
LITE
LITE PLUS
PREMIUM
HOME POSTPAID PACKAGES
WAYAWAYA
STANDARD
CLASSIC
Speed
Up to 2Mb/s
Up to 2Mb/s
Up to 2Mb/s
Up to 3Mb/s
Up to 3Mb/s
Up to 3Mb/s
Capping
10 GB
20 GB
40 GB
Uncapped
40 GB
100 GB
On-net Voice Minutes
60 minutes
60 minutes

60 minutes

60 minutes

60 minutes

60 minutes

EPTC Package (Incl. Vat)
E105.00
E175.00
E265.00
E499.00
E219.00
E313.00
Outside Cap Rate
(Incl. Vat)
E0.16
E0.16
E0.16
E0.14
E0.14
Please tick selection
BUSINESS POSTPAID PACKAGES
Package
Express
Lite
Standard
Classic
Premium
Platinum
Platinum 1
Platinum 2
Platinum 3
Double Platinum
Velocity
Speed
Up to 3Mb/s
Up to 4Mb/s
Up to 6Mb/s
Up to 6Mb/s
Up to 8Mb/s
Up to 8Mb/s
Up to 8Mb/s

Up to 8Mb/s

Up to 8Mb/s

Up to 16Mb/s

Up to 4Mb/s

Capping
50 GB
70 GB
150 GB
200 GB
300 GB
400 GB
520 GB
800 GB
1280 GB
2000 GB
Uncapped
EPTC Package (Incl. Vat)
E276.00
E635.00
E805.00
E1265.00
E2151.00
E2990.00
E4140.00
E6325.00
E9775.00
E13225.00
E831.00
Outside Cap
Rate(Incl. Vat)
E0.14
E0.14
E0.14
E0.14
E0.14
E0.14
E0.14
E0.14
E0.14
E0.14
Please tick
selection
Note: Express Package has a FREE email address and 60 minutes on-net calls (landline to landline).


T&Cs apply. All un-capped packages are subject to EswatiniTelecom’s Fair Usage Policy.
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COMPUTER DETAILS

Processor speed
Operating System (e.g. Win 2000, Win XP, etc
Hard Disk Free Space
Memory (RAM):
Network Interface
CD-ROM
Minimum requirements
200 MHz
Microsoft Windows 2000, ME, XP or Vista.
200 Mb
128 Mb
Yes
Yes
Tick if your PC complies
INTERNET CONNECTION ( Please tick )
Do you currently have an Internet connection with Swazi.net?
Yes:
No:
IF YES, CONTINUE BELOW: ( Please tick )
Do you want to disconnect your Internet account?
Yes:
No:
What type of Internet connection do you have?
Telephone number: [ ]
ISDN Internet:
Dial-up Internet:
Leased line:
TERMS AND CONDITIONS

1. The provision of Broadband access service is subject to EswatiniTelecom’s standard terms and conditions as they appear in the application and agreement form for Telecommunication services. EswatiniTelecom accepts no liability for any loss or damages to the property or equipment of the customer arising out of the provision, installation or maintenance of EswatiniTelecom ADSL access service. You will be formally noti ed on whether or not the ADSL access service can be provided.                                                                                                                                             
2. The provision of ADSL service cannot be guaranteed and depends on the radial distance and port availability from your nearest exchange. Each ADSL account is only for use at the premises as indicated on this application form and is not transportable unless moving premises. EswatiniTelecom reserves the right to disconnect the line in the event that the customer defaults for a period of 30 days and he or she will be expected to pay the full amount outstanding. In addition the account shall be disconnected in event that it is used for any illegal or anti-social purposes, including abusive, fraudulent, obscene, etc. Provision is subject to network availability, distance, copper quality and line sync speed limitations. The ADSL plan you have chosen is based on self Installation with telephone support provided by EswatiniTelecom.                                                                                                                                                                                                                
3. The bundled o ering is subject to a 24 months agreement and the following shall apply if cancelled prematurely:
     a. A penalty equivalent to one month rental charge shall be paid by the customer.
     b. Customer will return modem to the nearest Telecentre.
Note: Upon expiry of the 24 month period, this agreement shall automatically be renewed for a successive 12 (twelve) calendar month period commencing on each anniversary of the commencement date unless terminated in accordance to these conditions.                                                                                                                                                                                                
4. There will be no free modem swaps (exchange) for packages below E300.00 if the modem becomes faulty therefore the customer will replace it at his/her own cost.                                            
5. There will be one free modem swap (exchange) for packages above E300.00 per nancial year (12 month period) thereafter the customer will replace it at his/ her own cost.
Note: Modems will be available for sale at all EPTC outlets (Telecentres & Swazi.net Cafés) at a fee.                                                                                                                                                         
6. EPTC reserves the right to cap each customer to the package that the customer requested when applying for the ADSL service. This will serve to ensure that a customer does not exceed the capped volume chosen. In the event that the customer refuses that the package chosen is capped, the customer will write to EPTC and inform EPTC that the package chosen should not be capped and will subsequently be liable for any amount charged for over capping without any further notice from the Corporation.

confirm that, I have read, understood and accept the
conditions on this form and that the details I have given on this form are correct and complete.
Company stamp:
FOR OFFICE USE ONLY
Name of Officer:

_____________________________________________________

Date received:

_____________________________________________________

Reference number:

_____________________________________________________

Signature:

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