{"id":1276,"date":"2021-10-08T08:00:39","date_gmt":"2021-10-08T08:00:39","guid":{"rendered":"https:\/\/360vt.my\/prima\/?page_id=1276"},"modified":"2021-10-11T15:21:14","modified_gmt":"2021-10-11T07:21:14","slug":"sign-up","status":"publish","type":"page","link":"https:\/\/360vt.my\/prima\/sign-up\/","title":{"rendered":"Sign Up"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"1276\" class=\"elementor elementor-1276\" data-elementor-settings=\"[]\">\n\t\t\t\t\t\t\t<div class=\"elementor-section-wrap\">\n\t\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-f903f7e elementor-section-height-min-height elementor-section-boxed elementor-section-height-default elementor-section-items-middle\" data-id=\"f903f7e\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-a7bedae\" data-id=\"a7bedae\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-e980a04 elementor-button-align-end elementor-mobile-button-align-stretch elementor-widget elementor-widget-form\" data-id=\"e980a04\" data-element_type=\"widget\" data-settings=\"{&quot;step_next_label&quot;:&quot;Next&quot;,&quot;step_previous_label&quot;:&quot;Previous&quot;,&quot;button_width&quot;:&quot;100&quot;,&quot;step_type&quot;:&quot;number_text&quot;,&quot;step_icon_shape&quot;:&quot;circle&quot;}\" data-widget_type=\"form.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<form class=\"elementor-form\" method=\"post\" name=\"Sign-up\">\n\t\t\t<input type=\"hidden\" name=\"post_id\" value=\"1276\"\/>\n\t\t\t<input type=\"hidden\" name=\"form_id\" value=\"e980a04\"\/>\n\t\t\t<input type=\"hidden\" name=\"referer_title\" value=\"\" \/>\n\n\t\t\t\n\t\t\t<div class=\"elementor-form-fields-wrapper elementor-labels-above\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-step elementor-field-group elementor-column elementor-field-group-field_14e7640 elementor-col-100\">\n\t\t\t\t\t<div class=\"e-field-step elementor-hidden\" data-label=\"SECTION A\" data-previousButton=\"\" data-nextButton=\"Continue\" data-iconUrl=\"\" data-iconLibrary=\"fas fa-star\" data-icon=\"\"><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-checkbox elementor-field-group elementor-column elementor-field-group-apptype elementor-col-100\">\n\t\t\t\t\t<label for=\"form-field-apptype\" class=\"elementor-field-label\">Type of Application:<\/label><div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"New application\" id=\"form-field-apptype-0\" name=\"form_fields[apptype][]\"> <label for=\"form-field-apptype-0\">New application<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Change of Plan\" id=\"form-field-apptype-1\" name=\"form_fields[apptype][]\"> <label for=\"form-field-apptype-1\">Change of Plan<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_aeb99c1 elementor-col-100\">\n\t\t\t\t\t<p><em>Please tick the appropriate box or complete the answer.<\/em><\/p>\n<p><strong>IMPORTANT:<\/strong> <em>Please read the terms and conditions carefully. fill up the details, attach the supporting documents as required and e-mail to enquiry@pr1macomm.my application must be made by pr1ma home&rsquo;s owner or any authorised person (authorisation letter from the home owner is required).<\/em><\/p>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_75dd777 elementor-col-100\">\n\t\t\t\t\t<h1>Particulars of Applicant\/Subscriber (\u201cCustomer\u201d)<\/h1>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type- elementor-field-group elementor-column elementor-field-group-field_e7efdad elementor-col-100\">\n\t\t\t\t\t<label for=\"form-field-field_e7efdad\" class=\"elementor-field-label\">Name as per NRIC:<\/label>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type- elementor-field-group elementor-column elementor-field-group-field_f065832 elementor-col-100\">\n\t\t\t\t\t<label for=\"form-field-field_f065832\" class=\"elementor-field-label\">NRIC:<\/label>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type- elementor-field-group elementor-column elementor-field-group-field_5416a41 elementor-col-100\">\n\t\t\t\t\t<label for=\"form-field-field_5416a41\" class=\"elementor-field-label\">Installation Address:<\/label>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type- elementor-field-group elementor-column elementor-field-group-field_a968195 elementor-col-30\">\n\t\t\t\t\t<label for=\"form-field-field_a968195\" class=\"elementor-field-label\">City\/Postcode:<\/label>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type- elementor-field-group elementor-column elementor-field-group-field_368b712 elementor-col-30\">\n\t\t\t\t\t<label for=\"form-field-field_368b712\" class=\"elementor-field-label\">State:<\/label>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type- elementor-field-group elementor-column elementor-field-group-field_ea1b9e9 elementor-col-40\">\n\t\t\t\t\t<label for=\"form-field-field_ea1b9e9\" class=\"elementor-field-label\">Office Tel No:<\/label>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-email elementor-field-group elementor-column elementor-field-group-email elementor-col-30\">\n\t\t\t\t\t<label for=\"form-field-email\" class=\"elementor-field-label\">Email<\/label><input size=\"1\" type=\"email\" name=\"form_fields[email]\" id=\"form-field-email\" class=\"elementor-field elementor-size-sm  elementor-field-textual\">\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-tel elementor-field-group elementor-column elementor-field-group-field_0ebc8c9 elementor-col-30\">\n\t\t\t\t\t<label for=\"form-field-field_0ebc8c9\" class=\"elementor-field-label\">Mobile No:<\/label><input size=\"1\" type=\"tel\" name=\"form_fields[field_0ebc8c9]\" id=\"form-field-field_0ebc8c9\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" pattern=\"[0-9()#&amp;+*-=.]+\" title=\"Only numbers and phone characters (#, -, *, etc) are accepted.\">\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-tel elementor-field-group elementor-column elementor-field-group-field_5be8c17 elementor-col-40\">\n\t\t\t\t\t<label for=\"form-field-field_5be8c17\" class=\"elementor-field-label\">Alternative No:<\/label><input size=\"1\" type=\"tel\" name=\"form_fields[field_5be8c17]\" id=\"form-field-field_5be8c17\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" pattern=\"[0-9()#&amp;+*-=.]+\" title=\"Only numbers and phone characters (#, -, *, etc) are accepted.\">\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-step elementor-field-group elementor-column elementor-field-group-field_36767d3 elementor-col-100\">\n\t\t\t\t\t<div class=\"e-field-step elementor-hidden\" data-label=\"SECTION B\" data-previousButton=\"Back\" data-nextButton=\"Continue\" data-iconUrl=\"\" data-iconLibrary=\"fas fa-star\" data-icon=\"\"><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_64774a8 elementor-col-100\">\n\t\t\t\t\t<h1>Product\/Service Details<\/h1>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_10d3e3b elementor-col-100\">\n\t\t\t\t\t<p><em>Type of Product\/Service (Package prices are to be advised):<\/em><\/p><br><br>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_73d2b47 elementor-col-70\">\n\t\t\t\t\t<label for=\"form-field-field_73d2b47\" class=\"elementor-field-label\">1. PR1MA Comm Residential Broadband Plan<\/label>\t\t<div class=\"elementor-field elementor-select-wrapper \">\n\t\t\t<select name=\"form_fields[field_73d2b47]\" id=\"form-field-field_73d2b47\" class=\"elementor-field-textual elementor-size-sm\">\n\t\t\t\t<option value=\"PR1MA FIBER 30MBPS RM79\">PR1MA FIBER 30MBPS RM79<\/option><option value=\"PR1MA FIBER 60MBPS RM99\">PR1MA FIBER 60MBPS RM99<\/option>\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-checkbox elementor-field-group elementor-column elementor-field-group-field_e015775 elementor-col-100\">\n\t\t\t\t\t<label for=\"form-field-field_e015775\" class=\"elementor-field-label\">2. VOIP Telephone Line<\/label><div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"PR1MA Comm VoIP (Monthly Rental RM 10.00)\" id=\"form-field-field_e015775-0\" name=\"form_fields[field_e015775]\"> <label for=\"form-field-field_e015775-0\">PR1MA Comm VoIP (Monthly Rental RM 10.00)<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-date elementor-field-group elementor-column elementor-field-group-field_f5bc3ed elementor-col-40\">\n\t\t\t\t\t<label for=\"form-field-field_f5bc3ed\" class=\"elementor-field-label\">Date1<\/label><input type=\"date\" name=\"form_fields[field_f5bc3ed]\" id=\"form-field-field_f5bc3ed\" class=\"elementor-field elementor-size-sm  elementor-field-textual elementor-date-field\" pattern=\"[0-9]{4}-[0-9]{2}-[0-9]{2}\">\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-time elementor-field-group elementor-column elementor-field-group-field_e0a84eb elementor-col-30\">\n\t\t\t\t\t<label for=\"form-field-field_e0a84eb\" class=\"elementor-field-label\">Time1<\/label><input type=\"time\" name=\"form_fields[field_e0a84eb]\" id=\"form-field-field_e0a84eb\" class=\"elementor-field elementor-size-sm  elementor-field-textual elementor-time-field\">\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-date elementor-field-group elementor-column elementor-field-group-field_e08eb7f elementor-col-40\">\n\t\t\t\t\t<label for=\"form-field-field_e08eb7f\" class=\"elementor-field-label\">Date2<\/label><input type=\"date\" name=\"form_fields[field_e08eb7f]\" id=\"form-field-field_e08eb7f\" class=\"elementor-field elementor-size-sm  elementor-field-textual elementor-date-field\" pattern=\"[0-9]{4}-[0-9]{2}-[0-9]{2}\">\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-time elementor-field-group elementor-column elementor-field-group-field_76e1e40 elementor-col-30\">\n\t\t\t\t\t<label for=\"form-field-field_76e1e40\" class=\"elementor-field-label\">Time2<\/label><input type=\"time\" name=\"form_fields[field_76e1e40]\" id=\"form-field-field_76e1e40\" class=\"elementor-field elementor-size-sm  elementor-field-textual elementor-time-field\">\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-date elementor-field-group elementor-column elementor-field-group-field_f6443ae elementor-col-40\">\n\t\t\t\t\t<label for=\"form-field-field_f6443ae\" class=\"elementor-field-label\">Date3<\/label><input type=\"date\" name=\"form_fields[field_f6443ae]\" id=\"form-field-field_f6443ae\" class=\"elementor-field elementor-size-sm  elementor-field-textual elementor-date-field\" pattern=\"[0-9]{4}-[0-9]{2}-[0-9]{2}\">\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-time elementor-field-group elementor-column elementor-field-group-field_0e978d7 elementor-col-30\">\n\t\t\t\t\t<label for=\"form-field-field_0e978d7\" class=\"elementor-field-label\">Time3<\/label><input type=\"time\" name=\"form_fields[field_0e978d7]\" id=\"form-field-field_0e978d7\" class=\"elementor-field elementor-size-sm  elementor-field-textual elementor-time-field\">\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_44db64f elementor-col-100\">\n\t\t\t\t\t<p><em>*While we exercise reasonable effort to meet your preferred date, there is no guarantee that we would be able to meet your request<\/em><br \/><em>*Voice call rate 0.20 per\/min<\/em><\/p>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-step elementor-field-group elementor-column elementor-field-group-field_31fe78e elementor-col-100\">\n\t\t\t\t\t<div class=\"e-field-step elementor-hidden\" data-label=\"SECTION C\" data-previousButton=\"Back\" data-nextButton=\"Continue\" data-iconUrl=\"\" data-iconLibrary=\"fas fa-star\" data-icon=\"\"><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_adb6cea elementor-col-100\">\n\t\t\t\t\t<h1>Billing Information<\/h1>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-checkbox elementor-field-group elementor-column elementor-field-group-field_45fd867 elementor-col-100\">\n\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\" Please tick if the address is the same as the address above.\" id=\"form-field-field_45fd867-0\" name=\"form_fields[field_45fd867]\"> <label for=\"form-field-field_45fd867-0\"> Please tick if the address is the same as the address above.<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type- elementor-field-group elementor-column elementor-field-group-field_a2e8471 elementor-col-100\">\n\t\t\t\t\t<label for=\"form-field-field_a2e8471\" class=\"elementor-field-label\">Billing Address:<\/label>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type- elementor-field-group elementor-column elementor-field-group-field_29fc946 elementor-col-60\">\n\t\t\t\t\t<label for=\"form-field-field_29fc946\" class=\"elementor-field-label\">City<\/label>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-number elementor-field-group elementor-column elementor-field-group-field_3b312db elementor-col-40\">\n\t\t\t\t\t<label for=\"form-field-field_3b312db\" class=\"elementor-field-label\">Postcode<\/label><input type=\"number\" name=\"form_fields[field_3b312db]\" id=\"form-field-field_3b312db\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" min=\"\" max=\"\">\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-email elementor-field-group elementor-column elementor-field-group-field_767d97f elementor-col-60\">\n\t\t\t\t\t<label for=\"form-field-field_767d97f\" class=\"elementor-field-label\">billing Email<\/label><input size=\"1\" type=\"email\" name=\"form_fields[field_767d97f]\" id=\"form-field-field_767d97f\" class=\"elementor-field elementor-size-sm  elementor-field-textual\">\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_aeed740 elementor-col-40\">\n\t\t\t\t\t<label for=\"form-field-field_aeed740\" class=\"elementor-field-label\">State<\/label>\t\t<div class=\"elementor-field elementor-select-wrapper \">\n\t\t\t<select name=\"form_fields[field_aeed740]\" id=\"form-field-field_aeed740\" class=\"elementor-field-textual elementor-size-sm\">\n\t\t\t\t<option value=\" Johor\"> Johor<\/option><option value=\" Kedah\"> Kedah<\/option><option value=\" Kelantan\"> Kelantan<\/option><option value=\" Klang Valley\"> Klang Valley<\/option><option value=\" Melaka\"> Melaka<\/option><option value=\" Negeri Sembilan\"> Negeri Sembilan<\/option><option value=\" Pahang\"> Pahang<\/option><option value=\" Perak\"> Perak<\/option><option value=\" Perlis\"> Perlis<\/option><option value=\" Sabah \/ Sarawak\"> Sabah \/ Sarawak<\/option>\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-checkbox elementor-field-group elementor-column elementor-field-group-field_e7512f5 elementor-col-100\">\n\t\t\t\t\t<label for=\"form-field-field_e7512f5\" class=\"elementor-field-label\">Billing<\/label><div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Email\" id=\"form-field-field_e7512f5-0\" name=\"form_fields[field_e7512f5][]\"> <label for=\"form-field-field_e7512f5-0\">Email<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Itemised paper bill (RM 3\/month)\" id=\"form-field-field_e7512f5-1\" name=\"form_fields[field_e7512f5][]\"> <label for=\"form-field-field_e7512f5-1\">Itemised paper bill (RM 3\/month)<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-checkbox elementor-field-group elementor-column elementor-field-group-field_c19afe3 elementor-col-100\">\n\t\t\t\t\t<label for=\"form-field-field_c19afe3\" class=\"elementor-field-label\">Important Notes<\/label><div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"I have read and agree to the &lt;a href=&quot;https:\/\/360vt.my\/prima\/terms-and-condition\/&quot; target=&quot;_blank&quot;&gt;Terms and Condition&lt;\/a&gt;\" id=\"form-field-field_c19afe3-0\" name=\"form_fields[field_c19afe3][]\"> <label for=\"form-field-field_c19afe3-0\">I have read and agree to the <a href=\"https:\/\/360vt.my\/prima\/terms-and-condition\/\" target=\"_blank\">Terms and Condition<\/a><\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"I have read and agree to the &lt;a href=&quot;https:\/\/360vt.my\/prima\/important-notes\/&quot; target=&quot;_blank&quot;&gt;Important Notes&lt;\/a&gt;\" id=\"form-field-field_c19afe3-1\" name=\"form_fields[field_c19afe3][]\"> <label for=\"form-field-field_c19afe3-1\">I have read and agree to the <a href=\"https:\/\/360vt.my\/prima\/important-notes\/\" target=\"_blank\">Important Notes<\/a><\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-group elementor-column elementor-field-type-submit elementor-col-100 e-form__buttons\">\n\t\t\t\t\t<button type=\"submit\" class=\"elementor-button elementor-size-sm\">\n\t\t\t\t\t\t<span >\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\" elementor-button-icon\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Send<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/button>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/form>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"elementor_header_footer","meta":{"footnotes":""},"class_list":["post-1276","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/360vt.my\/prima\/wp-json\/wp\/v2\/pages\/1276","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/360vt.my\/prima\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/360vt.my\/prima\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/360vt.my\/prima\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/360vt.my\/prima\/wp-json\/wp\/v2\/comments?post=1276"}],"version-history":[{"count":106,"href":"https:\/\/360vt.my\/prima\/wp-json\/wp\/v2\/pages\/1276\/revisions"}],"predecessor-version":[{"id":1446,"href":"https:\/\/360vt.my\/prima\/wp-json\/wp\/v2\/pages\/1276\/revisions\/1446"}],"wp:attachment":[{"href":"https:\/\/360vt.my\/prima\/wp-json\/wp\/v2\/media?parent=1276"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}