Apply for Fibrecom Services

Complete your application in a few simple steps

Service Type

Customer Details

Address

Service Package

Billing

Select Service Type

Fibre Internet

Ultra-high-speed fibre connectivity

• Up to 1 Gbps speeds
• Low latency connection
• Ideal for home & business

Wireless Internet / WTTX

Flexible wireless broadband

• Quick installation
• No cables required
• Available anywhere

Customer Details

Customer Type *

Customer Number (if existing customer)

Title

Gender

First Name *

Middle Name

Last Name

Surname

Date of Birth

Nationality

NRC / Passport Number

TPIN

Phone Number *

Email Address *

Installation Address

Province *

District *

Town *

Town / Area

Physical Address *

Landmark

GPS Coordinates (Latitude)

GPS Coordinates (Longitude)

Or enter coordinates manually above

Preferred Time of Contact

Service Package

Fibre Service Type *

Package Capacity *

Other Capacity Specification

Personal Documents

NRC / Passport *

Proof of Address *

Order Number

Serial Number

Dealer Code

Subscriber / Guardian Details

First Name

Last Name

Sex

Date of Birth

Place of Birth

NRC Number

Nationality

Telephone

Occupation

TPIN

Residential Address

District / Town

SIM / Device Details

Mobile Number

SIM IMSI

IMEI

Total Mobile Numbers Registered (corporate)

Router Type

Wireless Package

Sales Officer / Dealer Details

Agent Name

Business Name

Business Address

District / Town

Province

Telephone

Select Package *

Preferred Installation Date *

Installation date must be at least tomorrow

Additional Notes

Billing and Payment

Billing Address

Bill Delivery Method

Preferred Payment Method

Declaration and Consent

I agree to the Fibrecom Terms and Conditions and Privacy Policy. I confirm that all information provided is accurate and complete. *

I consent to receive marketing communications and promotional offers from Fibrecom.

Declaration Consent

Digital Signature

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Apply for Fibrecom Services

Select Service Type

Fibre Internet

Wireless Internet / WTTX

Customer Details

Installation Address

Service Package

Subscriber / Guardian Details

SIM / Device Details

Sales Officer / Dealer Details

Billing and Payment

Walk-in Centre Payment

Declaration and Consent

Verification

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