This document is an application form for a business broadband service. It collects information about the business customer such as company details, authorized officer particulars, billing details, and service package selection. It also requests information about the service configuration including number of circuits, speed, and IP address options. Installation details such as date, time and address are collected. The form needs to be signed by an authorized officer of the business and includes notes about terms and conditions.

1. Application Form
Business Broadband
Type of Order
New Order Re-Activation Relocation Same Building Change in Service package
Renewal De-Activation Relocation Different Building Change Router Configuration
Request for Router Password Management
Cessation (Reason :___________________________) Others (Please Specify): _Transfer of Ownership_________
Existing Service ID (Mandatory field unless New Order): ______________________________________
Business Customer Information
Company Details Authorised Officer Particulars
Name of Business / Company as in ACRA: Name of Authorised Officer as in NRIC / PASSPORT / FIN*
(Dr/Mr/Ms/Mrs/Mdm*):
Registered Address as in ACRA:
Postal Code:
NRIC/PASSPORT/FIN* No. of Authorised Officer:
Date of Birth (dd/mm/yyyy):
Main Office Contact No: Designation:
Main Office Fax No.: Contact No. (Office):
Business Registration Number (BRN): Contact No. (Mobile):
Industry Type: Email of Authorised Officer:
Billing Details
Billing/ Correspondence Address:
Postal Code:
Billing Contact Person Name:
Billing Contact No.:
Billing Contact Email.: Billing Contact Fax No.:
Account Information
New Account Number (To be issued by StarHub Ltd) : ________________________________
Existing Account Number (Please specify): __________________________________
IMPORTANT: For new accounts, please attach a photocopy of your company’s Certificate of Registration from the Accounting and Corporate
Regulatory Authority of Singapore.
Page 1 of 8

2. Application Form
Business Broadband
Service Package
WebSpeed (xDSL)
LAN Dynamic
LAN Plus Static
StarHub Infrastructure (SID: 300-xxxxxxx)
ADSL v 512K # 512K/256K – Dynamic IP address (SID: 368-xxxxxxx)
Broadband Lite # 4M/768K – Dynamic IP address (SID: 368-xxxxxxx)
ADSL v Plus #
512K/256K - 8 Static IP addresses (SID: 315-xxxxxxx)
512K/384K – 16 Static IP addresses (SID: 385-xxxxxxx)
1M/512K – 16 Static IP addresses (SID: 381-xxxxxxx)
2M/512K – 16 Static IP addresses (SID: 382-xxxxxxx)
4M/768K – 16 Static IP addresses (SID: 384-xxxxxxx)
6M/768K – 16 Static IP addresses (SID: 386-xxxxxxx)
Next Gen NBN
Premium
Biz BB Value
Biz BB Premium
Biz BB Ultimate
12M/12M – Dynamic IP address (SID: 388-xxxxxxx)
30M/30M – Dynamic IP address (SID: 388-xxxxxxx)
50M/50M – Dynamic IP address (SID: 388-xxxxxxx)
100M/100M – Dynamic IP address (SID: 388-xxxxxxx)
Service Configuration
No of Circuits ++
Mode of Service: Normal Express Others : _________________
Speed (bps):
xDSL
256K 512K 1024K 2048K 4M 6M 10M
Next Gen NBN
12M 30M 50M 100M
VPN Connection: SWE Others: ______________________
Cross reference Service ID : ____________________________________
Packaged with Router? Yes No Others: ___________________
Router Password Management StarHub Customer
IP Address Option One Dynamic IP on router WAN Interface 8 x Static IP Address” (/29) (5 usable)
Others :___________________ 16 x Static IP address” ( /28) (13 usable)
Existing SingTel Direct Exchange Line
Telephone No. (if applicable)
(SingTel DEL number is mandatory for ADSL v
512K@, Broadband Lite@ or ADSL v Plus@ )
Note: Stand-alone direct telephone line must not be used in conjunction with PABX, hunting facilities, ISDN, key
telephone system and Auxiliary Line.
Administration fee of $100 ($107 with GST) will be charged for each wrong DEL number provided.
New SingTel Direct Exchange Line
Telephone No.
(Applicable if customer is relocating its existing
ADSL v 512K, Broadband Lite or ADSL v
Plus and there’s change in DEL number.)
Note: Stand-alone direct telephone line must not be used in conjunction with PABX, hunting facilities, ISDN, key
telephone system and Auxiliary Line.
Administration fee of $100 ($107 with GST) will be charged for each wrong DEL number provided.
Internal Wiring Required
(From DP to CPE)
Yes (Default) No
Page 2 of 8

3. Application Form
Business Broadband
Service Installation Details
(Mandatory)
Installation Date **
(as per customer’s request)
1st choice: ___________________
Time: *AM / PM
2nd choice: ___________________
Time: *AM / PM
3rd choice: ___________________
Time: *AM / PM
Installation Address:
Postal Code:
Exact location of Termination Point (TP) installation to be confirmed
(Please check this box if unit number provided for installation is not
confirmed and can only be determined during site survey by OpenNet.)
IMPORTANT: Unit number is mandatory for Installation Address. For NGN order, Termination Point (TP) installation will be based on the unit number
provided.
Contract Period (Minimum Period of Service)
24 Months Others, please specify: ____________________________________
Service Charges
One Time Charge(s) Recurring Charge(s) Additional Charges(s) Other Charge(s)
Line Router Line Router
Circuit no. 1 $150
All Charges quoted are subjected to change according to the applicable terms and conditions of StarHub and do not include goods and services tax or any other applicable
sales or usage tax or similar charge, unless otherwise indicated.
Customer Technical Contact Details
(Mandatory)
Contact 1 Contact 2
Name: Name:
Contact No. (Office):
Contact No. (Office):
Contact No. (Mobile):
Contact No. (Mobile):
Email: Email:
Availability for StarHub to contact/ visit you:
24 Hours Daily
Office Hours (8am-6pm, Mon-Fri)
Availability for StarHub to contact/ visit you:
24 Hours Daily
Office Hours (8am-6pm, Mon-Fri)
Page 3 of 8

4. Application Form
Business Broadband
Additional Information
Please attach additional sheet/s if space is insufficient
To charge $150 One Time charge transfer of ownership to fee.
Customer Signature
We hereby apply for the services set our in the application form and have read and agree to be bound by all the terms and conditions may be agreed or
accepted by us.
We confirm that we have provided full and accurate information to StarHub and agree that any cancellation of the Services may result in a change.
________________________________ _________________ ____________________
Signature of Authorised Officer Date(dd/mm/yyyy) Company Stamp
Processed by: Name/Contact/Signature/Date
Sales
Verified by: Name/Signature/Date
Customer Service
Dealer Stamp/Code
Dealer
Page 4 of 8

5. Application Form
Business Broadband
Notes:
1) Business Broadband packages are designed to support up to 15 concurrent users only.
2) Default setup for LAN, ADSL v 512K and Broadband Lite packages: DHCP & NAPT Enabled with Dynamic IP addresses (otherwise, Please fill in Annex A or Network Diagram)
Default setup for LAN PLUS and ADSL v Plus packages : DHCP & NAPT Disabled with Dynamic IP addresses (otherwise, Please fill in Annex A or Network Diagram)
3) A cancellation charge of $1200 ($1284 with GST) shall be imposed for any withdrawal of application before activation of service.
4) At all times except where the Service is delivered through the NGNBN platform, the lead-time for the provisioning and delivery of the Service shall be subject to StarHub’s prevailing network
coverage, Service availability and the availability of all relevant resources. StarHub will advise Customer of the lead time for each order. Whilst StarHub will use its commercially best efforts to meet
the Provisioning Lead-time and RFS date, StarHub does not warrant that the above Provisioning Lead-time and RFS date will be met and reserves the right to change their periods without any
liability to Customer. Additionally, StarHub reserves the right to change the Provisioning Lead-times and RFS date due to events outside its control, including but not limited to, any third party’s act
and/or omission. Customer acknowledges and agrees that the Provisioning Lead-time may be affected by any permissions or approvals required from any building management or any other
relevant party.
5) Early termination charges will be applicable if any circuit is terminated prior to expiry of the Minimum Period of Service or Agreement. The early termination charges comprise of:
· the aggregate of the monthly recurring charges (including rental charges, where applicable) for the remainder of the unfulfilled Minimum Period of Service; and
· charges for any complimentary or discounted products and services that may have been provided to Customer during the Minimum Period of Service at their prevailing rates; and
· where relevant, any charges imposed by a third party arising from and/or in connection with the termination,
collectively referred to as “Early Termination Charges”.
6) In the event of a downgrade or relocation to a new site(s) where StarHub is unable to provide the Services, Equipment and/or ancillary items during the minimum contract term, this shall constitute
to termination of services by the applicant and Early Termination Charges may apply.
7) CPE which are not supplied by us will not be supported by us.
8) If you are not using a CPE provided by us, you will be solely responsible for the management of the CPE. The point of demarcation for our responsibility is up to the point just before the cable
physically connects to the CPE. You must pay us our prevailing on-site support charges when we provide you with any on-site support if the fault does not lie with our network. The provision of on-site
support will be subject to resource availability.
9) Field Engineer Onsite Support Charges [$50 ($53.50 with GST) transportation + $120/hour ($128.40 with GST) during office hours] will be applicable if Field Engineers are dispatched onsite for
support during the service term.
10) We do not warrant or give any guarantee on data transfer speed or any other aspect of the Service. We hereby excludes all warranties, whether express or implied by law, regarding the use of the
Service (including without limitation the accessibility, reliability or accuracy of the Service) and the performance and/or condition of the network.
11) You should read STARHUB's TERMS AND CONDITIONS before registering under/or using our Services. These TERMS AND CONDITIONS can be found at www.starhub.com, obtained by calling
our Business Hotline at 1800-8888 8888, by faxing your request to 6720 5050 or obtained through any StarHub Shops.
12) StarHub may from time to time change any of these Terms & Conditions (including the additional terms & conditions set out below, the Business General Terms & Conditions and the Service
Specific Terms & Conditions for Business Broadband) and/or such other terms and conditions agreed or accepted by Customer (including, without limitation tariffs, price plans, charges and
payment terms).
If Service is delivered through the Next Gen NBN platform:
1) The NGNBN Service is available only at premises which are (i) fibre-ready and have a termination point within the premise and (ii) have an existing and valid unit address within a commercial
building or property; for example #03-00.
2) At all times, the availability and provision of the NGNBN Service by StarHub to Customer shall be subject to the prevailing NGNBN coverage, service availability and availability of all relevant
resources.
3) The NGNBN Service will be activated after StarHub’s acceptance of application and subject to an estimated and minimum Provisioning Lead-time of fourteen (14) working days. Customer
acknowledges and agrees that under certain circumstances, the Provisioning Lead-time would vary without any liability to Customer.
4) Express installation and installation beyond StarHub’s office hours is not available for the NGNBN Service.
5) There can be no rescheduling of appointments for installation of the NGNBN Service under any circumstances; otherwise, the rescheduling shall be deemed an early termination of the NGNBN
Service and subject to the Early Termination Charges referred above.
6) If Customer cancels the NGNBN Service after the RFS date, Customer shall be liable to pay StarHub the Early Termination Charges.
7) Any relocation of any part of the NGNBN Service will be deemed as a termination of the entire NGNBN Service, and the Early Termination Charges shall be payable by Customer if the termination
occurs during the Minimum Period of Service.
* Please delete where appropriate
** Subject to agreement by StarHub. Subjected to StarHub Network or Next Gen Network.
++ Applicable if the circuit speed and installation location are the same.
" Only applicable for LAN Plus or ADSL v Plus packages of the same circuit speed and installation location.
# Activation of service is subjected to StarHub’s acceptance of application and the minimum processing time is 14 working days.
Under exceptional case in relation to telephone line location, condition or coverage, the processing time may take about 1 month or longer for the service to be activated.
StarHub shall not be responsible for any delay and/or failure of its performance of the service, arising from and/or resulting from any delay and/or failure caused by any third party, including but not
limited to a supplier, to deliver or provision any part of the Service. The Service is provisioned on a commercially best effort basis.
@ The DEL telephone number for WebSpeed ADSL v Services or Broadband Lite must be registered under the company’s name. If not, applicant must obtain approval from the registered telephone
subscriber for use of the Service.
Applicant must maintain the subscription of the DEL with their DEL service provider and ensure that it is active as long as the ADSL v Services or Broadband Lite service is in use. If the DEL is being
terminated by the subscriber or DEL service provider, the ADSL v Service or Broadband Lite service will be terminated as well and re-application of the ADSL v Service or Broadband Lite is required.
The subscription of the DEL is separate from the ADSL v Services or Broadband Lite service.
If the wrong DEL is provided, an Administration Fee of $100 ($107 with GST) will be charged for re-application for WebSpeed ADSL v Service or Broadband Lite service.
Page 5 of 8

6. Application Form
Business Broadband
Name of Firm/Company as in RCB :_____________________________________________________ Service ID : 300-______________________________
Only applicable for LAN packages
(Please refer to Account Manager for more details)
LAN Package Network Diagram
Ethernet ( Switch / Hub )
ADSL Modem
Router
ADSL 512K / 1024 / 2048 LAN
Compute
r
Customer's LAN
StarHub's
Responsibility
Customer's
Responsibility
Compute
r
Compute
r
Compute
r
Compute
r
Only applicable for LAN PLUS packages
(Please refer to Account Manager for more details)
LAN PLUS Package Network Diagram
Ethernet ( Switch / Hub )
Computer
Computer
Computer
Computer
Computer
If NAPT / Port Mapping Enabled , Please indicate :-
LAN Server IP : Port ( TCP / UDP )
LAN Server IP : Port ( TCP / UDP )
LAN Server IP : Port ( TCP / UDP )
ADSL Modem Router
For customer’s preferred NAPT enabled on Router, Please indicate:
Network / Subnet Mask :
DHCP Range :
Router LAN IP :
StarHub's
Responsibility
ADSL 512K / 1024K / 2048K LAN Plus
Customer's
Responsibility
Firew all/VPN/Broadband Router
(provided by customer)
Router (Ethernet)
WAN IP Gatew ay Public IP
Mail / HTTP / FTP Serv er
Customer's LAN
( Private IP )
Customise Solution, Please attached separate Network Diagram
Checked By : __________________________________ Date: ______________________
Page 6 of 8
Public IP Block Address Assignment :
DHCP Enable Disable (Default)
NAPT / PAT Enable Disable (Default)
Notes :
· Block Of 8 IPs or /29 ( For 512 Kbps Packages or below )
· Block Of 16 IPs or /28 ( For 1024 Kbps Packages or above )
· Router to be configured as RFC1483R , IPoA mode.
· Primary DNS Setting : 203.116.1.78
· Secondary DNS Setting : 203.116.1.94
· Proxy Setting on customer browser : None
· SMTP Setting on customer PC ( Relay Agent ) : smtp.starhub.net.sg
Internet
DHCP Setting : Enable ( Default ) Disable
( Default : 10.0.0.0 / 24 and LAN Gateway : 10.0.0.1/24 )
For customer’s preferred IP Range , Please indicate :
Network / Subnet Mask : ______________________
DHCP Range : _____________________________
Router LAN IP : ________________________
Remarks :
· NAT Enabled on ADSL Router
· Primary DNS Setting : 203.116.1.78
· Secondary DNS Setting : 203.116.1.94
· Proxy Setting on customer browser : None
· SMTP Setting on customer PC ( Relay Agent ) :
smtp.starhub.net.sg
LAN Gateway
(Ethernet Interface) Dynamic IP
Internet

7. Application Form
Business Broadband
General Information
Applying for StarHub Services
Please present the following documents with your application:
If you are applying for yourself
 Singapore Citizen or Permanent Resident – Original NRIC or Passport
 Foreigner or Non Resident – Original employment pass (with at least 6 months validity) & Passport and proof of local residential
address
If you are applying on behalf of your firm/company
a) Companies with certificate of incorporation/BRN
 Photocopy of your company’s Certificate of Registration from the Registry of Companies and Businesses
 Original authorisation letter on company’s letterhead indicating name, NRIC and designation of authorised officer and authoriser
 Original identification document of authorised officer
 Original Company Stamp
b) Companies without certificate of incorporation/BRN
 Original authorisation letter on company’s letterhead indicating name, NRIC and designation of authorised officer and authorizer
 Original identification document of authorised officer
 Original Company Stamp
If the authorised officer is a Singaporean or PR, the NRIC/Passport number has to be filled in under “Business Customer
Information”.
If the authorised officer is a foreigner, the FIN number has to be filled in under “Business Customer Information.”
Your Addresses
 P. O. Boxes are not acceptable
 For Singapore Citizens or Permanent Residents, please fill in both billing and residential address if they are not the same
 For foreigners or Non residents, please complete both the local billing address and the residential address (which is your
overseas house address)
Your Account
Once your first application for any StarHub Service is accepted by StarHub, an account will be created for you or your firm/company.
Subject to the applicable terms and conditions, you will then be able to apply for new StarHub Services, make changes to your existing
Service by calling, faxing, e-mailing or writing in to StarHub.
For After-Sales Enquiries
 Call your Account Manager
 Call our Business Hotline at 1800 888 8888
 Call our Customer Care Hotline at 1631
 Fax us at 6720 5050
 Email us at business@starhub.com
 Access our website www.starhub.co m/business
 Visit our StarHub Shops
nex
23 Serangoon
Central
#B1-24/25/26
One Raffles Place
(OUB Centre)
1 Raffles Place
#B1-02
Plaza Singapura
68 Orchard Road
#01-36
Tampines Mall
4 Tampines
Central 5
#02-27
VivoCity
1 HarbourFront
Walk #02-202
For enquiries, Please call our Business Hotline at 1800 888 8888
Page 7 of 8

8. Application Form
Business Broadband
www.starhub.com
Page 8 of 8