Order Form Sample

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Please complete the form in BLOCK letters and fax back to 2634 0505 OR contact your PCCW account manager at. Customer Information. Company Name (the ...

Business NETVIGATOR Service Portal Password Reset Request Form Please complete the form in BLOCK letter and fax back to ______________

OR contact your PCCW account manager at _________________ W/O No.: __________________

Customer Information Customer's Name (the Customer)*: Business Registration Number*:


(Must provide valid BR copy for New Application)

Account Number:

Existing FSA / Line Number:

Administrative / Billing Contact* Name*

Tel. no / Mobile no.*

Email Address*

Note*: Mandatory field

Login ID for Password Reset Administrator Login ID @ Other Login ID(s) @ @ @

Personal Information Collection Statement Under the Personal Data (Privacy) Ordinance (Only applicable to the Customer who is signing this Application Form in his/her personal capacity or for and on behalf of a sole proprietor or a partnership)

The personal data and other information (collectively, "Data") provided by you as a result of or in connection with the services you are subscribing under this Application Form (“Services”) are collected, used and retained by Hong Kong Telecommunications (HKT) Limited in accordance with the requirements in the Personal Data (Privacy) Ordinance and the Privacy Policy Statement of the HKT Group (which can be viewed at www.hkt.com/legal/privacy.html). The applicable terms and conditions of the Services and the Privacy Policy Statement of the HKT Group will apply to and govern why the Data is collected, how the Data is used and maintained and to whom it is disclosed. The Data is collected, may be used or maintained by and/or disclosed to affiliates or related companies of the HKT Group and the PCCW Group, or their respective agents (including debt collection agents) and business partners, and applicable regulatory or governmental authorities (at all times to the extent permissible under applicable laws, licences, rules and regulations) for the purpose in connection with the Services. Subject to your right indicated by ticking the box below or leaving it unticked, all Data, including your contact information, date of birth, service number and service account number (if given), and data subsequently compiled (e.g. geographical data) may be used for direct marketing purposes, including without limitation to sending notices of gifts, discounts, privileged offers, benefits, products and any other promotions related to the Services, or to other kinds of goods and services as permitted, including telecommunications network services, computer peripheral, accessories and software, secretarial services, personal assistance services, information services and the latest offers on various kinds of products or services, including gaming, sports, music, beauty products, electronics, technology, ecommerce, cloud services, mobile payment, travelling, banking, investment, entertainment, transportation, household, fashion, food and beverages, alcohol and tobacco, insurance, education, health and wellness, social networking, media and high-end consumer products and services subject to the applicable laws, licences, rules and regulations. Request for accessing or correction or use of the Data or any enquiry about the Data can be made in writing to Privacy Compliance Officer at GPO Box 9896.

I/We do not want to receive notices of any promotional gifts, discounts, products, services, benefits, offers or materials for direct marketing purposes as detailed above

Hong Kong Telecommunications (HKT) Limited PO Box 320 GPO Hong Kong Tel +852 2888 2888

Fax +852 2877 8877


Customer’s Agreement We, being the Customer under this Application, have read and hereby agree to all the terms and conditions of the Contract, including this Application (including the Personal Information Collection Statement of this Application, if applicable). We confirm that our signatory(ies) of this Application has/have been duly authorised by us, and that all information provided by us under this Application is up-to-date, complete, true and correct. For and on behalf of the Customer (with Company Chop)

Name: Title: Authorised Signatory(ies)

Hong Kong Telecommunications (HKT) Limited PO Box 320 GPO Hong Kong Tel +852 2888 2888

Date :

Fax +852 2877 8877