CSO-Form Perubahan Jenis Layanan-Rev1.2.indd
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PT Cyberindo Mega Persada FORMULIR PENAMBAHAN LAYANAN Cyber 2 Tower, 33rd Floor Jl. HR Rasuna Said Blok X5 No.13 Jakarta Selatan -12950 P : (62-21) 5790 2888 Website: www.cbncloud.co.id ADDITIONAL SERVICE REQUEST FORM DATA PELANGGAN – Customer Data No. Pelanggan - Customer ID : Nama pemilik rekening - Account holder : Nomor untuk dihubungi - Contact number : Jenis Layanan - Current service type Username : Rumah - Residence : - Handphone : - Kantor - Office : - Fax : - E-mail : : LAYANAN - Service LAYANAN - Service Penambahan layanan - Additional service : □ CBNCloud Stack ………………………………………………………………….. □ CBNCloud Domain ………………………………………………………………. □ CBNCloud Private Server Linux …………………………………………… □ CBNCloud Managed Service ………………………………………………… □ CBNCloud Private Server Windows ……………………………………. □ CBNCloud Spam Filter …………………………………………………………. □ CBNCloud Shared Hosting ………………………………………………….. □ CBNCloud Contact Center CRM …………………………………………… □ CBNCloud Backup ………………………………………………………………. □ CBNCloud SSL ……………………………………………………………………… □ CBNCloud Contact Center ………………………………………………….. □ CBNCloud Web Performance Monitoring...………………………….. □ CBNCloud Hosted Exchange……………………………………………….. □ CBNCloud Nimsoft Monitoring…………………………………………….. □ CBNCloud Document Management..…………………………………. □ CBNCloud Cluster ……………………………………………………………….. □ CBNCloud File Encryption…………………………………………………… □ Lain-lain/others…………………………………….. ………………………………………………………………... Harap disertakan copy KTP setara Manager - Please include copy of ID Card Manager equivalent. Dengan ini menyatakan bahwa semua keterangan yang diisi adalah benar, serta menerima dan bersedia untuk terikat oleh seluruh SYARAT DAN KETENTUAN yang telah ditetapkan PT Cyberindo Mega Persada (CMP). CMP berhak untuk menolak permohonan penambahan ini tanpa memberikan alasan apapun - Customer hereby confirms that the information herein given is true and agrees to be bound by PT Cyberindo Mega Persada (CMP)’s TERMS & CONDITIONS. CMP has the right to refuse this additional request without any explanation. Tanggal - Date Tanda tangan - Signature Bagian ini diisi oleh PT Cyberindo Mega Persada (CMP) - To be completed by CMP Business Solution Operation Engineer Pages 1 of 1