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Complete Personal Information
Select Plan & Number
Confirmation

Personal Information

(I already fill this form before. Continue to my latest information)

Salutation

Full Name

This must match your ID

Additional Contact Number

Please input your Whatsapp number. We will chat you on this number to arrange Nice Number delivery

Email Address

We will send the monthly invoice to this Email address

Re-type Email Address

For confirmation purpose

ID Card Photo

Please Email your ID Card photo to PRIORITAS@xl.co.id and put the Application Number in the subject of the Email


Upload photo of your ID card

Government Regulatory click here for Regulatory press released

Family Card Number

Please Email your Family Card Number to
PRIORITAS@xl.co.id
and put the Application Number in the subject of the Email

Delivery Address

Province

Select City

Delivery is free
Delivery is free

Free and secure delivery at your door step.

Safe and secure
Safe and secure

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