BROADBAND INTERNET ACCESS ... - Telecom Namibia Limited

BROADBAND INTERNET ACCESS PROFESSIONAL BROADBAND SERVICE 

APPLICATION FORM 

1. APPLICATION REQUIREMENTS 

Attach the following documents to this application form Pensioner Residential Business Foreign 

National 

Copy of Identity or Passport document 

Proof of Income/Financial statements 

Copy of business/company registration certificate 

Copy of Pension Card 

Security Deposit (when applicable) 

Security Deposit (fixed) 

Copy of Marriage Certificate* 

Declaration for Joint and Several Liability form for 

Business customers 

* For marriage in Community of Property & Sole Proprietorship. 

2. CUSTOMER CATEGORY 

3. PERSONAL DETAILS

4. COMPANY DETAILS 

5. CREDIT REFERENCES 

Company name Company name 

Account number Account number 

Telephone number Telephone number 

6. INSTALLATION ADDRESS 

Street name and house number: 

Flat/Floor/Room number: 

Erf/Plot/Farm/Village number: Suburb: Town: 

7. COMMUNICATION 

Please indicate your preferred communication method for receiving information and updates relating to Telecom’s products 

and services: 

E-Mail Telephone Postal Address Cell

8. DIRECTORY ENTRY 

9. BROADBAND INTERNET ACCESS PROFESSIONAL 

Contract duration 

(Months) 

24 

10. WIMAX REPEATER (OPTIONAL) 

Short Range (20 Km) 

Long Range (50 Km) 

Package - Range Contract duration (Months) Power Supply 

Cash Option 

12 

24 

36 

Download Speed (up to kbps) 

1024 1536 2048 3072 

4096 6144 8192 10240 

AC 

Solar

11. FIXED BROADBAND CPE UPGRADES (OPTIONAL) 

CPE 5113 to CPE 7170 Yes Supports 4 data ports, WiFi and ISDN 

CPE 5113 to CPE 7270 Yes Supports 4 data ports, WiFi, ISDN and Cordless Phone (DECT) 

CPE 7170 to CPE 7270 Yes Supports 4 data ports, WiFi, ISDN and Cordless Phone (DECT 

Note: - Once off payment for CPE upgrade 

- 3 data ports are available in WiMAX Coverage Area. 

12. BROADBAND CPE (OPTIONAL) 

Type of CPE 

One - Port Modem – Fritz!Box Fon 5113 (CPE 5113) 

Four - Port Modem – Fritz!Box Fon WLAN 7170 (CPE 7170) 

Four - Port Modem – Fritz!Box Fon WLAN 7270 (CPE 7270) 

Fritz!WLAN USB Stick N (WiFi Stick) 

3G EVDO Device 

1x device 

Quantity 

Note: WiFi sticks support requires Fritz!Box Fon WLAN 7170 (CPE 7170) or Fritz!Box Fon WLAN 7270 (CPE 7270). 

13. TELEPHONE SET UP 

Would you like to convert your existing service to a fixed broadband service? Yes No 

If yes, provide the existing and use of telephone number(s) to be converted. 

You have the option select telephone numbers (converted or new ones) depending on the package. 

Number of 

Telehone 

Number(s) 

1 

(Main 

Number) 

2 

3 

4 

5 

6 

7 

Provide Telehone Number(s) and in case of new 

number required indicate with “NEW” 

* Requires CPE 7270 (DECT) 

** Requires CPE 7170 or CPE 7270 (ISDN) 

How many concurrent calls would you like? 

1 

Analogue 

Phone 

Cordless 

Phone 

* 

2 requires Home 768kps or Business 512kbps or higher 



ISDN 

Phone 

** 


Use of Telephone Number(s) 

Fax 

(Analogue) 

Speed point 

(Analogue) 

PABX 

(Analogue) 

PABX 

(ISDN) 

** 

CLIP Part of 

Hunting

14. BROADBAND PASSWORD REQUIREMENTS 

15. FREE IWAY EMAIL ADDRESS 

Do you have an IWAY Email address? Yes No 

If yes, would you like to keep your existing IWAY Email address(es) Yes No 

If yes, please specify your Email address(es): 

If no, are you interested in 1 (Home Package) or 2 (Business Package) free 

Email address(es)? Yes No 

If yes, choose your preferred username(s). Recommended are 3 to 14 characters out of a-z, A-Z, 0-9, -, _, ., +). The “.” can’t 

be used as the first letter:

16. FAX2EMAIL SERVICE 

Do you have existing Fax2Email Number? Yes No 

If Yes, please specify 

0 8 8 - 6 

If no, are you interested in a Fax2Email Number? Yes No 

If yes, please provide the email address(es) where Fax2Email(s) will be linked to? 

Email 1 

Attachment type: PDF TIFF 

Email 2 

Attachment type PDF TIFF 

17. FREE WEB SPACE 

Would you like to have free web space? Yes No 

Do you have a domain name/website registered with IWAY? 

Yes (no migration, customer should provide a new email address) 

No (migration can take place) 

SPECIAL TERMS AND CONDITIONS 

The provision of Telecom Namibia’s Broadband service is subject to Telecom Namibia’s standard terms and conditions although 

not specifically contained herein. 

Telecom accepts no liability for any loss or damages to the property or equipment of the customer arising out of the provision, 

installation or maintenance of Broadband access service. 

Telecom cannot guarantee the provision of the requested service upon the receipt of an application form. You will be formally 

notified after receipt of an application form on whether or not the service can be provided. 

The provision of Telecom’s Broadband service is subject to signal availability, distance and line sync speed limitations. 

The applicable tariffs are subject to change within Telecom’s sole discretion, as will be communicated to the customer from 

time to time. 

**Telecom Namibia General Terms and Conditions apply 

@ 

@

TELECOM NAMIBIA USE ONLY 

Corporate Retail: SMLE Retail: Prepaid 

Whole Sale Retail Residential 

Customer Relationship Manager Sales Team Teleshop 

All legal documents attached ITC Approved 

Checked customer history records Security deposit collected 

Signature Supervisor/ Manager: 

Date: 

Contact number: Service order number: 

Agent’s Name: Signature: 

Date:

BROADBAND SERVICES TERMS AND CONDITIONS 

By using Telecom Namibia Limited’s Broadband services, you agree that you have read, understood and are bound by 

i) Telecom Namibia’s General terms and conditions 

ii) The terms and conditions that are specifically applicable to the broadband services, which is set out herein 

Your use of the Broadband services indicates your acceptance of the terms and conditions which constitutes a valid and binding agreement between yourself (hereinafter referred to as the 

Customer) and Telecom Namibia Limited. 

1. Definitions and Interpretation 

Unless the context clearly indicates the contrary, the following words bear the meaning ascribed to them below: 

1.1 Agreement shall mean the application form to the services, as well as the terms and conditions referred to above. 

1.2 Application form shall mean the document in terms of which you apply for the service and provide personal and other Information to us. 

1.3 Suspension means the disconnection, by electronic or other means, of the service, thereby preventing the unauthorized 

use thereof. 

1.4 Broadband services shall mean the following, (but not limited to): 

1.4.1 3G EVDO shall mean 3G Wireless Broadband Internet Service; 

1.4.2 ADSL shall mean the Asymmetrical Digital Subscriber Line which transmits your data on the Telecom Namibia Limited network; 

1.4.3 WiMax shall mean Worldwide Interoperability for Microwave Access, which provides wireless transmission of 

data from point to point links to portable internet access; 

1.4.4 And any other Broadband Service that will be made available to Telecom’s customers from time to time 

1.5 Customer shall mean the applicant to this Service. 

1.6 Equipment means the hardware which is required to access the service 

1.7 Effective date shall mean the date on which the application for the service is approved 

1.8 Initial period shall mean the 12, 24, 36 and 48 month subscription period(s) which will commence on the effective date. 

1.9 Subscription charges means the monthly subscription fee paid by you to Telecom Namibia Limited in consideration for 

your use of the service 

1.10 Telecom shall mean Telecom Namibia Limited established in terms of sec 2(1)(b) of the Posts and Telecommunications 

Act 17 of 1992 with company registration number 92\282 

2 Duration and Termination 

2.1 The provisioning of the Service to the Customer is subject to a credit check and approval by Telecom. 

2.2 This Agreement shall endure for the following initial subscription periods as per application form thr effective date and shall remain in force for the duration of the Initial Period, 

where after it shall automatically renew for the exact duration as the initial period (indicated above) unless the Customer gives three months prior notice or Telecom gives 6 

(six) months written notice. 

2.3 If the Customer terminates the Agreement at any time before the end of the initial period, for whatsoever reason, Telecom shall charge the Customer the remainder of the 

contractual period’s subscription, which shall become immediately due and payable on the date of termination as a liquidated claim. Payment of such liquidated claim shall be 

arranged against the Customers bank account via a debit adjustment. 

2.4 If the Customer upgrades his/her service it shall not be liable for the payment of any termination fee. The Agreement effective date for the agreement upgrades will be the same 

as the initial date of the initial agreement, which means that upgrades fall under the same conditions as the initial agreement when it comes to agreement termination and price 

changes. The upgraded services will be billed from the day these services become effective. 

3 Price and Payment 

3.1 Telecom will issue to the Customer invoices in advance. Payment can be made via monthly debit order or in any other manner as Telecom deems fit. Payment is due within 30 

days of invoice date. The Customer will receive the first invoice at the end of the month during which the service becomes effective. This first invoice will include the pro rata 

payments due for the relevant part of the month during which the service started, the payments due for the next full month, plus the set-up fees. Each subsequent invoice will 

include the payment due for the month succeeding the immediately following month. 

The Customer undertakes to pay to Telecom the prescribed rental charge monthly in advance from the date the service is activated, which charge shall be subject to adjustments 

from time to time. The account rendered by Telecom to the Customer is prima facie proof of the amount due to Telecom by the Customer. 

3.2 In the event of any interruptions to the service for whatsoever reason, such interruption will not relieve the Customer from paying any amount overdue and payable under this 

clause. 

3.3 Telecom shall have the right without prejudice to any other right it may have in law, at any time and without notice to the Customer, to suspend the Services or part thereof in 

the event of a non-payment of any amount due by the Customer to Telecom. Telecom shall not be liable to the Customer for any losses and/or damages incurred by the 

Customer, as a result of such suspension. Should Telecom interrupt the service to the Customer in terms of this provision, Telecom shall be obliged to re-establish the service as 

soon as the Customer pays the outstanding amount. 

3.4 Telecom’s subscription fees are subject to change from time to time in Telecom’s sole discretion. In the event of a change in subscription fees, Telecom customers will be notified 

through the various communication media. 

3.5 Should the CUSTOMER request to downgrade the service, the Customer shall pay the prescribed charges for the migration of the service. Not with standing the aforementioned, 

the Customer shall in addition be liable for a termination fee equal to the remaining months subscription of the subscription period. 

3.6 Should the Customer change location, for example as a result of moving from one premises to another, the Customer shall remain liable for all charges in respect of the service 

at the old premises until such time as the Customer has formally, and in writing, terminated with Telecom the services at the old location. In the event that the Service is not 

available at the location where the Customer has relocated, the Customer shall continue to be liable under the provisions of this Agreement. Notwithstanding the aforementioned, 

in the event that the Customer terminates the Agreement as a result of relocation, the provisions of clause 2 above shall apply. 

3.7 Telecom shall have the right, without incurring any liability to the Customer for whatsoever reason, to apply a monthly credit limit on the Customer’s account. In the event that 

the Customer does not utilise the entire data, minutes and/or short text messages (sms’s) it is entitled to, such data, minutes and/or sms’s shall expire at the end of the relative 

month. 

3.8 The post-paid Customer is where applicable for any data usage exceeding the inclusive data volume and will be charged according to the applicable tariff plan, as amended by 

Telecom from time to time. 

3.9 Unused data, minutes and SMS’s will expire at month end 

4 Telecom’s obligations 

4.1 Telecom will deliver and install the required Equipment to the Customer. The Customer shall choose the domicilium citandi ex executandi the address as given in the application 

form,or any other address of which the Customer shall notify Telecom in writing, provided that such address is a recognised physical address 

4.2 Shall provide to the Customer the internet connectivity for the applicable broadband service selected by the Customer in the application form 

4.3 Make the toll free Telecom customer centre available to the Customer at all times 

4.4 Collect the subscription charges from the Customer 

5 Customers obligations 

In respect of the 3G EVDO service, the Customer requires a Laptop (pocketbook) or PC, to connect to the service. The Customer is required to ensure that the Equipment that the Customer 

intends to use in order to receive the service is compatible with Telecom’s technical specifications.Not with standing the aforementioned, Telecom shall not be liable to the Customer for 

whatsoever reasons, in the event that the Customer utilises the Service and the Equipment does not conform to Telecom’s specifications. 

6 Telecom Acceptance Use Policy 

6.1 The Customer shall ensure that it will only use the Broadband Services for purposes: 

6.1.1 That is lawful 

6.1.2 For which it was designed 

6.2 The Customer shall ensure that it does not use the Broadband Service, directly or indirectly, in a way that is: 

6.2.1 harmful, obscene, discriminatory, fraudulent or illegal 

6.2.2 Constitutes hatespeech, incitement to commit criminal acts, an invasion of privacy or infringes copyright or other intellectual property 

6.2.3 Spreads viruses or other computer or communication software, programs, code or files which impede or destroy the functionality of any computer or communications 

software or equipment

BROADBAND SERVICES TERMS AND CONDITIONS (continued) 

6.2.4 Interferes with any third party’s use of the Broadband services 

6.2.5 Transmits unsolicitated bulk messages (spam) 

6.2.6 In any way, which in the opinion of Telecom, is or is likely to be detrimental to the provisioning of the Service, the Customer or any other Telecom Customer 

6.2.7 Otherwise breaches the terms and conditions of this Agreement or Telecom’s general terms and conditions 

6.2.8 In any unlawful manner, in contravention of any legislation, laws, licence or third party rights. 

6.3 Notwithstanding the aforementioned, the Customer shall not use the service in any manner that interferes with Telecom’s ability to provide the service to other customers or 

interferes with the quality and/or availability of the network 

7 Equipment 

7.1 Upon the delivery and/or installation of the Equipment risk in and or responsibility in connection with the Equipment shall pass to the Customer. 

Telecom shall not be responsible to replace and/or repair the Equipment in the event of theft, damage, loss, destruction to the Equipment whether by negligence or otherwise. 

In the event of the above-mentioned occurring the Customer will remain liable to Telecom under its obligations for the remainder of the subscription period. In the event of 

theft, damage, destruction or loss to the Equipment the Customer may be released from its obligations under this Agreement by paying the full selling price of the 

EquipmenThe Customer shall ensure that it has the requisite insurance to cover at his or her own cost. 

7.2 It is the Customers responsibility to ensure that it inspects all Equipment upon deliver and endorse the delivery note in 

the event of any missing or damaged Equipment. 

7.3 It is the Customers responsibility to ensure that it has the requisite insurance to cover such Equipment at its own 

premises and at its cost. 

7.4 Notwithstanding and in addition to the aforementioned, all rights of ownership in CPE or Equipment that is leased from 

Telecom in respect of the Service shall vest exclusively in Telecom. 

7.5 In no event shall Telecom be liable to replace or exchange any PCMCIA to USB modems or vice versa for whatsoever reason such as, in the event of the theft of a Customers 

laptop and the new laptop doesn’t comply with the current modem. 

7.6 The Broadband modems include 12 - month carry in guarantee unless it forms part of a 24 and 26 month bundled contract. The guarantee will only be honored by Telecom 

Namibia provided that the modem and all its accessories are returned in good order. 

8 Disclaimer 

It is an express condition of this Agreement that Telecom does not warrant or guarantee that the Service is: 

8.1 free of errors or interruptions 

8.2 is always available and available in all areas of Namibia. 

8.3 is fit for any purpose 

8.4 will conform to the Customers service level requirements 

8.5 is always secure and reliable 

8.6 The provision of Telecom broadband service is subject to network availability, distance, copper quality and line sync speed limitations. Telecom would therefore advise you not 

to purchase a data modem prior to confirmation that service can be provided 

8.7 Subscription to Telecom 3G EVDO services is subject to 3G coverage and network availability. 

8.8 The broadband service is a best effort service and no guarantees are provided on the availability of throughput. 

9 Limitation of Liability 

This clause 9 specifically excludes the entire liability of Telecom including liability for negligence and in particular, without limitation, all other expressed, implied or statutory liability. 

9.1 The Customer subscribes to and uses the Service at its own risk 

9.2 Telecom shall not be liable to the Customer or any third party, and the Customer shall hold Telecom harmless against, any damages suffered by the Customer or the third party 

howsoever arising from the Customers subscription to or the use of the Broadband Service, including (without any limitation) any damages suffered by the Customer due to:- 

9.2.1 Any interruption or error in the Broadband Service, or 

9.2.2 The failure of Telecom due to events beyond its control such as, but not limited to, an act of God, theft of copper wire, fire, explosion, lightening, storm or any 

adverse weather conditions, civil war, strike, civil commotion, riot, blockade, sanctions, act of government or any authority, or other compliance with governmental 

orders, demands or regulations 

9.2.3 The unauthorised use of the Service by any third party as a result of the access of the Customers password and/or web portal. 

10. Assignment 

The Customer shall not cede, assign, transfer, encumber or delegate any of its rights or obligations in terms of this Agreement to any third party without Telecom’s prior written consent. 

11. Notices and Domicilium 

11.1 For all intents and purposes herein, the parties do hereby choose their domicilium citandi ex executandi as follows: 

i) Telecom Namibia Limited Head Office 

9 Lüderitz street, 

P.O Box 297 

Windhoek 

ii) Customer 

The address given in under address in the application form.

BROADBAND INTERNET ACCESS ... - Telecom Namibia Limited

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