Biz Broadband Online Application Form

Application Type

*If you are an existing customer, please provide your Service number and Account number in the designated text boxes. New customer
Existing customer

About Company

Company name * Registration number * Billing address * Installation address *

Check this box if Installation Address is similar to Billing Address.

Name of contact * Primary mobile number * Secondary mobile number * Email address * *Please use an active email address.

File Upload

Supported format: .jpg, .jpeg, .png
Maximum size: 2MB

IC Front

IC Back

Form 16/17, Form X

Your Subscription Package

Plan

Combo

Fixed line only

Select your Contract Period

Number of service line

Select your Value Added Services

* By default you will be subscribed to FCO (Free Calls Only). If you choose not to select any additional services below, please leave it blank.
** Additional charges may incur for some VAS options.    STD
   IDD
   Local
   PhoneXtra
   X-Directory
   XtraLock
   Telephone with Caller ID Package

	Price
Deposit	BND
Fixed line rental Fee	BND
Activation Fee	BND
	BND
	BND
	BND
	BND
	BND
	BND
Total	BND

	Price
Deposit	BND
Fixed line rental Fee	BND
Total	BND

What's Next

Ensure your details are accurate and complete, including valid ID, mobile number and email address for successful registration.
You will be contacted by our team for verification, to confirm whether your area is fibre-ready and to set up an appointment within 3 - 5 working days.
Upon receiving email confirmation for account creation, register your imagineBroadband account via mobile app or web self-care.
Depending on infrastructure readiness, installations may take 3-4 weeks from date of confirmation of application.
Refer to our FAQ for more details or visit our website at imagine.com.bn.

By ticking the box and clicking the "Register" button, I agree and consent to the terms of the User Agreement and the Privacy Policy.