Globe Postpaid LazMall Application Form

Thank you for your interest in availing Globe Postpaid’s All-New GPlan PLUS 999 in LazMall. Kindly make sure that you were able to complete your order in the Globe Official LazMall Store.

Please fill in your contact details below and ensure the accuracy of the information to avoid order cancellation. We’ll notify you via email/SMS once your application is successful.

Note: This application form is for new Globe Postpaid customers only. For existing customers who want to renew their plan, please proceed to Globe Online Shop.

Plan Type *

Preferred SIM Type *

Globe LazMall Order Reference Number*

Please enter your 15-digit Lazada Order Reference Number. Wrong or incomplete information will result in order cancellation.

PERSONAL INFORMATION

Account Holder’s First Name*

Account Holder’s Last Name*

Mother’s Maiden Name*

Birthday*

Please provide your date of birth in this format: mm/dd/yyyy

Civil Status *

Gender *

Citizenship*

Billing Address*

Please follow this format: House/Floor No., Street Name, Village/Subdivision, Barangay/Town, City/Municipality, Province, Region, Country, Zip Code

Proof of Identification Type *

ID Number*

Proof of Identification (Front) *

ADD FILE +

The file must be in .JPG, .PNG, or .PDF format and 1 MB max only.

Proof of Identification (Back) *

ADD FILE +

The file must be in .JPG, .PNG, or .PDF format and 1 MB max only.

CONTACT INFORMATION

Contact Number*

Email Address*

Shipping Address*

Please follow this format: House/Floor No., Street Name, Village/Subdivision, Barangay/Town, City/Municipality, Province, Region, Country, Zip Code

Reminders:

Your application request is still subject to verification and approval.
All order details upon submission will be considered final, and will be the basis of the verification and approval.
Once the application is approved, an SMS notification will be sent to the activated mobile device.

I have read and confirmed that all details provided are correct and will be used as basis in the processing of my application request. Submitting a new form will mean that the contents of this version is null and void.

Yes, I agree.

I confirm that I have read, understood, and agree to be bound by the Subscriber's Declaration, GPlan’s Terms and Conditions, and the Promo Certificate.

Yes, I agree.

I allow GLOBE to share my personal data with the GLOBE Group and with GLOBE’s partners for credit scoring, business analytics, and product development, as well as for them to advertise and extend their products and services to me.

Yes, I agree.

If you change your mind about any of the permissions you’ve given to Globe above, you may get in touch with us by texting STOP to 21586863 for Globe/TM or STOPVC to 225656863.

By completing and submitting this Application Form, I allow GLOBE to collect and process the personal data I will provide to open and manage a mobile postpaid account, until the successful termination of the same, in accordance with the Data Privacy Act of 2012 and the Privacy Policy of Globe. I further understand and agree that the required and relevant personal data will be used for SIM Card Registration in accordance with the SIM Registration Act.

I affirm that the information provided in this Application Form and the supporting documents submitted in connection therewith are true, authentic, and correct.

Yes, I agree.

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Globe Postpaid LazMall Application Form

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