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IN658594 DATE: 21/SEP/2018 22:28:57
ID No.:

Referrer ID: IN338197 Referrer Name: SHALU RATHI

Title (If Individual) Mr./Mrs./Ms: Business Name (If not individual):
Surname, Given Name (If Individual): Contact Person (Business Entity):
Mailing Address: Cheque Name (Name on the commission cheque):
UTTAR PRADESH 251203 India (Vihaan)
Shipping Address: Home Phone No & Mobile No:
UTTAR PRADESH 251203 India (Vihaan)
Valid ID Type / ID Number: eMail Address:
Nationality & Date of Birth: Mother's Maiden Name:
INDIA; 22/MAY/1992
Name of Beneficiary/Nominee: Relationship to the Beneficiary/Nominee:
Date of Birth of Beneficiary/Nominee:

PAN Card: BEVPR2855C

Bank Acct. No.: 000701661606
IFS Code: ICIC0000007


Direct Preferred Placement Distributor
Full Name: Preferred Placement:
ID No:
IN158357 AKHIL DHAMA 003 : Right


1. For business entities, an authorised signatory of the company must sign this Distributor Application Form. Received By: _______________
2. You must be 21 years old and above to become a Distributor.
3. By signing below. you certify and acknowledge that you have read and agreed to be bound by the Policies Received Date: _______________
and Procedures.
4. I agree to adhere to the Know Your Customer ( KYC ) requirements as requested by Vihaan Direct Selling Processed By: _______________
(India) Pvt Ltd.
Processed Date: _______________

APPLICANT'S SIGNATURE (Required for processing) DATE

Vihaan Direct Selling (India) Pvt Ltd

1. I am at least 21 years old and eligible to enter a business contract in INDIA.
2. I have undergone an orientation session (online or classroom) about the Company and Business Opportunity, and I do not have any doubts about either.
3. By signing below, I certify and acknowledge that I have read, understood, and agreed to be bound by the Policies & Procedures of the company.
4. I agree to submit self-attested copies of the PAN card, Address Proof, Signature Proof, and Identity proof within 30 days of registration under the Know Your
Customer (KYC) requirements, failing which the company has right to block access to the back office and commissions/incentives/rewards until such time the
documents are submitted and accepted by the company.
5. I understand that the company has a 30-Day Buy Back Policy (calculated from the date of receipt of the product). I hereby agree that I will always inform
customers about this policy, with relevant conditions for the same.
6. I will be solely responsible for complying with the Income tax, Service Tax, Professional Tax, GST, Sales Tax/VAT, Octroi, LBT and/or any other local taxes and
levies for sales of products and services as may be applicable from time to time. Obtaining of all such licenses and registrations to run the business as a direct
seller from time to time will be my responsibility. The company will not be responsible for any deviation and violation of any such legal/statutory requirement from
my end.
7. I hereby agree that TDS (Tax Deducted at Source) will be deducted by the company from the commissions payable to me.
8. I hereby confirm that my referrer explained the Business Opportunity to me clearly. I also confirm that I have registered willingly, without any coercion or undue
pressure from anyone.
9. I am aware that there is no fee for enrolling as a Distributor, and that there is no compulsion to purchase any products to enroll or otherwise in this business
10. I understand that the compensation on sales of products and services will be calculated as per the Compensation Plan of the company published on the
company's official website, which may be revised according to the statutory requirements.
11. I shall always commit and communicate as trained and authorised by the company and never mislead or give any unauthorised information nor any competitive
comparison/advantage of the products and services to the prospective customers/prospective Distributors.
12. I shall not unfairly denigrate any other organisation, brand, or product, directly or indirectly.
13. I shall not make any product claims on my own and would share the information only from the official publications authorised by the company. Also, I shall not
misrepresent the earning potential of this Business Opportunity and shall always transparently share documented facts published on the official website of the
14. I acknowledge and confirm that I will be, always, an independent, self-employed entrepreneur in relation to this Agreement as a Distributor, and will not, at any
time, claim or represent to be an employee of the company, nor will I claim any benefits accruing to the employees of the company.
15. I understand and accept that in case of my resignation or the termination of this Agreement due to non-compliance of any condition/s mentioned in the Distributor
Application form and Policies & Procedures, I will lose the right to claim commissions/incentives/rewards, access to the back office, and right to purchase
products/sales tools, etc., and I will not be eligible to get any remuneration from the company.
16. I hereby declare that I am not engaged and will not engage in any anti-national activities, directly or indirectly.
17. I accept the right of the company to reject this application for registration at its absolute sole discretion, without specifying any reasons thereof.
18. I am authorised to enter in an agreement with the company and sign the Application Form.
19. I also confirm and agree to abide by such terms and conditions as modified or amended by the company from time to time.
20. I understand that upgrade of systems and processes is an ongoing exercise and the company will continue to work on the same, and I hereby confirm that I have
read and understood the latest available information on the company’s official website before signing the application form. I also understand that in case of any
clarification on the same, I can write to .
21. I fully understand that if I do not agree with the Policies & Procedures, I am free to resign by downloading, filling up, and sending the resignation form to the
22. I undertake to confirm the accuracy of the information by referring to the company’s official website before propagating the same.
23. I hereby declare that the details furnished above are true and correct to the best of my knowledge and belief, and I undertake to inform you of any changes
therein, immediately.
24. In case any of the above information is found to be false or untrue, I am aware that I may be held liable for it and the company may terminate this Agreement as
soon as the company confirms the same and take legal action against me to recover the commissions, bonuses, and rewards, etc. paid to me.
25. I hereby acknowledge that I have reviewed and understood this Distributor Application and Agreement, along with all the relevant documents, including the Code
of Conduct, Policies & Procedures, and Compensation Plan defined herein as “Materials” which are incorporated herewith, and that I agree to be bound by all of
26. I understand that this agreement will be terminated in case of no business done for a consecutive period of 24 months.
27. I hereby agree to send in any complaints to the company on the official email address and give the company 45 days to provide an
unbiased resolution according to the policies of the company before escalating it to the Department of Consumer Affairs or any other government body.
28. I agree to receive updates from the company on my registered email address and registered mobile number.
29. I understand that the personal details I have shared with the company, along with data regarding the business, may be shared with the governmental agencies, if

APPLICANT'S SIGNATURE (Required for processing) DATE