Referrer Information: Distributor ID No.: Date
Referrer Information: Distributor ID No.: Date
DISTRIB
UTOR
APPLICA
TION
FORM
Distributor
ID No.: DATE:
REFERRER INFORMATION
Referrer ID:
Referrer Name:
APPLICATION INFORMATION
Title (If Individual) Mr./Mrs./Ms:
Business Name (If not individual):
PAN Card:
Bank Name:
Bank Acct. No.:
IFS Code:
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:
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3/29/2020 DISTRIBUTOR APPLICATION FORM
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