IndusViva

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Indusviva T&C Agreement

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By checking this box, I agree that I have read IndusViva HealthSciences Pvt. Ltd.'s Terms & Conditions and will comply with the same. I understand that failure to abide by these terms and conditions may result in penalties without further notice, up to and including termination of my IndusViva HealthSciences Pvt. Ltd. Distributor Account.

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Distributor Details

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Commission Transfer Options

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Paypal details

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Bank details

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Applicant's Information

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Date of Birth*:

PAN (Self)

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Address1 *:

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Co-Applicant's Information

Co-Applicant Name :* (If unmarried Mother/Father)

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DOB (Co Applicant) :

PAN (Spouse)

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Relationship : (In case you are single, mention beneficiary name)

Sponsor/Placement Details

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Important Information

Dear Distributor,
Your Personal Information Is Safe With IndusViva INC.

Date	2020-0101-1818	Week	286

Your Personal Information Is Safe With IndusViva INC, For More Details Contact [email protected]