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Indusviva T&C Agreement
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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Co-Applicant's Information
(If unmarried Mother/Father)
(In case you are single, mention beneficiary name)
Sponsor/Placement Details

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Important Information
PLEASE UPLOAD SCANNED COPY OF VOIDED CHEQUE TO THIS FORM FOR VERIFICATION (cheque must be preprinted with your name)
NOTE: It is mandatory that all applications must have attached copies of PAN ID, proof of address (passport/ration card/drivers license/voters ID/telephone bill).
Without these forms, the application will not be accepted.
I agree that I have used indusviva products and I am satisfied with the quality of the products and hence I am taking the distributorship and
I understand that at any point of time this is a part time opportunity only.