“ Shree Ganeshay Namah ” Reg.office: 306/B,INFO CITY SUPER MALL-1 3RD FLOOR,INFOCITY COMPLEX, GANDHINAGAR-382007 Ph : 079 -23213666 W : www.neoking.in E : [email protected] All Trade PVT LTD. Reg. No. U52100GJ2014PTC080164 Photo Application / Agreement Form PLEASE FILL IN CAPLTAL lETTERS WITH BLANKS Date : 1. Business ID : Title / / Mr. Mrs. Ms 2. Name : 3. Father’s/Spouse/Guardian’ Name : 4. Nationality : 5. Date Of Birth : D D M M Y Y Y Y 6. A. Address: C. State : B. City : D. Pin Code : E. Email ID : 7. A. Mobile No. : B. PAN/GIR No. : 8. Product : Rs : 9. A. Bank Name : B. Account No : C. Bank Branch : D. IFSC No. : E. Miccar No. : 10. Sponsor’s information & Placement details : A. Sponsor’s businessID: C. Placement : Left B. Sponsor’s Name: Right D. Immediate Upline’s Business ID : E. Immediate Upline’s Name : 11. A. Payment* Cash/Draft/Check.No: C. Bank : 12. Proof of identity and Address : identity card issue by any institution (Please Attach seif attach photocopy of any one of above on A4 size paper only) B. Date : D. Branch : Passport Voter ID card Photo Arm License Pan Card Driving License A other document contained photography,please specify. 13. Nominee Name : Relationship : Address : After careful reading reading read by other, I registster myseif as Direct Independent distributor of “Neo king All Trade PVT LTD” business Program on my own account I promise to abide by the rules and regulations of the company. I certify that the information provided is correct to the best of my knowledge.I accept the terms and conditions of the distributors agreement herein mentioned and in website named www.neoking.in Gandhi Nagar Judicial Applicant Signature /Date Place