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New ABO Number : 10139181 Applicant Name : DEB BRAT KUMAR MISHRA Applicant ID Card : Applicant DOB : 12/01/1972 Co.Applicant Name : Co.Applicant ID Card : Co.Applicant DOB : Address Line1 : KALIMELA Address Line2 : Land Mark : JAMADOBA City/Town/Village : DHANBAD Post Office : District : Pincode : 828112 State : Jharkhand Home Phone : Office Phone : Mobile : 9431375153 Primary E-Mail : DRK.D@GMAIL.COM Secondary E-Mail : Sponsor ABO Number : 7689479 Applicant Status : RESIDENT Co.Applicant Status : PAN Card Number : I/We have read the Contract of Distributorship specified & agree to be bound by the terms & conditions mentioned therein. I/We certify that the information provided herein is correct to the best of my/our knowledge. Applicant's Name : ................................. Applicant's Signature : ............................. Co-Applicant's Name : ................................. Co-Applicant's Signature : .................................

Disclaimers : Please, note that Signature of Applicant and Co-Applicant on both the pages are Mandatory

Contract of Distributorship
This document including the Distributor Application overleaf, if fully completed,signed by the applicant(s) when duly accepted by Amway India Enterprises Pvt. Ltd.("Amway India"), constitutes the Distributor Agreement (”Agreement”) between Amway India, and the applicant(s) whose signature and other identification data appearoverleaf. 1. Amway India appoints the overleaf - identified applicant(s) as a distributor of AMWAY products and the applicant(s) (herein after individually and collectively referred to as the “Distributor”) accept(s) such appointment. Distributor may, on a non-exclusive basis, purchase AMWAY products from Amway India, to resell, distribute and market in the territory of India. 2. Distributor hereby confirms that he/she has entered into this Agreement as an independent contractor. Nothing in this Agreement shall establish an employment relationship,or any other

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