Consultant Application Form

Hindustan Lever Network

Consultant Application Form

Hindustan Lever Network
A division of Hindustan lever ltd.
Regd.Office: 165/166, Backbay Reclamation, Mumbai 400 020

Centres- Mumbai : 022-2642 9657/8336; Banglore: 080-558 2546/54/73; Chennai : 044-2433 0816/3309;
Kolkata:033-2474 4320/2475 2409; Guwahati : 0361-260 1161/108 ; Delhi :011-2465 4588/5907; Ludhiana : 0161-245 2547/246 3734

CONSULTANT APPLICATION FORM

Consultant Information

Consultant (First Name)
(As appearing in the Bank Statement) (Surname)

Consultant’s Mother (First Name) (Surname)

Associate Consultant (First Name) (Surname)

Associate Consultant's Mother (First Name) (Surname)

    DD               MM                      YY    (Should be 18yrs or above)
Consultant’s Date of Birth      DD               MM                      YY    (Should be 18yrs or above)
Associate Consultant’s Date of Birth

Consultant’s Mailing Address
(As it should be on consignments including Pin Code and State)

Locality

Town/City State

PIN Code                                 STD Code             Phone No. (Residence)                        STD Code             Phone No. (Office)

Mobile No.     PAN No.

Email Address - (Have you been a Consultant with Aviance / Hindustan Lever Network earlier? Yes / No. If yes, then previous ID No.)

Nominee

Nominee (First Name) (Surname)

Relationship with the Consultant Nominee’s Date of Birth (Should be 18 years or above)

Sponsor Information

4 9 9 7 9 5

Sponsor’s ID No.

N A N D I N I

G O P L S W A M Y

Sponsor (First Name) (Surname)

Declaration
I have read and understood the contents of the business manual which was made available to me. I agree to abide by the same. All information given above is factually correct.

___________________
Signature of Consultant
____________________________
Signature of Associate Consultant

Allotment of Consumer Identification Number amounts to acceptance of the application

For Office Use:
Cash

DD No.

Date

ID No.


REGISTRATION PROCEDURE AT HINDUSTAN LEVER NETWORK
Some guidelines for filling out the the consultant application form-

Please download the application form on colour printer and fill up all the required details and don’t forget to sign at the bottom.

Application form should be submitted along with a PAY ORDER of Rs 2,450/- or 2,950 in the name of HINDUSTAN LEVER LTD. CASH or CREDIT CARDS (MASTER/VISA) ARE ALSO ACCEPTED.

PLEASE SEND YOUR APPLICATION FORM TO:

HINDUSTAN LEVER LTD,
DIAMOND LINK, PLOT NO 227-A,
31ST ROAD, OFF LINKING ROAD,
Opp. SHOPPER'S STOP
BANDRA (WEST),
MUMBAI-400050

OR AT :

ON RECEIVING THE PAYMENT, THE COMPANY WILL SEND VIA COURIER, YOUR PERSONAL, CONFIDENTIAL IDENTITY NUMBER, A KIT CONTAINING THE PRODCUTS AND LITERATURE REGARDING THE PRODUCTS AS WELL AS THE BUSINESS PLAN ANYWHERE IN INDIA.

A Consultant refers to the individual who wants to become a member.

Any adult can become an associate member. He/she can attend seminars, conferences and do business in absence of the primary consultant.

Giving the PAN number is recommended, but not necessary.

Providing your e-mail address will enable you to see the updated position of your account every day.

Mentioning the sponsor’s identity number is a must.

Receiving the identity number is a confirmation of your registration.

For any query email: jagan_narayan@yahoo.com or phone 9819063246

WISH YOU ALL THE BEST….

Contact Nandini Gopalaswamy at 09819063246 Consultant ID Number 499795