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Applicant Information

Enroller Information - OPTIONAL
TEAM PLACEMENT BUILDING PROGRAM (ENROLLER)

*After registration, the special point status of the enroller will be renewed,while the appointed sponsor
will receive commission based on his/her current distributor status (SP, D1, D0, FA0). The direct sponsor
status will not be influenced by this sales.Placement of the new client cannot be changed after processing.*

Sponsor Information

Payment Information (Enagic Singapore Pte Ltd will only process the form once payment or the initial payment has been paid)

Full Payment

Enagic Payment

Payment Method

For Distributor Only: Bank Information

Acknowledgement

I confirm that the information furnished in this application is to the best of my knowledge, true and correct. All documents submitted insupport of this application are true copies of the originals. In the event of any disputes, ENAGIC SINGAPORE PTE LTD's decision is final.
I certify that I have been furnished and have read, understand and agree to the provisions ENAGIC SINGAPORE PTE LTD POLICIES
AND PROCEDURES (ONLY FOR DISTRIBUTOR) which document (with any amendments or restatements furnished
by ENAGIC SINGAPORE PTE LTD to me after this date). I hereby this reference as if fully set forth herein and sets forth the
exclusive terms and conditions of this Policies and Procedure with ENAGIC SINGAPORE PTE LTD.
**This information you have provided will be kept confidential and used solely for communicating with you.
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