::: Welcome to Direct Selling Distributors :::

DSDWA AGENCY APPLICATION FORM

*Mandatory Fields

Agency Name *

House No*

Street/Village*

City*

State*

Contact Person *

Contact Mobile No

User Name*

Password*

Confirm Password*

* *

I hereby declare that the information furnished above is true, and I have read the Bye Laws/Terms & Conditions of Association mentioned on the facing page and undertake to abide by them.

TERMS & CONDITIONS FOR AGENCY RESPOSIBILTY
	The data in all fields marked with* mandatory for registration.
	The application will be subject to the scrutiny and cross check by the direct selling company, where working and the approval is subject to the favourable report of the authorised person of the company
	Once approved, an Agency Login will be created after the deposit of minimum Rs. 100 registration amount, viz, Rs. 15000 in the DSDWA bank account.
	The agency owner will collect self certified copy of PAN card and ADHAR Card (if available) from the prospective member before registration.
	Once submitted, the registration cannot be altered. Kindly double-check before submission.
	The Agency Owner will collect membership fee of Rs. 150 (for 1 year) / Rs. 250 (for 2 years) / Rs. 350 (for 3 years) which is valid from the date of registration, which is non-refundable/non-transferable and cannot be cancelled. The same shall be debited form his credit limit. The credit can be renewed by depositing more funds after the limit is exhausted.
	The annual subscription does not bind the Association for mediation in settling the individual disputes of DSD with company(IES) or fellow DSDs or government / nongovernment agencies.
	If any malfunctioning or mis-conduct is reported against any Agency Owner, the company will be asked to assist DSDWA for his/her removal and recovery of amount of unregistered persons held by the Agency Owner.
	The Association reserves the right of alteration the annual subscription reserved without any prior notice.