AgencyFranchise Recruitment Form by jsq13914

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									                                I-ENTEPRISES(Marketing)
                         KAMIKAZE BIOTECH (INDIA) PVT.LTD.
                     Agency/Franchise Recruitment Form
www.ienterprisesindia.com                           E-mail:info@ienterprisesindia.com
                                                                                                  Paste your
Employee ID:                                                                                     latest photo
Mobile No. :

Personal Information

Name________________________________ Father Name_______________________ Mother Name______________

Nominee Name________________________ Nominee Relation_____________________________________________

Email Address______________________________________________@_____________________________________

Gender_______________________________ Marital Status________________________________________________

Date of Birth__________________________ (Minimum age is 18 years.)

Get the right ads by providing the right information.

Education____________________________ Occupation___________________________________________________

Industry______________________________ Income Range__________________________________

Address___________________________________________________________________Pin Code:

Please enter the address where you will receive cheque

Farm/Payee Name__________________________________ Bank Name______________________________________

Branch Name______________________________________ Account No. ____________________________________

Address Line______________________________________________________________________________________

City__________________________________State_______________________________ Pin Code
Provide correct pin code to ensure that the Cheque is delivered at right address


I have read the *terms and conditions for I ENTERPRISES, Marketing plan and Agree to above by the same
(*For terms and conditions please visit our website www.ienterprisesindia.com)

        Verified today Date________________________________________________________________________

Registration Fee …………….…/- only (DD Payable I Enterprises at Lucknow)

Cheques/ D.D. No. - ………................. , Bank Name…………………………………., Branch …………………………


First floor situated in p.s.s. Complex Vishal Khand-3 Gomtinagar LUCKNOW- 226010,
Uttar Pradesh
Phone no. - 0522-3295110
                                                                                             Signature

								
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