Neways India Product Range

Registration Form

NAME (Yours):                       

• - Surname
• - First name
• - Your Date of Birth

EMAIL ADDRESS (Your email address; this must work properly - ie be an active operational account)

PASSWORD (This will be your password for your new account, so you need to create your own password)

Retype password

ID of person who referred you (please make sure this is the correct ID Number - this will be supplied to you by your sponsor):

Name of person who referred you:

Are you joining as a:

• Hobby (to buy wholesale products)
• Business (to make money)?

Do you have a PAN Card?

If you have a PAN Card then enter the Card Number here:

NAME of Co-Applicant (eg your spouse):                     

• - Surname
• - First name
• - Their Date of birth

CONTACT ADDRESS (Yours)

• - Street:
• - City:
• - State:
• - ZIP/Post Code:
• - Country:

PHONE NUMBERS:                         

• - Day
• - Night
• - Work
• - Mobile
• - Fax

SEX:

OCCUPATION :

BANK DETAILS (bank and account number where bonuses are to be paid into):

• - Name of the Bank
• - Branch
• - Type of Bank Account
• - Bank Account Number

If you would rather download a PDF file of this form then click here.

If you need to fill the form in online and send it to us by email, then download this Word file and fill it in and email it to us.