DISTRIBUTORES REGISTRASION FORM

1. GREEN VALLEY NATURAL CARE INDIA PVT. LTD. GREEN VALLEY CORPORATE CARE:-SHREE ACRADE 4TH FLOOR RAMJI NAGAR ALAMBAGH LUCKNOW (UTTER PRADESH)226012 VISIT US :- WWW.AGREENVALLEY.COM E-MAIL US :- INFO@AGREENVALLEY.COM DISTRIBUTORES REGISTRASION FORM PHOTO NAME:-______________________________________________________________________________________________ Father/Husband Name:-________________________________________________________________________________ Address:-____________________________________________________________________________________________ _________________________________________________________ Pin Code Telephone:-____________________________________E-mail:-________________________________________________ Mobile:- Date of Birth:- Gender :- Male Female Marital Status:- Married Single Bank Account Details:- Bank Type:- Saving Current NRO NRI FCNR Pan No :- IFS Code :-__________________________________________ Bank Name_____________________________ Branch _______________________ Account No._____________________ Nominee Name:- Nominee Name:____________________________________________________ Age:-______________________________ Relationship :- ________________________________________Present Status :- __________________________________ Payment Information :- Pay order Number:-_________________________ Date :- _____________________ Amount :-_______________________ Drawn Bank:- __________________________________Amount In words________________________________________ Referral Information :- Name :- ______________________________ ID No :-_____________________ Position :- __________________________ Pay out Mode :- ECS Cheque For ECS Please Fill The Bank Account Details Properly. ____________________________________________________________________________________________________I have Read and agree to terms and Conditions written overleaf. I also declare that all the information filled above is true the best of my knowledge and purchasing the products on my own discretion. Applicant's Signature

2. Distributer’s Terms & Conditions Hereby Confirm that I Have attend the age of 18 Years prior to my application for Distributor Registration to Green Valley Natural Care India Private Limited Ishallbecomedistributor uponacceptanceofthisapplicationbyGreen Valley Natural Care India Private Limited andnotanEmployee,AgentortobePartnerof theCompany.Asadistributor Ishallhavetheright topresent!MarkettheServicesandProductsofferbyGreen Valley Natural Care India Private Limited inaccordancewith theMarketingandCompensationPlan andStatementofthePolicy, whichmaybeamendedfrom timetotimebytheExcel, atthissolediscretion. Ihavecarefullyreadandunderstood theGreen Valley Natural Care India Private Limited MarketingPlan andstatementofPolicies andacknowledgethattheyareincorporatedaspart of thisagreementintheirpresentformandasmodifiedfromtimetotimebyGreen Valley Natural Care India Private Limitedatitsolediscretion. Iunderstood that thedistributorinGreen Valley Natural Care India Private Limited,IhavetofollowtheMarketingSystemdesigned/approved/amendedfromtimetotime.Itismyduty toknowtoupdateandunderstandsystemrelatedinformationavailablethroughnewsletterorGreen Valley Natural Care India Private Limited website. Iagree topayallState,FederalandProvincialTaxes resultingfromactivitiesasaDistributor.AllTaxesaretobecalculatedand deductedfromtheearnedcommissions.AlsoIauthorizeGreen Valley Natural Care India Private Limited tometheconsolidatedtaxdeductedatSource(TDS)Certificateat theend oftheFinancialYear.Providing aSelfattestedcopyofPANwithinonemonth ofmyjoiningatGreen Valley Natural Care India Private Limited ismyresponsibilitiesandanypenalty(FixedbyIncomeTaxDepartment)duetonon providingPAN shallbepayablebyme.AlsothatifIfailtoprovidePANby31stMarch of theFinancialYear,Green Valley Natural Care India Private LimitedwillnotissuemeTDSCertificateforthethatFinancialYear. I Understand that the commission are paid to Distributor only from actual sales made marketed by my team Green Valley Natural Care India Private Limited Compensation Plan. I also agree that Green Valley Natural Care India Private Limited can use my name and photo for promotions/ demonstration or advertisement propose and will no claim or ask for compensation in any from, for the same. Itismydutytounderstandandlearnedthebusinessplanwiththehelpofupline/businessseminar/Training Program.Iknowacknowledgethatmyimprovepersonalityandleadershipquality willhelpmyTeamsperformance,thereforeIshallparticipateand followtheGreen Valley Natural Care India Private Limited Design(for Modified)systemofevents. Thefiguresandnumbersusedinpresenting thecompensationplanarejustforthedemonstration andillustrationproposeonly Distributorsshallnotsellanysell anyGreen Valley Natural Care India Private Limited Product forapriceexceedingtheMaximumRetailPrice(MRP)butmaysellany Green Valley Natural Care India Private Limited ProductforapricelowerthanMRP The Green Valley Natural Care India Private Limited shall deduct the TDS Charge / Service Tax (if Applicable) From the incentive to be made to the Distributor Government rules. Green Valley Natural Care India Private Limited shallbeentitledtodeduct theamountfromcommissiondue,Distributordefaultonpaymentsdueonpurchasesoranyother payables.Inaddition, defaultsonpaymentsdueforthepurchasefromGreen Valley Natural Care India Private Limited shallbebasisforterminationofDistributorand/orsuchlegalaction,astheGreen Valley Natural Care India Private Limited dreamsappropriate. Allcommission,benefitsearnedwillbe Paid onlyafterthe Processing or Closingof Each cycleDistributorshallhavetheindividual identitytodealwiththeCompany. Green Valley Natural Care India Private Limited willnotberesponsibleforanydelayandinfailureinperformancewhichisbeyondthecontrolofthe Green Valley Natural Care India Private Limited throughchangesinGovernment Policies. Green Valley Natural Care India Private Limited reserves the right to changealter,amend,add,delete,erase,any excitingtermin anycircumstancesasper thewishand desireof Green Valley Natural Care India Private Limited withoutgivenanyexplanationtothedistributor. 17.ADistributorwillnotmakemedicalclaims forany Green Valley Natural Care India Private Limited productnorspecificallyproductassuitableforthetreatmentofany specificalimentunderno circumstancesshouldGreen Valley Natural Care India Private Limited productlikened todrugproductsprescribedformedicalorailmenttreatments. 18.1acknowledgethatIhaveboughtproductsfromGreen Valley Natural Care India Private Limited asafreedecision.Theproductboughtisnotunderany falseimpressionor for anyprojectedconditions. 19.1releaseGreen Valley Natural Care India Private Limited fromallliabilitiesagainstpaymentmadebymebecauseIhavelivetheproductandhaveboughtthemonmyfreewill. 20. Green Valley Natural Care India Private Limited andtheirserviceproviderareentitledtomakecallsandsendpromotionalmessagesonmymobilenumber. Re-packingofany Green Valley Natural Care India Private Limited productis forbidden. Anydispute,differencesorclaimarisingofthisagreementshallbesubmittedtobindingarbitrationandshallbereferredtothesoleArbitratorappointedinaccordancewithArbitrationandConciliationAct.1996.TheplaceofarbitrationshallbeLucknow,(U.P.),Indiaandsubjectto JurisdictionofLucknowCourts. Eachdistributorshallhavetheindividualidentitytodeal withtheCompany. IacknowledgethatIhaveread understoodandagreetotheterms&set forthinthisagreement. Applicant’s Signature Applicant’s NameDate Place DeclarationByIntroducer I haveclearlyexplainedtheterms&Conditionsto theapplicantin thelanguagewhichisbestunderstoodbyher/him. Introducer’sSignature Name