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ee ) REALINDIA ‘AGRO PRODUCER CO! Y LTD. a Oe tas ae tan Te Member/Associate Joining Form ‘Service Cove Mi [iss Mi. Self Aitosted S/o. [/0.7 Wo. Photo of Respected Sir Applicant {am Member f Rela Ago Produce Conpan st suit my sppeaon tbe an Agent. Ihave ape sui te agit atlon fon cid by ean. Soar doce tam tna ry iin flees thes opt pending ssn min ‘iy Court Al orstn pie y mene appeaton ams teas bet fy knowl. My Details As Bolow [Membership No. ‘Esucational Qualifeation (Attach Carifeates) (a [_ [Below mare Maicow2 | Marta Stats Date of Bia Maries | nwareea | [>] 0] Aaetneer] Declaration by the Introducer :- reamed plea wet sb Conan 2 MenbarAet in —snkerotandae se pre ne evs ai ad hepon ne le eget cody pin Mee A. mrsee® Secon fen Rank of introducer 8 etal of Fist Guarantor Detail of Second Guarantor Name can Name [ade . [acarss Only for Office Use [Rakarte {egitraton Region RNS a n, ) REALINDIA AGRO PRODUCER COMPANY LTD. DECLARATION have never buen declared Innate, have never boon declared bankrupt ‘have never boon stopped my payments of transaction and enjoy good market reputation, 1 am an honest and hard working person bearing a good moral charecter. have never been found guilty for moral tesipude by any competent count 1am good in health and able to cary out works and responsibilities assigned tome, I neither have any criminal ease registered in the police nor pending in any cour. have never been involved in eros or smuggling activities, 1 know regional language and also have knowledge of English o dispose of assigned job as well as explain in detail the company plans othe future member and account holders {am curious to work as agent Member of the company on collection basis. am an applicant solemnly affirm and declare that details given above are tue fo the best of my knowledge and bli PROMISE AND COMPENSATION ‘The Company reserves therighttoacceptorreject any aplication without asigning any reason, | promise that while discharging my services as acompany/s agent will not present any fake or misleading information to any person. Teommitto domy job with dedication, concentration and sincerity. willntmisuse my position inany Way. ‘While discharging my duties as an agent ofthe Company I wil follow the highest quality and skil parameters and work hard ‘with due eare and knowledge maintain the same ‘While offering my services Iwill fllow the Rules Manval Rules and Instructions issued by the Company or its administrator ffomtimeto time also afin thatthe profitorits part eared in etum of my service willnotbe transferred any third part. ‘am agree to work on incentive basis which willbe payable to me forthe business brought me throug the memiber Account Holder ‘Asan agent member I will never misuse my position and work within the limits of my rights. IFam ever found violating my Fists in that condition Twill responsible for all andthe Company will not responsible fr this violation. [fdue to my set of rossng the limits of my right Company is being held responsible then I am bound to compensate any loss incuned bythe ‘Company and its personal due toany court riminal proceedings, | also clearly declare that through tis application my elation with the company i tha of principal & Member Agent. 1 aim ‘hat will never elsimany right or any such special righ or profit whichis payableto company employees. Ifthe company beats any dtect or indirect loss by performing duties as a member agent by me and is partners, Offices, [Employees suffer any loss. damage. injury or disability due to my carlessness. non-performance of ight lps, mis behavior, ishonesty misjudgement of situation violations of dues, mismanagement of embezzlement, then lam bound to compensate ‘hess. Tam presenting my guarantors who will be individually and collectively responsible for any direc indirect foss due to my ‘carelessness dishonesty misjudgement of situation, violation of utes, mismanagement or embezzlement, ‘Ifthe Company ever prohibits me o work asa member agent without showing any reason or prior notice, Tam bound fo eum all documents, receipts, counterflio and total money relating to members contribution in my possession tothe company ‘withoutany delay 1 donot remain active basis member agent standards of the company. wil be bound to return kit Identity card any my otber ‘material issued tome by thecompany. Signatur of Associate Date Signature of Taroducer Date

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