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  • Brans Infotech Pvt. LTD.: Registration Form Personal Details

    Uploaded by

    Rohan Singla
    12 views3 pages
    The document is a registration form for Brans Infotech Pvt. Ltd. It collects personal details such as name, date of birth, address, contact information, PAN number, education, occupation from the applicant. It also collects nominee details. The applicant needs to choose between premium and basic packages that include subdomains, domains or business categories. Payment details such as mode, amount and pins used are also collected. Finally, the applicant agrees to company terms and the form is signed with sponsor details.

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    Original Title

    Registration Form

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    The document is a registration form for Brans Infotech Pvt. Ltd. It collects personal details such as name, date of birth, address, contact information, PAN number, education, occupation from the applicant. It also collects nominee details. The applicant needs to choose between premium and basic packages that include subdomains, domains or business categories. Payment details such as mode, amount and pins used are also collected. Finally, the applicant agrees to company terms and the form is signed with sponsor details.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    12 views3 pages

    Brans Infotech Pvt. LTD.: Registration Form Personal Details

    Uploaded by

    Rohan Singla
    The document is a registration form for Brans Infotech Pvt. Ltd. It collects personal details such as name, date of birth, address, contact information, PAN number, education, occupation from the applicant. It also collects nominee details. The applicant needs to choose between premium and basic packages that include subdomains, domains or business categories. Payment details such as mode, amount and pins used are also collected. Finally, the applicant agrees to company terms and the form is signed with sponsor details.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 3

    Brans Infotech Pvt. Ltd.

    REGISTRATION FORM
    (*ALL ENTRY SHOULD BE FILLED IN CAPITAL LETTERS AND WITH BLACK PEN)

    PERSONAL DETAILS

    PASTE YOUR

    1. Name:

    PHOTOGRAPH

    2. S/o,D/o,W/o:

    HERE

    D D- M M-Y Y Y Y
    3. Date of birth:
    4. Communication Address:
    ROAD:
    CITY:
    DISTRICT:
    STATE:

    POSTAL CODE:

    6. Contact No.

    Mobile No.

    7. Phone no. with STD Code


    8. Email ID
    9. PAN CARD

    Y/N.

    If Yes PAN NO.

    [*ATTACH A PHOTOCOPY WITH THE FORM]

    10. NO. Of IDs Taken


    11. Business ID Name/s:..
    12. Education:
    13. Current Occupation:.
    14. College:
    15. DREAM/S IN LIFE:
    C-81, First Floor , Office No-102, Near Hint Chowk, RDC Raj Nagar, Ghaziabad. 201001 Ph: 0120-4156325
    Visit us: www.bransinfo.com
    Contact Us: sales@bransinfo.com


    NOMINEE DETAILS
    Nominee Name:.
    Relation:.
    PACKAGE DETAILS
    1

    [A] Premium Package

    [B] Basic Package

    Choose Any One Option:

    SubDomain

    DomainName:
    ...

    .
    Choose Any One Option:
    Phone

    KIT

    FMCG

    Insurance
    Insurance

    2. Holiday Package Coupon No/s


    MODE OF PAYMENT
    CASH
    DD
    ACCOUNT TRANSFER
    (Please Attach a copy of the subjected Required)
    Amount:.
    LEGALS
    *I agree with the terms and condition of the company as published on Company Website
    (www.bransinfo.com).
    Date :.
    [Signature of the New Associate with Date]

    C-81, First Floor , Office No-102, Near Hint Chowk, RDC Raj Nagar, Ghaziabad. 201001 Ph: 0120-4156325
    Visit us: www.bransinfo.com
    Contact Us: sales@bransinfo.com

    SPONSORS INFORMATION
    Sponsors Name:
    Sponsors BPID:...Sponsors UserID
    Direct Uplines BPID: Direct Uplines UserID
    Joining in Leg:

    Left

    Right

    PIN/s USED:..
    Amount Received:.
    Sponsors Contact Number:
    Date:..
    [Signature of the Sponsor with Date]

    C-81, First Floor , Office No-102, Near Hint Chowk, RDC Raj Nagar, Ghaziabad. 201001 Ph: 0120-4156325
    Visit us: www.bransinfo.com
    Contact Us: sales@bransinfo.com

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