Networking Square Affiliation Registration Form

Today's Date

Day Month Year

Company Name

Sponsors Name (Person who invited you to the meeting) *

Your Name (As you want it on your name badge) *

Prefix First Name Last Name

Date of Birth

Date Date Picker Icon

Cluster Name *

CLT id

Cluster visit date *

Day Month Year Date Picker Icon

Mobile Number *

Landline Number

Date when you will be available for Inception *

Day Month Year Date Picker Icon

Company Name *

Office Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

E-mail - Official (Will be used for all communications) *

E-mail - Personal

Number of years in business *

Details of business operations *

Part time business Full time business I am an Employee

First business category that I would like to take *

Networking Square does not have any category for any MLM product and services

First business category description *

Explain your product and services and give details of what all you will include as your folio - Anyone else coming for any other option might be taken on board as an affiliate in the cluster

Second business category that I would like to take

Each Affiliate can register from TWO Categories of Business by paying just 50% more for the additional category. Also please note, Networking Square does not have any category for any MLM product and services.

Second business category description

Explain your product and services and give details of what all you will include as your folio - Anyone else coming for any other option might be taken on board as an affiliate in the cluster

Please find below the details of the Affiliation Options

PLEASE NOTE THAT THE "REGISTRATION FEES" ONCE PAID ARE NOT REFUNDABLE, ALSO ONCE YOU GET INDUCTED / INITIATED IN THE CLUSTER THE "ANNUAL AFFILIATION FEES" ARE ALSO NOT REFUNDABLE.

ONE time registration charges of Rs.3000/- only *

I agree to pay this amount

Select the affiliation options *

Cheque to be drawn in favor of "NETWORKING SQUARE PRIVATE LIMITED"

For online payment, use these details:

Bank Name	The Saraswat Co-Operative Bank Ltd
Branch	Khopat, Thane – West
IFSC CODE	SRCB0000403
A/C No	403100100000095
A/C Type	Current

Mode of payment *

Cash Cheque Online

Enter details if mode of payment is cheque or online transfer

	Cheque or Transaction Date	Cheque or Transaction Reference Number	Bank Name	Amount of transaction
Cheque
Online

Details of proposed trainings

(Training fees have to paid when the training schedule gets announced)

REFERENCES: Please give us details of TWO references. We will call them and seek a feedback about you and your services. Please keep them informed so that when they receive a call from Networking Square they receive the call and give us the relevant feedback too. *

	Name	Company Name	Relation with you	Email Address	Mobile Number
Reference 1
Reference 2

GENERAL TERMS & CONDITIONS (Click to see policy)

I hereby agree

(i)That the above stated information is true & correct to the best of my knowledge.

(ii)That I will be truthful & honest in all my dealings with the fellow affiliates of Networking Square Private Limited.

(iii)That I will always help my fellow Affiliates to generate more business for themselves by following the "Connect right Grow bright" philosophy of Networking Square Private Limited.

(iv)That I will always adhere to the prevailing processes and policies of Networking Square Private Limited. In case I have any doubts about the same I will contact ONLY nominated personal of Networking Square Private Limited or founder Directors of Networking Square Private Limited and seek clarification and not discuss the same with the fellow affiliates.

(v)That I will pay cheque bounce charges of Rs.500/- if any of my cheque gets bounced for any reason. I also agree that if any of my cheques get bounced, I will issue a fresh cheque with the additional amount of Rs.500/- within 48 hours of information to me and if I fail to do so this then Networking Square Private Limited is free to allocate my category & seat to any other interested business owner or organization.

(vi)That once I click on "Submit" it should be considered that I have signed & executed the document & I have accepted and have agreed to all the above terms & conditions and other prevailing policies of Networking Square Private Limited.

(Vii) That I am aware that all fees & or affiliation charges once paid are not refundable for any reason.

(vii)That I have executed this application out of my own free will and without any pressure or influence from anyone or any side, in good / sound physical and mental state.

Application for "Affiliation"