C.O.D - Cash on Delivery Order
ORDER OF EIM LOGIN ID/PASSWORD THROUGH CASH ON DELIVERY / V.P.P MODE
Full Name *
Name in Full
Date of Birth *
Date of Birth
Gender *
Gender
Male
Female
Address *
Address
City *
City
State *
State
Pin Code *
Pin Code
Phone No *
Phone Number
Mobile No *
Mobile No.
Qualification *
Qualification
Nominee Name *
Nominee Name
Relation with Nominee *
Relation with Nominee
Referred By
Referred By
Email *
Email
DECLARATION: I agree to pay the Postman a sum of 550 Rupees for Receiving EIM Login ID/Password and other details *
DECLARATION: I agree to pay the Postman a sum of 550 Rupees for Receiving EIM Login ID/Password and other details
Yes
Declaration by the candidate I/We have carefully read the instructions and hereby agree to abide by the decision of the EOLII INFOCOM PVT. LTD. regarding my joining for the EIM Business Plan. I/We certify that the particulars given by me in this application form are true to the best of my knowledge and belief. I/We agree to abide all the Conditions and also certify that we have read, understood and agree with the Terms & Conditions, Earning Disclaimer and Privacy Policy of EOLII INFOCOM PVT. LTD. given in their website. *
Declaration by the candidate I/We have carefully read the instructions and hereby agree to abide by the decision of the EOLII INFOCOM PVT. LTD. regarding my joining for the EIM Business Plan. I/We certify that the particulars given by me in this application form are true to the best of my knowledge and belief. I/We agree to abide all the Conditions and also certify that we have read, understood and agree with the Terms & Conditions, Earning Disclaimer and Privacy Policy of EOLII INFOCOM PVT. LTD. given in their website.
I Agree
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