This document summarizes the key terms of an agreement to convert an existing Herbalife Nutrition Preferred Customer or Charter Preferred Customer status to an Independent Associate status. The applicant acknowledges reviewing and agreeing to be bound by Herbalife Nutrition's terms, conditions, sales and marketing plan, rules of conduct, and other business materials. Some key points include: there are no minimum purchase requirements to become an Associate; products can be returned within 30 days for refund or exchange; unused products and materials from the last 12 months can be returned for refund if the Associateship is cancelled; and the Associateship is annually renewable but can be terminated by either party with notice.
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herbaldocs.pdf
1. Conversion Form English
Congratulations on your decision
HERBALIFE
NUTRITION
to join Herbalife Nutrition!
We are delighted to welcome you to Herbalife Nutrition.
We believe our science-based products are the best and the Herbalife Nutrition business opportunity is unrivaled in the
clirect-selling industry. We are especially proud to offer what we believe to be the Gold Standard in consumer protection
for all our Associates. Please take the time to review the Gold Standard Guarantees. They provide valuable information
that will help ensure your Herbalife Nutrition Associateship experience is a positive one!
GOLD
Gold Standard Guarantees HERBALIFE
NUTR JN
There are no minimum purchases required
and no start up costs.
There is a 100% refund guarantee on
product plus shipping cost for the return
of all products purchased in the prior 12
months if Associateship is cancelled for
We clearly define the benefit of each product
and appropriate method of use directly on the
product label - we want to make absolutely
sure that the right products are taken the
right way to achieve realistic results. We
provide realistic expectations of the business
opportunity, time and the effort required to
any reason. succeed at all levels.
There is no requirement to purchase
any sales and business tools to start-up
3 or succeed in your Herbalife Nutrition 5
We provide clear, accurate and timely
disclosures to prospective Associates
regarding potential income.
Associateship.
Registration Card
Registration Card
NDRAGANII LAKSHMT PAAMAIA
is an authorized Herbalife Nutrition Independent Associate
INDRALANTT LAKSHMTPADMAJA
is an authorized Herbalife Nutrition Independent Associate
HERBALIFE
NUTRITION
HERBAUFE
NUTRITIÓN
hdepel iletnt Associata
hgervet Assoclate
ID No: wiC732952 Application Date
ID No: W1C732952 Application Date
O1_/Q1/201 oZ/QZ/202
Month Day Year
Month/ Day Year
NAO1IN Pint-3 March 2021
Ths apoicafion s avadable moe of cast
pro3uctionof this page in whole or in part io prohDitod. Copyright Herbale Nudrtion. A nghts reseve. uled in roa
1
2. Conversion Form English
aOLDSTANDARDGUA OENTIFICATION NUMBER
Herbalte Nutrition takes pride in the policles we have In place to protect all of our Assocates.
WiC732952
Please review the Gold Standard Guarantees and check each box to acknowledgo that you have read and The nurber above will be my
Horbahfe Nutrition O Number
once this Application s accepted
understood each Item.
There are no minimum purchases requtred and nostart-upcosts
No product ouirchases ae equred to becone a tlerbalteNutrtion Associate engaqe in the Herbaltle Nutrition business i chose to purchase products, iunderstand
Ty purchases shoud not exceed my own needs of amounts I am confident I can resel in a reasonable amount of time.
ve read and understood this message
There is a 100% refund guarantee on product plus shlpping cost for the return of all products purchased in the prior 12 months HAssociateship is cancelled
tor any reason.
f my Assocateship is cancelled tor any reason I may returntothe company unused and resalable products or sales materials that purchased within the last 12 months
tor a tuil retnd of he purchase price (including the cost of returnng the products). Simpty tollow the directons n the "Sample Forms" section of Bock 1 available onine
at MvtHertalte.com
nave read and understood this message
3 There is no requirement to purchase any sales and business tools to start up or suocoed in your Herbalfe Nutritlon Assoclateship.
am no: requred to purchase anry Dusiness toois, and can use he promotonal iterature and sales tools that HertbauteNuvtion makes avaiable tor tree ar at minmal cost.
Prior to opering a lutrition Cub,inctudng any Club withfitress activntes: Imust be ar Associate for at least 180 days and conglets tre Comgparny's Mandatory Nutrition
ClUD Operators Registration process and any training requred at that time
naverad and understood this message
We clearhy define the benfit ofeach produot and appropriate method of use directly on theproductlabel-wewanttomake absolutelysure that the right
products are taken the right way to echieve resitste results. We provlde realitie expectations of the business opportunity and the eftort required to succeed
at all leves.
We deanty detine the benetit of sach croduct and appropnato method ot use duecty on theprocuctlabel orn the HerbahtefhutitonProductBrochue -we wertto make
absolutely sure tnat the ngnt products are taken the right way and that Assoclates have the correct wnlormaton to talk about the products to thewcustomers Sumiarty
we provide accu'ate informatton acout the tinancial resuts that Herbale Nutribon Associales have achHeved so that it may be shared with those being introduced to the
Herbalite Nutrition business opportuty. Any claims make abot Herbale Nutnton s products or abouIt tne Herbaile Nutntion business opportunity must be iawtui, true
not nusieading. substantiated in writig n advanco and consistent with clauns made in the curent materiads pubished by Herbantfe Nutrition. I may not make any written
therapeutic of curative claims about Herbalile Nutrition prodtucts iwhetiher of ot mey Are a0on my Own personal experrernce), except those stated in materials pudished
by Herbalite Nutriton, or use the name of the Fo0d Satety and Security Authority of idia (SSA) or any other seguktory agency when rapresenting Hertbalite Nutntion
products.
have reAd and understood ths message
5We provlde clear, accurate, and timely disclosures to prospective Assoclates regarding potential incoma.
Poopie oin Herbeite Nutribon lor marny reasons. If my goal is lo build an Herteiike Nutnion bUSIness, I derstand that t takes had work and dedkcabon to make t
successtu. I confum I am not retying on any written or oral information or representatons other than those pubusthed Dy the Herbahfe Nutntion Company about the fhnanc iad
resuitsi mignt acheve
lo see al of your nights and obligations as an Hertalite Nuutrton Assonate. piease review HerbalteNutrilon's Rules of Contuct avalabie onlire atin.Myttertaite.com
ave read and understood this message
hereby acknowledge that I understandtheHerbalte Nutrition Gold Standard Guarantees
07072021
Auxocant's Sgnature . AAUn
2
3. Conversion Form English
HERBALIFE
NUTRITION
IDENTIFICATION NUMBER
W1C732952
HERBALIFE INTERNATIONAL INDIAPVT. LTD
Condor Mirage" PCICPC to provide lheir Horbakte ID
#101/1 Richmond Road, Richmond Town,
Bengaluru, Karnataka, India 560025
Tel:(+91 80 4031 1444A)
Fax: +91 80 4031 1445/1446
HEREALIFENUTRITIONASssocIATESHIPAPPUCATION ANDAGREEMENT
hoplizr's Proto
his fom ismeantonlyfor the purposeofconversionfrom Preferred Customer("PC"YCharterPreferredCustomer("CPC")toAssociate
his Applicationmustbecompletedaccurately and in its entirety in order to be considered by HerbalifeInternationalIndiaPv Ltd.
APPLICANTINFORMATION
LNDIR|A|GlA|MT|ILILA K3HMI I PADMAJA
C-Sd/BI LAPS dMNSHEPA AA
VA-vyARIA DsT A PIL
Last Nate eaY enter yas rame as per bhe govemmet apaoved io pro subimited fo Herbsde NuTilion) First Name
Residential Address (PO. Boxes are not accepted)
VYARA I LaUTARAT I I - 31465
PMH COde
Cty Stale
ol
91Ha4757159
Country Code Day Phone Country Code Mobile Phone (Mandatory)
Area Code
6y proneng your proe number you nave consemed to receive Telephormc comnunicaions and hu
Override your regstation under DND.
Country Code Aea EVening PiOne
alklslhlmi lpladm aG|a@amai|.do7 | U
Emar Address tur email adtress mHST 04 unuçue and not shared by anotherAsocista
Please tick applicable document: Proof of address/Proot ot identity Voler lDJRation Card only it n contains
applicant9 photograph LJAadhaar CardLy Drivers
I.lcense Passport UPAN Card M
(age)
Hanoatgry to anadi coPy or ooc unmek akenig wn the appit JtioD, IT PAN is anachea please inc Rude ane dDcumen lor aeis es s m2atcned abore
Dafe of BTth (month Spelied ou (oay tdi
7 43656E17 AlslHPE38saF lolz|2blol2alololoi8
Applicant s Indan pro0f of identity FSSAI Registration number(Mandatory
Appicant's Indan proof ai address
SPONSORsINFORMATD ORSINFORMAT
CKARTIK BHAT C_KARIK BHAT
SupervisorS Naine (pin)
Sporisors Neme iprirto
0-7383053395 o91 7383053395
hone
WIDOI67683 Supervisor s Herbalie Nutiion ID under
Sponsors Herbaif8 NUGibon l0 Number
Request to convert to independeni Associate statusS
m currentiy a Preferred wstomeriCharter
Prelerred cuStomer (ustomer) and wish to become an Herbalita Nutrilion Independent Associate
hereby surrender my rights and privilegas as a
PuGP atd accordingiy, my PCICPC
Agreement shall stand terminated torthwith.
My conversSion to AssOciateship shal be free of charge and effecuye when Herballte Nutrition accepts this Herbailfe Nutrition Indepe ndent Assoclateship Appiication and Agreenent
AAssociates
1. Becoming en Assodiate rerTty a0Pty to be 3n Assc fe ot HerDalife fNutntion on the tems and conoitions set forth belaw and in the Malerials" fas deinedtndov). I vd leccnme an Ass iato ord wire : Apadi. at Cep:dby Heatabt: thrtrrth on n its scle
l d dsaret n byadenin; tmy Asoo etedry ido L t-eds atH-ibahte tktitioni's 0fc- in bids, huil tin, Iam giaiteo almiad,revoeabe nght tobuy and, il Choose to fesel heutbate Nutston pots
2Pror Asocuteshisor Pretered Curtomersnie:As romeo ur teRits fyeu o134S3U FdePatse omiedsaltcoatedo stedaanHeraie uitdten u atcieoPreuredCateb aut as ma notap b a
uStDDETSTD ACTiUOr TEqureaiens mJy bt oleg to ASSOCII:25 wo cverRU tO PTetemed Lusloier
ar &ny pra ASoCTeshp or Preered Custo'nersf'p CNISC provide the ftofnmiation reçused DeowN
ProrAssocKestoYN)_
ProrPreteried CustonErstp (Y/N)
Date of last activity in conection
In 1nat ASSOCIafeshp
D Applicatson D onth Day Year Month Day Yea
MOnin
By submting Dus Aoplcaion, rau represert and warart va the reurec Perod of Iactvty haspasaed Pease se De Period ot tractity and oather Rues n "ndiu Aules Of Condut" under Busnes Opcestunity lab walabieat htps/vwww.heraite.co.in
nwsh to receive Herbaite Nutnton news. pramotons and business developmenttoolsva ema1l, SMS, phone and other comparable messaging services. I accept that these communicatons may aso incilude
DUSmess development and promotiors on behaif of Herbalite Nutrtion's business partners.
I hereby acknowiedge that Ihavereviewedand understand this Hebalife Nutrition Assoclateship Application and Agreement, Including all of the documents detined herein as "Materials", which are incorporated
herein, and that I agree to be bound by alpt thert
97o7202
Applicant'sSignatue adlad MOniT Uay Year
REGISTERED OFFICE HERBALIFE INTERNATIONAL INDIA PVI. LTD, Parcnanani Wishire #14, Commssarat Road. Bengaluru. Karnaaka hdia 560025: Tel. +91 80 4031 1444, Fax +91 80 4031 1445/1446 CN.U51909KA1 996PTC025098
NHO1tN Prat 3 Marcr 1
Ths appictn s Iaato Vee of cos
Reorodactorn of to page n whoie or n pert s prohated CooyngntC hartabte Nrden Al nghis resenved Printeg m nd
3
4. Conversion Form English
A Associateship cONTINUED)
3. Merbalite Nutriton Assoclate Materlals: The Materals incduxke the Terms and Condibons of doing the Herbalde Narton Bsness, e apenertary kesssi
Agreement. Books 1 8 2 which indlude the Sales &Marketng Plan and the Rules of Condut ("Rues"), as well as te Pasnes loos and Oter (re bprn sc
other documents. (These are reterrod to colectively as the Materials" and by his rederence are
ncorporated herein, and togetet wit tris Aopkc2, rAE e eRr
Agreement between Herbalife Ntrition and me). The Materials, which may be modified from ime to tirne ty Herbalte astritcnir ts re ann tahAr ArzAn ar #ra
upon pubication, and may be obtaned in their current form on in.Miertalide.com
4. Term: he term of the Agreement will be annual, automaticaly renewable trom year to year thereafter, suDyet to requrenents whh Hertdte atritn may cesne on t
to time in its discretion. i may cancel or terninate my Associateship by notityrng Hernaite Nutrition in
wtng tnati sh to doo Herbaite Ntrto may c2r0 e e y
ASSOCiate-ship by ging me a one month notice of he same. Herbaife Nutrition may cancala terminate my Associatespotwn f1 dnerminen taiapvre piccr
in my Hertvaife Nutriton Associateship have volated the Agreement
5. Retunds:
a. Satistectlon Guarantee: Hlam not completely sabshed with any Herbahte Nutniton product puchased at arry tme fox mry own
conauptrn ths dry tron Heaste
Nutridon o tron an Hertalfe Nutritorn Associate) I may retum t to the Company wthin 30 days of purchase in
enchange tr other proDI a YoE AJe
Satistacton Guarantee.
b. Retund tor Inventory Fallowing the cancellation (by me or by Herbalife Nutrition) of myAssociateshp. Israli rave te ngi to rel t Hertte lsTis are i
retundof the pice paid for unused and resaBable products and sakes materkals and wtchi purchased trom Hetalite Nutritn drectiy r rdrcy wa s osrz
wthin the last 12 months. as provided in the Rules Inventory Repurchase
.How to Obtain a Reftund: To obtain a refund or exchange as provided in (a) or b) above. Imay tolow the directions proided in te Samoe Fas' ezn 7 bo 1
2eak
at in.MvHerbalite.com.or by contacting Herbalife Nutrntion at +91-80-40311444.
6. Transters: My Assocateship or any interest in my Associateship may onty be assigned ortransferred as provided in the Rules and onty wh te prr Pdeae
Nutiton. pven or withheld by Herbalifte Nutrtion in its sole and absolute discretion. Herbalife Nutritbon may assign this Agreemert wtot my corsat
The Herbalife NutritionBusinessOpportunity
1.
Dllgen Inqulry: fI wish to consider engaging in an Herbalite Nutriton busness. by seling Herbaite Nutriton products or sponsoring aterAssocatesto o sc aree z
essential part of that consideration,to caretully review the Materials availabie on
in.myhertalfe.com Herbalife NUrtion encorages caretu ra reea o
ec
about the potential risks. benefits and nudes applicabie to Associates engaged in business actvites.
2. Compensstion IMightReceveorIncome thatIMightEam:Ihereby represent, warant and agree that am nat relying upon and rat w d yo y r
oral ntomadon or representations other than those pubished by the Herbalfe Nutidor Company about the finanaial resuts I might acnieve.
3. PromotetheSale of Products: will promote the sale of Herbalite Nutnton products to consumers as detaied in he prodt ntamaton gude n a marer ta amete
the reputaton of Herbalife Nutrition. My success wll onty come from produd sales to my Customers tor their consumpton and o y downáne tr her cosrda
to others
4. ProductandOther Purchases:i an not requred to purchase prodcts a mantain an iventory to succeed or advance as an Herbaife Nutnbon Assccate i a purcase
product pimanity to qualifty to eam compensaton, as opposed to purchases which Ifreety dhoose to make tor my own consumpton and amcuns i corsder eesorabe t serwce
my customers. Iam also not required to purchase sales aids o attend meetings or eerts
5. Bulldlng a Sales Organtzaton:l am aware that will earn nocompensabon or other cnmc benett tor recrutng other Assoaates fl choose w sponsT tsacain
Nutriton Associates in order to build and mantan a downtine sales organzation, my eamngs mil be based on product saes b my astomers tor ner csuctan 3t
my downline tor their consumption and resale toothers This multleve! compensabon buSness opportunty s detailed n Herbafe Nutritons Saes &Maretng Pan
available to al Assocates online at in.MyHerbalute.com
Miscellaneous Legal Provisions
1. Damages: Naither Herbalite Nutrition nor Ishal be liable tor any incidertal, indrect ar consequertial damages caused by breach, terminaton a suspernson of ts Agreenet
whether or not the possibility of such damages is known by either party. and no puntve orexemplary damages shal be awarded aganst eter d us nydsue açanst e
other excep as explicity requred by applicabie laws
2. Walver and Delay: Herbalite Nutrton may acdress Rules violatons or other breaches of its Agreement with any Assocate n ts soie an asaue dsreon No take
or negtect of Herbalde Nutnton to exercise anny rigoht. povwer or opton under any agreement witn any ASSOCiae, sial corsttute a waver of tne rorsns r a maver y Daite
Nutrton of its nghts at any tme under the Agreement.
3. Severebilit: any one or mare of the provsons contaned heren srat tor any reason be tound by acourtof conpelent prsdcton be naid. iegei or aaoe
ay respect. such waid, iegal or unentorcetle prowsons shail be ineftective, but snal not n ay way invaidate ar otnerwese aact any oher provson
4.
PrivateState ofLimtations:Daspteany lawaoquitabieoctineorautharty tD
theconirary any cam,
whenerbrouagmdyHarnaiteNueton or y me sal e angt
witnone(t)year troen the date the oerco or enty assertbing the clam fest knew Drogh te aercse of roasoraie gerce shad: hee inowr arsusz e as
which underhe the ciam.
5. Choloeof law and Forum: TneAgeement.and ay dspute ansung trom he reatorshp between Hertelite Nutmbon and Assavates srai be gernec d ne s e e as
of
Be Lhon oft hda witout te appaton ot uunth.t o' kaw uNghes. Ay s uhsul. sul be ieshel ndsvch a paad paucey e ts iri..ei
Bangalore govened by the laws of the Union of indka
6. Indemnificatio i mil indemnily, defendand hold hamles Herbalife Nutnton tom any cost or iabanty relabng d arsing tom ny breacn of nsAgeemet an ana
of my Herbaite Nutrition bus1ness Herbaife Nutritiorn may dffset reasonabie amounts açanst amounts whuch wauid onerwse be uue to me t over auh nana
7.Bnding Terms: 1 e Aueell shl bz bndnng upoi Jduuc to tebeiefttof bve usbes. thes thaws and pemutied sursus ir tast
4
5. Conversion Form English
ADDITIONALTERMSAND CONDITIONS OFDOING THE HERBALIFE NUTRITION BUSINESs
agroe tha,
A. Independent Contractor
Sell-employect: I will be a sell employext indopxondent contractor, (dotermining rny oW Medulo Bicd oijectvW, 194Mrdatke tor rrg tun ureA, ATd ary aplicatye tase
including selt employmernt taxes)., not an employeo, agent, franchiseo, eectnitios loddler, joint venture, houuciary or betvofiriary of Horbalfe tusronn n orry sher Assuriate, 1 dl rot
Ie troated as an enmployeo with respOct to sucth sOrvices for any Centralsano/or Stato t purposers, MM Wl| t treas) as an eighayess tra ary eru AMgI: s an
ineerket
contractor, I aqree that I shall have o rihts or benafita that an onpdoyen of Herbalitn Nutrition may have tvf wil I makn any clawm t, tus cn trasy.
B. Important Corporate Statements
The Corporate Statements referenced below, and other important policies are contained in the Materials avalatbloy ontine ad in.MyHertalile.Lm ran Hertalite Nutrtion
Associate Services and are hereby incorporated by this rolerence. 1agree to carefully revlew thoro Gtaternerna prior to arry dconn or aion to engagein Ve Hetalite
Nirik
business, including but not limited to reselling Herbalife Nutrition products, sponsoring ofhør Associates or boti
Expenditures and Business Methods: The Business lools and Other OptionalExoerwes set torth Herbalife Nutriton's poitions and reconnersdatis witi respet to the
matters they cover.
C. Purchases
1. No required purchase: There is no required purchase to becone, succoed, or advance as a1 Herbalitfe Nutritxn Asociate.
2. Product Purchases: All product purchases are optional, as are the purchase of any sales aids. I may not purchase product prirmarily to qualifty to earn compensation, as
opposed to purchases for my own consumption and arnountsI consider reasonable to service my cUstorners.
3. Sales Alds: Herbalife Nutrition does not endorse or recommend sales aids produced or sold by others and shall have no responsitility 1 decide to purchiase them. I may
notbuy normay.drectlyor indirecty,sel,promote,recommend,rcler.facilitale or takeary action wnhich Herbalite Nutrton migtnt deem to ercourage or pramote the
purchase, uSe or sale by another Associate of leads, leads-related advertising, advertising slots or decision packs.
D. Further Agreemets
1. Sales ofHerbalfeNutriton Products: I wil promole the sale of HerbaleNutriton products as detaled in product intormaton guide in a manner that ernmarees
thereputationof Herbalile Nutrition. My success will only come trom sales of Herbalite Nutrition products by me and those Ihave sponsored, drecty or indirecty, for
consumption and resale.
2. llegal Practices: willnotengagein any deceptive, unfair or ilegal practices, and Iwill comply with applicable law. Iwil comply witn Herbalite Nutritbon's Rules of Conduct
published in the countries in which Iconduct any aspect of the Herbalife Nutrition busines.
3. Obligations of Sponsorship: If sponsor others to become Associates, Iwill do o in an ethical and lawful manner, and in compliance with this Agreement and apolicable
law. Thereafter, Iwill use best efforts to train, assist and support those Isponsor to do the same, and lwill communicate and lead byexample
4. Representations: I will make no representations about Herbalife Nutrition's products or business opportunity except in compliance with Herbalite Nutntion's Rules and
applicablelaw
5. Conduct: Herbalife Nutrition is a tamily-oriented business that expects its Associates to conduct themselves with the highest ethics and integrity. lagree to do so.I represent
and warrant that Ihave not been conicted of a crime involving dishonesty, moral turpitude, or violence toothers.
6. Non-Solicitaton of Other Associates While I am an Herbalife Nutritlon Assoclate: During the term of my Associateship, neither I nor my spousewill, directy or
iudhinecty (through or by means of arny person, entuly or artifice), solicit, promole, sponsor o recuit anyHerbaite Nutrtion Associate of any custorner of Hertalifte Nutrition
of whom my spouse or Ibecame aware in the course of the Herbalite Nutrition Associateship, to join, promote, sellor purchase products of, or participate (as a salesperson
or otherwise) in any mulievel marketing or direct sales comparny and neither of us will encourage anyone to do what ihave agreed we wil not do
7. Intellectual Property and Confidential Information:
a. From time to time, Imay receive personaly identifable intormation ("PI"'), from HerbalifeNut tion relating to my iownline. Imay not use tris Pl tor any other purpose
than to develop my Herbalife Nutrition business relationship with my downine, unless Ihave received consent from the downline Assocate to use the Pl for other
purposes. wil abide by appicabile data protection laws atall imes, inctudinginternational datatransler restrictonsIshallbe resporsble tortheusetati make
of the Pl of my downline once Herbalife Nutrilion has transmitted it to me. I shallaso hold the Pl receive trom Herbalife Nutition on my downline Associates at al
times in strict confidence.
b. Ian hereby granted durng the term of my Associaleship, a imited, revOcable right touse Herbal1te Nutrition's tade name, logo, trademarks and certain intellectual
property only if and to the extent expressly permitted under the terms of the Agreement or by Herbalife Nutrition in writing.
C. During the term of an Ascociateship and thereatter for so long as they have economiC value, my spouse and Iwill hold in confidence and trust for the EXclusive benefit
of Herbalife Nutrition any trade secrets, formulas, business plans, or confidential or propletary business information (including. Without limtaton, genealogies and
other compilations of idenlifying and other data relating to other Associates or Custonmers), and any other information of commercial value relating to other Associates
or customers. provided by Herbalite Nutrition or that Ior we developed or obtained while an Associate, and neither Inor my spouse will use them, directly or indirecty,
or any purpose other than the conduct of the Herbaile Nutrition Associateship.
d.I authorize Herbalife Nutrition to videotape and photograph me and Igranl Herbalife Nutrition my consent to use my name, photograph, videoimages, personal story
and intormation I provide to Herbalife Nutrition, and lkeness in Herbalife Nutrition related promotional materials. I hereby waive all claims for payment for such use.
N4OTSPi-3Marc/2u1
Ths apphcaton s avaiane ree ct
HapT horm ol Ds age in whiole or in past is prohibred. Copyrtghi C Hertalfe Nutrtion All ghts reserved Prirted m hda
6. Conversion Form English
DENTIFICATION NUMBER
sUPPLEMENTARYASSOCIATESHIPAGREEMENT
wCT32952
L The nurnber above will be my Herbalife Nutrition
D Number once this Application is accepted
Thissupplementary agreement to the Agreement of Assoclateship dated OZ_ day of ALY_ 202 is entered into onthis Q7 day ofoLY
202)
Between
Herbalife International India Private Limited, a company incorporated and registered under the Companies Act, 1956, having its Registered 0ffice
at No. 14, Commissariat Road, Bangalore 560 025 (hereinafter referred to as "Herbalife Nutrition" which expression unless repugnant to the context shall
mean and include its successors-in-interest/business) represented by its Authorized Signatory.
AND
MYs/Mrs TNDAAGANLL LAssHMT PMDMAIGagedabout_h3yearss/0/D/o B.URYANARAYAN_residing at
S6L3_KAPS TowNSTP Po ANUmALAL3q4651) NEAR-VNCAAMDLA
STATE:LauTARA
(hereinafter refered to as "Associate/Direct Seller") which expression Unless repugnant to the context shall mean and inciude his/her legal
YTLLAe A yYARA. PO39H65
heirs.
Each party to this agreement are hereinafter individually referred to as a "Party" and collectively as "Parties
Whereas,
The Ministry of Consumer affairs, Food & Public Distribution, Department of Consumer affairs, Krishi Bhawan, New Delhi has issued Direct Selling
Guidelines 2016 gazetted vide G.S.R. 1013(E) dated 26th October 2016. According to which Guidelines, (sub clause 3 of clause 6) Direct Selling Entities
have been made responsible, inter alia, for monitoring and controlling the practices/methods adopted by the Direct Sellers.
A
The aforesaid Guidelines also require that the Direct Seling Entities shall be responsible for compliance of these Guidelines by any member of its network
of direct seHling (sub clause 8 of clause 3).
B.
C. The aforesaid Guidelines further require the Direct Selling Entities to enter into an agreement with Direct Sellers prior to enrolment as Direct Sellers/
Associates of Herbalife Nutrition speciftying the terms and conditions of the business transactions in line with theseGuidelines
D. Pursuant to the issuance of the said Guidelines on Direct Selling as aforesaid, parties hereto have discussed in detail and Associates/Direct Sellers have
specifically acknowledged that they have understood the need for entering into this supplementary agreement and accordingly agreed to execute this
supplementary agreement, under the terms and conditions hereinafter appearing in this agreement
NOW THIS AGREEMENT WITNESSETH AS FOLLOwS:
1. The Associate/Direct Seller acknowledges and confirms that he/she has completely studied in detail the aforesaid Direct Selling Guidelines
2016 gazetted vide G.S.R. 10134E) dated 28th October 2016 (rGuidelines") by the Department of Consumer Affairs, Ministry of Consumer
Aairs,Food and Public Distribution, Government of India and available on in.MyHerbalife.com andundertakes to adhere to allthe relevant
clauses of the said Guidelines, inciuding but not limited to the obligations mentioned in clause 5 of the aforesaid Guidelines on directseling
as amended from time to time, at all times. For the sake of brevity, and ready reference tor adherence, the contents of clause 5 have been
reproduced hereinafterbelow:
Clause 5: Certain Obligations of a Direct Seller (Extracted from Direct Selling Guldelines 2016)
1. Direct Seller engaged in direct selling should carry their identity card and not visit the customer's premises withoutprikorappointment/approval;
At the intiation of a sales representation, without request, truthtully and clearly identify themselves, the identity of the direct seling enty, the nature of the goods or
services sold and the purpose of the solicitation to the prospective consumer
O1fer a prospectve consumer accurate and complete explanations and demonstrations of goods and servIces, prices, credit terms, terms of payment, return policies,
terms of guarantee, after-sales service;
4 Provide the following information to the prospect/consumersat the timeofsale, namely
a. Name, address, registration number or enrolment number, identity proof and telephone number of the direct seller and details of direct selling entity:
b. Adescription of the goods or
services to be
suppliled,
Explain to the consumer about the goods return policy of the company in the details before the transaction;
he Order date, the total amount to be paid by the consumer along with the bill and receipt;
Time and place for inspection of the sample and delivery of good
Intormation of his/her rights to cancel the order and / or to return the product in saleable condition and avail full refund on sums paid;
9.
.
.
.
.
Delais regarding the complaint redressal mechanism;
AOrect seller shall keep proper book of accounts stating the details of the products, price, tax and the quantity and such other details in respect of the goods sold by
himvher, in such form as per applicable law.
NAO1N V-
Ths applcaton s avadaDe ee or c
eT x s page w r l e or in part s prohlbted. Copyright Herballfe Nutrtlon. All rghts reservod. Printed in ndia
6
7. Conversion Form English
Adirect seller shali no
a Use misleading, deceptve and /or untairtrade practices;
Use misleading, false, deceptive, and / or unfair recruiting practices, including misrepresentation of actual or potential sales or eamings and advantages of
Direct Seling to any prospective direct seller, in their interaction with prospectve direct sellers,
b.
C. Make any fachual representation to a prospective direct seller that cannot be verified or make any pronise that cannot be futfiled:
Present any advantages of Direct Selling to any prospective direct seller in a lalse and / or a deceptve manner
Knowingly make, omit, engage, or cause, or permit to be made, any representation relating to the Direct Seling operation, including remuneration system
and agreement between the Direct Selling enty and the drect seller, or the goods and /or services being sold by such direct seller which is talse and / or
misleading
Require or encourage direct sellers reciuited by the lust mentioned direct seller to purchase goods and / or services in unreasonably largeamounts
Provide any literature and/ or train1ng matern
both within and outside the parent Direct Selling entity. which has not been approved by the parent Direct Selling eptity.
h. Require prospective or extsting direct sellers to purchase any literature or training materials or sales demonstration equiómøt.
d.
restricted to collateral issued by the Direct Selling entity, to a prospective and/or existng direct sellers
The Associate/DirectSellerdeclares thathe/sheisnotentitled toreceive anyremunerations)orincentive(s)from thesponsorshipofnew
direct sellers into Herbalite Nutrition's Direct Selling Business, as per business terms and conditions of Herbalite Nutrition.
The Associate/Direct Seller undertakes that he/she shall not impose a requirement on a prospective and/ or any existing direct setler at any
2
time
1 Topay anyreistationentry. renewal tees orany such other consideration in whatsoever name t is caled in order to partcipate in Herbaite Nautrtion's Dret
Selling Business, except for purchase of goods, availing any services.
2 o purchase any sales demonstration equipments) materials) in order to participate in Herbalte Nutrition's Direct Seling Business
3 The Associate/Direct Seller acknowiledges and agrees that the Herbalife Nutrition Associateship Agreement (Section B.4 of the Associateship
Agreementj does not require the Herbalife Nutrition Associate/Direct Seller to purchase goods or services () tor an amount that exceeds an
amount tor wthich such goods or services can be expected to be sold or resold to consumers, (ui) tor a quantity of goods or services that exceeds
an amount that can be expected to be consumed by, or sold or resold to consumers.
The Associate/DirectSeller acknowledges and agrees that the Herbalite Nutrition Associateship Agreement that has been signed with Herbalite
Nutritioncontains all the, material terms of participation as outiined in the atoresaid Guidelines, such as
1) Buy-backorRepurchase Policy {Secton A.5p) of the Assoclateship Agreement
2) Cooling oftPeriod [Section A.5(a) of the AssociateshipAgreement
3) Warranty ISection A.5td) of the Associateship Agreement
4) Relund for unsold inventory (Section A.5(c) andd) and of the Assaciateship Agreement)
5. The Associate/Direct Seller acknowledges and agrees that Herbalite Nutrition's remuneration system as sales incentives under various terms/
nomenclature, outlined in Book 1, clearly discloses the method of incentivising for all its direct sellers/ Associates and that all direct sellers
receive remunerations only from the sale of Herbalife Nutrition products |Section B.5 of the Assoclateship Agreement).
The Associate/Direct Seller hereby undertakes to provide a mandatory orientation session to all prospective direct sellers providing tair
and accurate intormation on all aspects of the direct seling operation, including but not limited to the sales incentive methods/ system and
expected sales incentives for newly recruited direct sellers
7. The Associate/Direct Seller further undertakes that all necessary and appropriate steps shall be taken to ensure the protection of all private
intormation provided by a consumer as confidential at all time.
The Associate/ Direct Seller shall ensure to respect all applicable statutes with respect to Direct Seling business. including all relevant
provisions of the Consumer Protection Act 1986
The Associate/Direct Seller hereby attaches his/her proot of lidentity and proot of address as specified in Clause 3.3 of the aforementioned
Guidelines
9.
doe
Signature:
Name INDRAGANTL LAKSHMIL PADMAA
Age: 43Y£ARS.
Address: C-863,KAPS TOUNSHIPANUmALA PO: 34465 DISTTAP
Place:
KAKRAPARANUmALA `ARAT(STATE)
Date:
O7JULYRO21.
Herbalite Nutrton s a proud Member of the Indian Duect Sellng Associaton and a Sigratory to the lDSA COde of Ethics.
N401N PN-J AMrch/7
p e r t a prorteat Copynyt C Heusie hkrs A y resevei Prwas in vda