This document appears to be an application form for Simplylife Ventures Pvt. Ltd. It requests the applicant to fill in their personal and bank details. It also has sections for nominee information, referral information, and payment details. The last page outlines the terms and conditions of becoming a distributor for the company.

1. SIMPLYLIFE VENTURES PVT.LTD.
C/711,Crystal Plaza, Opp Infinity Mall, Link Road,
Lokhandwala, Andheri-(w), Mumbai -53
___________________________________________________________________________________________
Please fill in capital letters kit collection By Hand ( ) By Courier ( ) Post ( )
Personal Details
Personal Details
Individual ( ) Company ( )
Name of Applicant :- ___________________________________________________________________________
Date Of Birth:- ________________________ Male ( ) Female ( )
Address:- ____________________________________________________________________________________
___________________________________________________________________________________________
City :- _______________________ State :- _________________________ Pin code :- ______________________
Mobile :- _______________________ Resi Phone ______________________ Office No:- __________________
E-mail Id:- _______________________________________________
Bank Details
Please furnish correct details to receive payment/commission directly in your Bank Account
Account Name:- __________________________________ A/C No. ____________________________________
Name of the Bank:- ____________________________________ Branch:- ________________________________
City:- ___________________ IFSC CODE:-________________________ Type of A/C:- ___________________
Pan No:- ______________________ Name as in your Pan card_________________________________________
Attach copy of pan card * Non Furnishing of Pan card amy attach under the provisions of Income Tax Act 1961.
Attach cancelled unsigned cheque to verify the correctness. The company shall not liable if you furnish wrong Bank particulars.
Nominee Information
Name:- _________________________________________________________________________________________
Relation With Applicant:- ___________________________________ Date Of Birth:- ___________________________
Referral Information
Sponsor Name:- ______________________________________________________________________________________
Sponsor ID _______________________________ Right Left
___________________________________________________________________________________________________
Payment Information:-
Mode of payment:
Cash deposit in company Account ( ) Demand Draf t ( ) Cheque ( )
DD/Cheque no _________________________ Date ______________________ Amount (Rs.) ________________
Name of the Bank _______________________________ Branch _______________________________________
Please sign up Simply life terms & condition on the back page
Applicant Full Signature with Name: - ______________________________________ Date :-______________

2. TERMS & CONDITIONS:-
The applicant is required to read thoroughly & understand the term & conditions,policies,procedures,code of ethics & business
opportunities of the company as given below and from the website named www.simplylife.in
1. If the applicant is a partnership firm/private limited company, then the applicant has to provide all necessary documents
pertaining to the partner-ship during the registration of distributorship.
2. The company under no circumstances will accept any payment in cash.
3. The company has not authorized any official, officer or associate of the company to receive any amount in cash on behalf of the
company towards the membership fee.
4. If anybody makes any payment in cash, it will be at his/her own risk & under no circumstances, will the company be
answerable to such unauthorized cash payments.
5. The initial payments made by the applicant are towards enrolling as an independent distributor& the same is not refundable
under any circumstances. All the packages include the registration fees, the processing fee & administrative costs.
6. Confirmation as a Promoter does not create any employer/employee relationship, agency, partnership or joint venture between
the Promoter & the company.
7. The company will approve the distributorship by issuing an official receipt & an online registration which will carry the
password & an identification number known as” Track id”as allotted company. This password & track ID have to be quoted by
the distributor in all his/her transactions & correspondence with the company allotted.
8. The ID may be cancelled by the company on the ground of deliberate damage to the name, products, assets etc. of the company,
by the Promoter of the company .The company is also entitled to forfeit the dues payable to the promoter.
9. Trimming &service charges will be deducted as per company norms,TDS will be deducted as formulated by the Government.
10. A promoter is required to assist his/her down line promoter.
11. The company will, inno case, entertain any communication without track ID and password.
12. A promoter shall not make any claim, commitements to the general public about the products, company or his position in the
company that are not supported by the company or are impracticable.
13. The Promoter shall not try to exaggerate or make false claims about the company’s products or service to impress the general
public and down line fellow promoter. The promoter shall not misguide any one regarding company’s products/services.
14. A promoter shall truthfully provide full and correct information about himself and his family required by the company
whenever the company requires he/she shall submit full & correct information without any objection.
15. Any violation of the above rules shall constitute unfair business/unethical practices & the defaulter shall be liable to such
penalty or punishment as defined & decides by the company.
16. In case of any dispute between Promoter & the company the decision taken by company shall be treated as final & binding on
the entire Promoter.
17. In case of Partnership distributorship/Distributorship in name of a firm, the private limited company distributors have to submit
all relevant Partnership deeds & the relevant Partnership deeds & Relevant MOU.
18. The company reserves all rights to terminate a distributor.
19. Once a distributor is terminated, he/she cannot enter any of the RMP premises/meeting locations & his/her incentives/income
will be stopped immediately.
20. The company will not be answerable for any promise, assurance given by any distributor to any person, unless it is in
accordance with the approved business plans & terms of the company. Hence the applicant shall go through the website-
www.simplylife.in& the brochures & notices issued by the company, Trough these company sources his/her will fully inform
himself/herself on all these matters.
21. No Promoter shall become members of any other company. If the desires to join any other company he can do so after resigning
from the company. Any person who is associated with any other MLM company & become Promoter of the company after his
resignation from such company.
22. The company reserves the right to reject any distributorship/application at its own discretion.
23. The company reserves the right to modify the terms & conditions, products, schemes, business & policies, giving prior notice
trough its website-www.simplylife.in& it will be binding on all distributors of the company.
24. If any dispute or differences arises between the parties hereto touching the business interpretation of any terms & conditions or
as to incentives, income etc,relating to the business of the company. The same shall be referred to arbitration & the arbitration
shall be governed by the Arbitration & Conciliation Act 1996.

3. 25. Upon death of Promoter the ID shall stand transferred to the nominee mentioned in the Promoter Form who will be entitled to
receive all benefits. This will be done on death certificate & other necessary papers being submitted to the company along with
an application by the nominee.