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Distributor Application Form |Chinese |

To be a Leading Quality International Direct Selling Organisation,maintaining our obligations to our customers, our distributors, shareholders, employees,trading partners and communities.

For those who want to join as a member or not yet become a member, please fill in the form to join as a Elken member to enjoy member benefits.

Name of Applicant
NRIC NO
Race
Date of Birth
Sex	Female Male
Nationality
Postal Address
Post Code
Town
State
Office Telephone
House Tel
Hand Phone
Occupation

Spouses Particular, If Married

Name
NRIC NO
Date of Birth

Name of Sponsor
Distributor Code
Status

Beneficiary
NRIC No
Relationship

Bank
Branch

To: Chan Choo See.

I / We wish to apply and become the distributor of Elken Sdn Bhd. I / We have read, understood and hereby agree to comply with the company's rules and regulations and other conditions (stated overleaf)

SV month Joining
Date

New Membership Policy

ELKEN SDN BHD