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MyVideoTalk Technologies Pvt. Ltd.

Bringing the World Closer Together

REPRESENTATIVE APPLICATION FORM


Sponsor Information
Sponsor Name .... ID # ...
New Representation Information
First Name

: .

Last Name

: .

Fathers Name

: .

Identity No.

: .

(Driving License / PAN / etc.)

: .

Address

: .

City:

State: .

Country

: INDIA

Pin Code:

(Res.) :

Office : ..

Phone

Mobile Phone

: ...

Email

: .

I hereby agree to the terms & conditions as mentioned and updated in the company website and wish to join in it.
Website: www.myvideotalk.com

Sponsor Signature

Applicant Signature

MVT
ID No.
Sponsor
Signature

USA OFFICE
Team Effort International, LLC.
3000 Danville Blvd., Suita 186.
Alamo, CA 945907. (U.S.A)

Applicant Signature

FAVOUR OF:
MyVideoTalk Technologies Pvt. Ltd.
ICICI Bank A/c No. 031105000908

INDIA OFFICE:
MyVideoTalk Technologies Pvt. Ltd.
E-302, Greater Kailash-II,
New Delhi 110048(INDIA)

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