1. Registration Form Personnel Information Name of the Applicant: _________________________________________________________________________ Beneficiary Name :_____________________________________________________________________________ Father’s / Husband Name:_______________________________________________________________________ Date of Birth : _____________________ Occupation : _______________________ Gender : Male ( ) / Female ( ) Phone : ___________________________ Mobile : _______________________ Pan No. : ___________________ Email : ________________________________________ Address Information Address : ___________________________________________________________________________________ ____________________________________________________________________________________________ Post / PS. : _____________________ City : _______________________ District : ________________________ State : _________________________ Pin code : _______________________ Account Information Bank Name : _______________________________________Branch Name : _____________________________ Account No : __________________________ IFSC Code : _____________________ ECS : ECS ( ) / Non ECS ( ) Nominee Information Nominee Name : _____________________________________ Relation : _________________ Age : _________ Sponsor Details Name of Sponsor : _____________________________________________________________________________ Contact No. : _____________________ Sponsor ID : __________________________ Position : Left ( ) / Right ( ) New Member ID : _____________________________ All Payments to be made in favor of __________________ Account No. _____________. Have read and agreed to the terms & Conditions written overleaf to be a purchaser. I also declare that all the above information filled above is true of the best of my knowledge and I am purchasing this product with my own decision. Note:  Any Claims / Refund should be within 30 days from the date of joining / registration.  The Membership / Registration is non transferable.  Any Membership / Registration on a single person name cannot exceed more than three.  All Forms should be submitted dully filled & signed with a passport size photograph affixed.  For any further queries kindly contact Office between 9.00 am to 6.00 pm Monday to Friday. Signature_________________ Office : “DIDC”, G-13, NANO, Haware Fantasia Business Park, Next to Inorbit Mall, Sector 30, Nr. Vashi Station, Vashi, Navi Mumbai.

2. Registration Form Personnel Information Name of the Applicant: _________________________________________________________________________ Beneficiary Name :_____________________________________________________________________________ Father’s / Husband Name:_______________________________________________________________________ Date of Birth : _____________________ Occupation : _______________________ Gender : Male ( ) / Female ( ) Phone : ___________________________ Mobile : _______________________ Pan No. : ___________________ Email : ________________________________________ Address Information Address : ___________________________________________________________________________________ ____________________________________________________________________________________________ Post / PS. : _____________________ City : _______________________ District : ________________________ State : _________________________ Pin code : _______________________ Account Information Bank Name : _______________________________________Branch Name : _____________________________ Account No : __________________________ IFSC Code : _____________________ ECS : ECS ( ) / Non ECS ( ) Nominee Information Nominee Name : _____________________________________ Relation : _________________ Age : _________ Sponsor Details Name of Sponsor : _____________________________________________________________________________ Contact No. : _____________________ Sponsor ID : __________________________ Position : Left ( ) / Right ( ) New Member ID : _____________________________ All Payments to be made in favor of __________________ Account No. _____________. Have read and agreed to the terms & Conditions written overleaf to be a purchaser. I also declare that all the above information filled above is true of the best of my knowledge and I am purchasing this product with my own decision. Note:  Any Claims / Refund should be within 30 days from the date of joining / registration.  The Membership / Registration is non transferable.  Any Membership / Registration on a single person name cannot exceed more than three.  All Forms should be submitted dully filled & signed with a passport size photograph affixed.  For any further queries kindly contact Office between 9.00 am to 6.00 pm Monday to Friday. Signature_________________ Office : “DIDC”, G-13, NANO, Haware Fantasia Business Park, Next to Inorbit Mall, Sector 30, Nr. Vashi Station, Vashi, Navi Mumbai.