E-IONS - Signupinfo Cartenroll

EIONS APPLICATION

Select the country you are signining up from

Country *

Nationality *

Select your language *

INTRODUCER INFORMATION

My Introducer Code

Company as My Introducer

Introducer Code *

Introducer Name

Select Type of New Enrollment

Enrollment Type

VIP
MEMBER

* FREE enrollment with minimum purchase of 167 PV

PERSONAL INFORMATION

TIN No. *

MSIC*

Email*

Password must contain at least 6 alphanumeric characters with at least one uppercase alphabet. eg: Abc123

Name as per NRIC *

NRIC *

Date of Birth*

Gender*

Race*

Mobile Phone *

House Phone

Marital Status

Spouse Name

Spouse NRIC

ADDRESS INFORMATION

CORRESPONDEDENCE ADDRESS

Address 1 *

Address 2 *

Postcode *

Country *

State*

City*

SHIPPING ADDRESS

Address 1 *

Address 2 *

Postcode *

Country *

State*

City*

BANK INFORMATION

Bank

Account No

Agreement

  I read and agree to Independent Distributors Agreement & Terms and Conditions
  I read and agree to the Ordering Guidelines
  I read & accept the Personal Data Protection Act