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BRILLIANT POINT APPLICATION

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SPONSOR INFORMATION

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INTRODUCER INFORMATION

ACCOUNT INFORMATION

PERSONAL INFORMATION

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ADDRESS INFORMATION

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SHIPPING ADDRESS

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BANK INFORMATION

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Agreement

I hereby declare that the above particulars are true and complete, and I agree to abide by Brilliant Point Distributors Code of Ethic stipulated in its Business Handbook. I will also carry out my business with observance with the details stated in the Direct Sales Act 1993.

I have read and fully understand the Personal Data Protection Notice (PDP Notice) as attached pursuant to Personal Data Protection Act 2010 and consent to the processing of my personal data in accordance with the PDP Notice.