Distributor ID :

PLEASE FILL THE FOLLOWING IN CAPITAL LETTERS FIRST NAME SURNAME DATE OF BIRTH

Distributor’s Name Mr./Ms. / /

N O M I N A T I O N F O R M

Nominee Name

April. 2018

Dated ______________________

Distributor’s Signature

Vestige Marketing Private Limited

A-89 Okhla Industrial Area Phase-II, New Delhi-110 020Customer Care: 18001023424

myvestige.com

CIN No: U51909DL2004PTC126738

TM

+91 11 4310 1234

Relation with Distributor

Address

City / Town / P.O. District

Place ______________________

State Pin

I have read and agreed to the mentioned clauses overleaf.

Please see overleaf to read the clauses.

C L A U S E S

TM

Distributors are advised to ll this nomination form if they have not nominated anyone so far, in the records of Vestige.

If the distributor wishes to change the nominee already notied to Vestige, then this form should be lled. In all cases, last form shall supersede the earlier ones.

If a distributor has not nominated anyone, then upon his/her demise, his/her spouse automatically becomes the distributor's nominee.