Kazakhstan Distributor Registration

Personal Information

Referral’s Distributor number

First Name (English, Kazakh or Russian)

Last Name (English, Kazakh or Russian)

First Name (Chinese, Optional)

Last Name (Chinese, Optional)

Gender

Male

Female

Date Of Birth

Certificate Type

Identity card / Passport number

Choose photo

(Optional) Upload the photo of your Identity card/Passport which must not exceed 10MB, supported formats (jpg,jpeg,png).

Mobile number

Please provide a valid mobile phone (numbers only) to receive your membership number via SMS

Address

Region/State/Province

City

Zip/Postal Code

IIN

Choose photo

(Optional) Upload the photo of your IIN which must not exceed 10MB, supported formats (jpg,jpeg,png).

I am a Personal Entrepreneur ("PE").

Electronic signature

Click here to sign

By clicking this box and submitting this Member Application Form, you hereby acknowledge and agree that you have read and understood this application and that you willingly accept and agree to all terms and conditions set out in this Member Application Form (collectively referred to as “these Terms and Conditions”) and the latest version of (1) “Infinitus Kazakhstan Marketing Plan”, (2) “Code of Practice for Distributors”, (3) “Confidentiality and Privacy Policy” and (4) “Return Policy for Distributors” (these latest versions of (1) to (4) are collectively referred to as “Business Manual”).