Stockist & Agent Registration Form

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Title

Name

IC Number

No. Phone Call

Email

No. Phone Whatsapp

Address

Region

State

Postcode

Instagram

Tiktok

Facebook

SSM Company Reg. No.(OPTIONAL):

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YUELIS BEAUTY CONSULTANT - mini agentYUELIS EXECUTIVE BEAUTY CONSULTANT - agentYUELIS LEADER BEAUTY CONSULTANT - stockist

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