SO.LEK Cosmetics Distributor Programme

SO.LEK Cosmetics Agent Stockist Programme

Please fill out your information below.
Name (As per NRIC/Passport)*
Nickname *
Phone Number*
Birth Date*

MonthDayYear
Email Address (same email used for website's account)*
example@example.com
Address/Location *

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Copy of Identification Card*

Browse Files

Cancelof

Online Selling Platforms
Instagram Page *Leave blank if not applicable
Facebook Page *Leave blank if not applicable
Others *Leave blank if not applicable

Additional Information
Any prior experience in Cosmetics industry? If yes please state.*
You are Interested in joining to :*

Generate side incomeGenerate main incomeGetting business experiences
Your Monthly Budget :*

Less than RM250Less than 500Less than RM1000More than RM1000

Emergency Contact Information
Name*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*

Area CodePhone Number
Relationship*
Copy of Emergency contact's Identification Card*

Browse Files

Cancelof
Acknowledgement*

I have read and agree to the Terms and Conditions
Should be Empty: