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 *

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

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Copy of Identification Card *

Browse Files

Cancel of

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 income Generate main income Getting business experiences
Your Monthly Budget : *

Less than RM250 Less than 500 Less than RM1000 More than RM1000

Emergency Contact Information
Name *
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Phone Number *

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

Browse Files

Cancel of
Acknowledgement *

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

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