Application for Initial Credit Line for Avon Grow and BaR Reps

Application for Initial Credit Line for Avon Grow and BaR Reps
Date of Application

MonthDayYear
Date
Branch*
Branch*
ARC
example@example.com
Sharepoint
example@example.com
Branch Transfer

You may transfer your account to a Branch near you if you want to personally make a purchase. Account will be active in your Branch of preference the following month.
Will you be transferring your account to a different Branch?*

YesNo
New Branch*
Account Information
Account Name*

Given Name/sMiddle NameLast NameSuffix (SKIP if not applicable)
Account Number (input 13-digit account number)*
I am still waiting for my account number.
Personal Information
Civil Status*

SingleMarriedAnnulled or DivorcedWidowedSeparatedOther
Name of Spouse*

Given Name/sMiddle NameLast NameSuffix (SKIP if not applicable)
Mobile Number of Spouse*
Please provide an active mobile number.
Landline Number of Spouse (optional)

Area CodePhone Number
Contact Information
Mobile Number*
Please provide an active mobile number.
Email*
example@example.com
Alternate Mobile Number (optional)
Please provide an active mobile number.
Landline Number (optional)

Area CodePhone Number
Present Address
Region*
Street Address*

House/Unit/Lot No., Street Name, Building Name (if applicable)

Subdivision or Village (if applicable)

Town / Municipality / CityProvince

Zip Code
Province, City/Municipality/Town and Zip Code, Barangay*
Province, City/Municipality/Town and Zip Code, Barangay*
Province, City/Municipality/Town and Zip Code, Barangay*
Province, City/Municipality/Town and Zip Code, Barangay*
Province, City/Municipality/Town and Zip Code, Barangay*
Province, City/Municipality/Town and Zip Code, Barangay*
Province, City/Municipality/Town and Zip Code, Barangay*
Province, City/Municipality/Town and Zip Code, Barangay*
Province, City/Municipality/Town and Zip Code, Barangay*
Province, City/Municipality/Town and Zip Code, Barangay*
Province, City/Municipality/Town and Zip Code, Barangay*
Province, City/Municipality/Town and Zip Code, Barangay*
Barangay / Zip Code*
Barangay / Zip Code*
Barangay / Zip Code*
Barangay / Zip Code*
Barangay / Zip Code*
District, Barangay and Zip Code*
Barangay / Zip Code*
Barangay / Zip Code*
Barangay / Zip Code*
Barangay / Zip Code*
Barangay / Zip Code*
Barangay / Zip Code*
Barangay / Zip Code*
Barangay / Zip Code*
Barangay / Zip Code*
Barangay / Zip Code*
Barangay / Zip Code*
Province, City/Municipality/Town and Zip Code, Barangay*
Province, City/Municipality/Town and Zip Code, Barangay*
Province, City/Municipality/Town and Zip Code, Barangay*
Province, City/Municipality/Town and Zip Code, Barangay*
Do you have a provincial address?*

YesNo
Provincial Address*

House/Unit/Lot No., Street Name, Building Name (if applicable), Subdivision or Village

District (if applicable) and Barangay

Town / Municipality / CityProvince

Zip Code
Supplemental Contact Information
Name of Relative other than Spouse*

Given Name/sMiddle NameLast NameSuffix (SKIP if not applicable)
Name of Relative*

Given Name/sMiddle NameLast NameSuffix (SKIP if not applicable)
Address*

House/Unit/Lot No., Street Name, Building Name (if applicable), Subdivision or Village

District (if applicable) and Barangay

Town / Municipality / CityProvince

Zip Code
Relationship*

ParentAunt/UncleSon/DaughterGrandparentNiece/NephewCousinBrother/SisterFriend/ColleagueOther
Mobile Number*
Please provide an active mobile number.
Landline Number (optional)

Area CodePhone Number
Email Address (optional)
example@example.com
Sales Leader Information
I have no Sales Leader
Full Name of Sales Leader*

Given Name/sMiddle NameLast NameSuffix (SKIP if not applicable)
SL Account Number*
SL Mobile Number*
Please enter an active mobile number.
SL Email Address
example@example.com
eBDM Email Address
example@example.com
Relationship to Sales Leader*

RelativeFriendColleagueNoneOther
Proof of Identity

Refer to this link for the List of Acceptable Proof of Identity https://bit.ly/3q28zMe
Upload your Proof of Identification - clear copy, front and back, with photo and signature*

Upload up to 2 files. File size of up to 5MB. Allowed file types: pdf, doc, docx, xls, xlsx, csv, txt, rtf, html, zip, mp3, wma, mpg, flv, avi, jpg, jpeg, png, gif.
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Take a selfie holding your Proof of Identity showing the side where the photo is.*
Proof of Residence

Refer to this link for the List of Acceptable Proof of Residence. https://bit.ly/3q28zMe
Is your Proof of Residence under your name?*

YesNo
What is the name of the owner of your Proof of Residence?*

Given Name/sMiddle NameLast NameSuffix (SKIP if not applicable)
Upload Certification of the person whose name appears on the Proof of Residence. Certification should contain that the Representative is residing in the address appearing in the Proof of Residence and that he/she is allowing the same to use the bill as Proof of Residence.*

Upload up to 2 files. File size of up to 5MB. Allowed file types: pdf, doc, docx, xls, xlsx, csv, txt, rtf, html, zip, mp3, wma, mpg, flv, avi, jpg, jpeg, png, gif.
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Upload Proof of Identification of the House Owner or Landlord.*

Upload up to 2 files. File size of up to 5MB. Allowed file types: pdf, doc, docx, xls, xlsx, csv, txt, rtf, html, zip, mp3, wma, mpg, flv, avi, jpg, jpeg, png, gif.
Cancelof
Upload a clear copy of your Proof of Residence*

Upload up to 2 files. File size of up to 5MB. Allowed file types: pdf, doc, docx, xls, xlsx, csv, txt, rtf, html, zip, mp3, wma, mpg, flv, avi, jpg, jpeg, png, gif.
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Credit Interview

Please expect a video call through FACEBOOK MESSENGER from Avon Relationship Center within 1 hour upon submission of this form within operating hours (Mon-Sat, 8am-6pm). For submissions beyond operating hours, please expect the call on the following business day.
Credit Interview

Facebook Messenger or Viber: Please expect a video call from Avon Relationship Center within 1 hour upon submission of this form within operating hours (Mon-Sat, 8am-6pm). For submissions beyond operating hours, please expect the call on the following business day.

Personal Appearance in the Branch (applicable for Avon Grow only): You may select your preferred date to visit the Branch. Please click here for the Branch operating hours.
Will you visit the Branch for Credit Interview?*

YesNo
Preferred Date of Visit*

MonthDayYear
Date
ARC Email
example@example.com
Branch Email
example@example.com
Facebook Messenger Name*
Independent Representative Agreement
Data Privacy Undertaking
By voluntarily submitting your information in this form, you warrant that all the information you have given in this Form are true, complete and updated. You also consent that your personal information may be collected, stored, used, processed and shared by Avon Cosmetics, Inc. with its affiliates globally and third parties for legitimate business purposes, to fulfil your orders, provide appropriate commissions, discounts and incentives and manage your Representative account; to communicate with you and manage our relationship with you; to personalize and improve your Representative experience; to inform you about our products and offers that you may like; and to improve our services, fulfil our administrative purposes and protect our business interests. You also agree to the ACI’s Privacy Policy available at https://www.avon.ph/avon-ph/privacy-policy.html.
I agree to the foregoing and to Avon’s Privacy Policy
Signature*
Please verify that you are a human.*
Should be Empty:

Application for Initial Credit Line for Avon Grow and BaR Reps

Branch Transfer

Account Information

Personal Information

Contact Information

Present Address

Supplemental Contact Information

Sales Leader Information

Credit Interview

Credit Interview

Independent Representative Agreement

Data Privacy Undertaking