eCosway Store Operator Application Form

WRITTENLANGUAGE PROFICIENCYSPOKENNZ Ver 5, Updated: Dec 2012COMPUTER SKILL3. EMPLOYMENT RECORDNAME OF COMPANYDETAILS PRESENT PAST (1) PAST (2)ADDRESSNATURE OF BUSINESSPOSITION HELDMONTHLY INCOME (NZ$)YEARS EMPLOYED4. NO. OF CHILDRENNAME AGE SEX ID NO ( IF APPLICABLE)1. ____________________________________ ________ _________ _______________________2. ____________________________________ ________ _________ _______________________3. ____________________________________ ________ _________ _______________________4. ____________________________________ ________ _________ _______________________5. OTHERS INFORMATION / DETAILSA) MEMBERSHIP IN OTHER DIRECT SELLING COMPANIES AND HIGHEST POSITION HELDCOMPANYHIGHEST POSITIONi. ______________________________________________ ________________________ii. ______________________________________________ ________________________iii. ______________________________________________________________________