Consent Statement for Personal Information Collection By filling out this distributor registration form, you agree to let us collect, process, and store your personal information for evaluating your application and managing our distributor network, as required by law. We'll keep your information safe and won't share it with others without your permission, unless legally required or for legitimate business reasons. You confirm that the information you've provided is accurate. For questions or to exercise your data rights, contact us at [email protected]. Submitting this form means you accept our data privacy policy. I have read and agree to the terms of the Consent Statement for Personal Information Collection. Full Name* Complete Address* Phone Number* Email* Facebook URL* Type of Distributor* —Please choose an option—Gold DistributorSilver DistributorBronze Distributor Target Location* —Please choose an option—LocalAbroad Target Region* —Please choose an option—Region IRegion IIRegion IIIRegion IV-ARegion IV-BCARNCRRegion VRegion VIRegion VIIRegion VIIIRegion IXRegion XRegion XIRegion XIIRegion XIIIBARMM Target Province* —Please choose an option—Ilocos NorteIlocos SurLa UnionPangasinan Target Province* —Please choose an option—BatanesCagayanIsabelaNueva VizcayaQuirino Target Province* —Please choose an option—AuroraBataanBulacanNueva EcijaPampangaTarlacZambales Target Province* —Please choose an option—BatangasCaviteLagunaQuezonRizal Target Province* —Please choose an option—MarinduqueOccidental MindoroOriental MindoroPalawanRomblon Target Province* —Please choose an option—AlbayCamarines NorteCamarines SurCatanduanesMasbateSorsogon Target Province* —Please choose an option—AklanAntiqueCapizGuimarasIloiloNegros Occidental Target Province* —Please choose an option—BoholCebuNegros OrientalSiquijor Target Province* —Please choose an option—BiliranEastern SamarLeyteNorthern SamarSamarSouthern Leyte Target Province* —Please choose an option—Zamboanga del NorteZamboanga del SurZamboanga Sibugay Target Province* —Please choose an option—BukidnonCamiguinLanao del NorteMisamis OccidentalMisamis Oriental Target Province* —Please choose an option—Davao de Oro (Compostela Valley)Davao del NorteDavao del SurDavao OccidentalDavao Oriental Target Province* —Please choose an option—CotabatoSaranganiSouth CotabatoSultan Kudarat Target Province* —Please choose an option—Agusan del NorteAgusan del SurDinagat IslandsSurigao del NorteSurigao del Sur Target Province* —Please choose an option—AbraApayaoBenguetIfugaoKalingaMountain Province Target Province* —Please choose an option—BasilanLanao del SurMaguindanaoSuluTawi‑Tawi Target Selling Area* Proof of Identification* List of Valid IDs (at least one): Philippine and Foreign government-issued Passport with signature Driver’s License Social Security System (SSS) photo card type ID Unified Multipurpose ID (UMID) Professional Regulation Commission (PRC) photo card type ID –front and back copy of the ID Philippine Postal (PhilPost) ID Photo IDs issued by a government owned or controlled corporation, department, agency or instrumentality of the national government including Armed Forces, Philippine National Police, Department of Foreign Affairs, Executive, Legislative, Judiciary, Senate, Philippine Overseasand Employment Agency, Home Development Mutual Fund, Civil Service Commission, Philippine Veterans Affairs Office For any laminated government–issued ID such as Tax Identification Number (TIN) ID, PhilhealthID, Voter’s ID and Senior Citizen photo card type ID along with any other photo card type ID such as company ID ID issued by the US Embassy and Asian Development Bank to its employees For students of minor age, School ID (with student's photo and signature of Principal or Head of School; front and back copy) along with any of the following: Philippine Statistics Authority (PSA) Birth Certificate, library ID or membership ID duly issued by any association or organization within the college or university and signed by the pertinent authority issuing the ID Overseas Workers Welfare Administration (OWWA) ID Name of Referrer* Δ
