REGISTRATION FORM
Name of HL family member*    
Nationality of member*    
Member's Passport no. & validity*    
Member's photograph( 35mm x 50 mm )*    
Abroad Residential address of Member during Registration with us*    
Business/Office address of Member during registration with us    
Member's permanent residential address within Kolkata city*  
Contact Tel. Nos. abroad*
( at least 2 nos. to be given,one fixed line which is available to member during night time and another cell no.)
   
Member's emergency contact tel. no.(if any)    
Member's contact email id( 2nos. )*    
Member's WhatsApp no.    
Member's family details
Spouse
Name*    
Passport details*    
Contact Tel No.*    
Children1
Name    
Passport details    
Contact Tel. No.    
Add More..
Member's Parents/Close relative's details
Name*    
Contact Nos.(Residential)*    
Contact Nos.(Mobile)*    
Email id *    
Residential Address within Kolkata *    
Add More..
 
I AGREE WITH FOLLOWING STATEMENTS : ----
 1. I HAVE PROVIDED ALL TRUE INFORMATION ABOVE . IN CASE, FALSE INFORMATION IS PROVIDED ABOVE EVEN INADVERTENTLY , HEARTS LINKED MANAGEMENT MEMBERS CAN TAKE SUIATABLE LEGAL ACTION ACCORDINGLY .
 2. I ALLOW HEARTS LINKED COMPANY PROFESSIONALS TO USE ABOVE INFORMATION AS AND WHEN THEY NEED TO CONTINUE BUSINESS RELATION WITH MYSELF AND FAMILY MEMBERS AS PER ABOVE .
 3. I SHALL NOT HOLD HEARTS LINKED COMPANY PROFESSIONALS RESPONSIBLE AND CLAIM ANY FINANCIAL BENEFIT , IF ANY ACCIDENT TAKES PLACE DURING TRANSPORTATION OF MYSELF / MY FAMILY MEMBERS / PARENTS / CLOSE RELATIVES RELATED TO THEIR BUSINESS ACTIVITY ACCOMPLISHMENT .
 4. I SHALL ALWAYS BE TRUTHFUL TO HEARTS LINKED COMPANY PROFESSIONALS IN ORDER TO CONTINUE BUSINESS RELATIONS .
 5. I SHALL NOT HOLD HEARTS LINKED COMPANY PROFESSIONALS RESPONSIBLE IF ANY CONTRACT SIGNED BETWEEN MYSELF AND ANY THIRD PARTY IS NOT RESPECTED UP TO ITS MARK.
 6. I SHALL ALWAYS PAY THE AGREED SERVICE FEE FROM HEARTS LINKED COMPANY WITHIN 15 CALENDAR DAYS ( MAXIMUM ) FROM THE DATE OF SIGNING THE AGREEMENT BETWEEN US .