Aastha Mart

Become A Registered Associate

I am an Indian citizen and above 18 years of age.

You must confirm this.

Become A Registered Associate

You must confirm this.

I have not paid any entry or subscription fee for registration/enrollment as a direct seller.

You must confirm this.

I have read, understood, and accepted the policies of the Company as stated on its official website.

You must confirm this.

I have been informed about the Asclepius Business Plan, as well as the rules of conduct and the Code of Ethics.

You must confirm this.

I am legally eligible to enter into a contract under the Indian Contract Act, 1872, and I affirm that I have not been convicted of any crime, declared bankrupt, or found to be of unsound mind.

You must confirm this.

I affirm that the information provided above is true, accurate, and complete to the best of my knowledge, and I take full responsibility for any consequences arising from any incorrect or misleading information.

You must confirm this.

Personal Details

Title*

Please select a title.

Name (As Per Aadhaar Card)*

Please enter name.

Title*

Please select a title.

Father's/Husband's Name*

Please enter guardian name.

Gender*

Please select gender.

Date of Birth*

Please enter date of birth.

Profession*

Please select profession.

Marital Status*

Please select marital status.

Mobile Number*

Please enter valid mobile number.

WhatsApp Number

Please enter valid WhatsApp number.

Email*

Please enter valid email.

Nominee Name*

Please enter nominee name.

Relation with Primary Applicant*

Please select relation.

DOB*

Please enter nominee DOB.

Address

ADDRESS LINE 1 :*

Please enter address line 1.

ADDRESS LINE 2

Please enter address line 2.

CITY/TOWN/ VILLAGE *

Please enter city/town/village.

LANDMARK *

Please enter landmark.

PIN CODE *

Please enter pin code.

STATE *

Please enter state.

DISTRICT *

Please enter district.

POST OFFICE *

Please enter post office.

KYC

Proof Type*

Please select proof type.

Document No *

Please enter document number.

Bank KYC

Pan No.*

Please enter Pan No.

Name*

Please enter name

Skip PAN

TDS will be deducted @ 20% for for those who will not verify or mention PAN online, as per Govt Norms.

IFSC Code*

Please enter ifsc code

A/C No.*

Please enter A/C no

Confirm A/C No.*

Account numbers do not match

Account Holder Name (As On Pan Card)*

Please enter Account Holder Name

Bank Name*

Please enter Bank Name

Branch Name*

Please enter Branch Name

Pan Verification is Mandatory for Bank Verification Online

Please ensure that you fill in the correct bank details that match your KYC records. Asclepius Wellness disclaims any liability for incorrect banking information provided by you. Asclepius Wellness does not conduct any physical or personal verification of the accuracy of your banking details. In the event of any discrepancy, incorrect, erroneous, inaccurate, invalid, untrue, or false information provided by you, Asclepius Wellness reserves the right to suspend or terminate your distributorship immediately.

Skip Bank Details

Sponsor No*

Please Provide a Sponsor Id.

Sponsor Name*

Please Provide a Sponsor Name.

Position: SAO SGO

Sign Up

Become A Registered Associate

Personal Details

Address

KYC

Bank KYC