Registration Details Your Spell Name Who Invited you to this Spell?* How did you first hear about CBSN?* Friend & Family Member Business Associate Social Media Newspaper & magazine Online Search Email ABOUT YOU Please fill exactly as in the Expression of Interest Form First Name* Last Name* Date Of Birth* What is your Company?* What is your Professional Classification?* Business Category* Business Website Email* Street Address* City* State / Province / Region* India Pin Code* Mobile Number* Secondary phone GST Number EXPERIENCE & CREDENTIALS Has your professional license ever been revoked or suspended? *(required)* NO, my professional license has never been revoked or suspended YES Is your primary occupation the professional industry/classification you entered above? *(required)* YES, it is my full-time occupation NO STANDARDS & EXPECTATIONS Are you willing to find and send a qualified substitute if you are unable to attend a meeting?* YES, I am willing/able to make this commitment NO Are you willing/able to bring referrals and/or visitors to this spell?* YES, I am willing/able to make this commitment NO Please rate your ability to provide quality Referrals and Visitors to the spell* 0 (Minimal) 1 2 3 4 5 6 7 8 9 10 (Excellent) Have you or your company ever been a member of a CBSN Spell? *(required)* YES, I have/My company has been a CBSN Member before NO Do you belong to any other networking organizations?* YES, I belong to other networking organizations NO Contact Information* I have/will inform the above contacts that I am sharing their information with CBSN for the purpose of references Terms and Condition I Agree to the Terms and Conditions & Privacy Policy* I Agree to the Terms and Conditions & Privacy Policy Terms and Certifications By submitting this Application, you agree to receive communication from or relating to CBSN, and further agree that CBSN may share your information and any other information and material you provide with other CBSN members, affiliates, and vendors. and third parties in order to provide you services as a CBSN member. See OUR Privacy policy for more information. Please visit our website Arbitration: All disputes arising out of/ related, to this Agreement or the member's participation in CBSN shall be resolved by binding arbitration by a panel of three arbitrators, wherein each party shall appoint one arbitrator and the two arbitrators so appointed shall appoint the third arbitrator, in accordance with the laws of India. The Arbitration proceedings shall be conducted in Varanasi and shall be as per the provisions of the Arbitration and Conciliation Act 1996 (as amended). The language of Arbitration shall be English and the cost of arbitration shall be borne by the Party against whom an award is passed. The arbitration award made shall be final and binding on the Parties and the Parties agree to be bound thereby and to act accordingly. The clause encompasses any and all disputes involving CBSN, its franchisee, and their officers, directors, agents, and representatives, as well as members, provided that the dispute pertains to membership or participation in CBSN. The Agreement shall be governed by and construed in accordance with the laws of the Republic of India. In any case, for supervisory, injunctive relief, or relief of specific performance, this Agreement and any dispute arising out of this Agreement shall be subject to the jurisdiction of courts in the city of Varanasi, Republic of India. Acknowledgment: I fully understand that membership of CBSN is purely voluntary and does not imply nor is it a partnership between the member and CBSN of any nature and therefore CBSN is not committed to nor responsible in any manner for any projects that I undertake, or any transaction consummated between myself and other fellow CBSN members regardless of whether such project or transaction has directly or indirectly resulted from a referral received during my membership. I further agree that CBSN in any manner does not guarantee any results from such membership and in no event can CBSN be held responsible if I do not achieve the purpose behind becoming a CBSN member. Limitations on Liability: Notwithstanding any other provision of this Agreement, any liability to you involving CBSN, it's the franchisee, and their officers, directors, employees, agents, and representatives for any cause whatsoever arising out of or related to this Agreement and/ or membership or participation in CBSN, and regardless of the form of the action, will at all times be limited to the amount of the annual membership fee paid by you for membership in CBSN. In no event will there be any liability to you or any third person for any indirect, consequential, exemplary, incidental, special, or punitive damages. No actions hereunder may be commenced unless brought within one (1) year of accrual. Term: All term fees are measured from the application date. Applications dated between the 1st and the 15th of the month shall begin their term on the 1st of that month. Applications dated after the 15th of the month shall begin their term on the 1st of the following month. Terms run for one (1) year from the date the term begins. Certification: I hereby declare and certify that all statements contained in this application and any accompanying documents are true and correct and that any misrepresentation or false statement may be grounds for rejecting my application or, if discovered after my application has been accepted, subject me to immediate termination at franchisee's or CBSN’s discretion without any reimbursement. I further understand that my membership is conditional and I agree, accept, and will abide by all the terms and conditions set forth herein and those contained within the CBSN Member Policies, Guidelines, and Code of Ethics, all of which I have had the opportunity to review on www.CBSN-india.in or have received. I acknowledge that a breach of the terms, conditions, and policies shall be ground to terminate my membership. Personal Data is jointly controlled by CBSN Worldwide Development Ltd, CBSN India Enterprises Pvt. Ltd. & your local CBSN Franchisee & governed by GDPR. Please visit https://www.CBSN.com/privacy-policy I understand and agree that upon my acceptance to CBSN, fees are non-refundable without exception. Mode of Payment* Cheque Cash Online
