Moms Adda - Supplier Registration

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You Create..We Connect..

Registration Form

Please fill this form to help us understand your skill, experience and aspiration so we can connect you with the best opportunities to build your own business.

Personal Information

Full Name:

Age:

Highest Education Level:

Area/City:

Phone Number:

Email Address:

Path Selection

Please select the path that best describes your expertise and interests to fill out the corresponding sections carefully.

Please select the your option to provide more details:

Beginner MOM Experienced MOM Skill/Work Seeker MOM

Beginner MOM

Category:

Product/Service List:

Certifications (if any):

Experienced MOM

Category:

Do you have necessary permits and licenses?

Product/Service List:

Current Sales Channels:

Social Media WhatsApp Store Home

Skill/Work Seeker MOM

Interested Skills:

Previous Work Experience (if any):

Free Time (to work with Moms Adda):

Declaration

I hereby declare that the information provided above is true and accurate to the best of my knowledge and interests.

Date: