Experts Registration for HOORECON Platforms
Welcome to the LuvLagoon, a 24x7 Omni-Channel Emotional Support System for Individuals in Stress !!
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1a. Name (as in PAN Card / Aadhaar) *
1b.Nick Name *
1c. Gender *
1d. DOB (as in PAN Card / Aadhaar) *
MM
/
DD
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YYYY
1e. Current Country of Living *
E.g. India
1f. Current City of Living *
E.g. Chennai
1g. Aadhar Number *
1h. Address *
1i. Father's Name *
1j. Expert Membership Plan *
1k. Transaction ID/Order ID *
1l. Transaction Date *
MM
/
DD
/
YYYY
1m. Transaction Amount *
1n. Coupon ID (if given)
2. Social Presence - Facebook ID (mandatory, to assure your credibility to Endusers) *
3. Mobile Number *
4b. About Me - Expert Profile (to showcase to public) *
(For example) With the decade of experience from IT industry, he is a passionate trainer, counselor, entrepreneur, author and a visionary to bring down the global suicide count to zero by 2025, by leveraging various technologies and resources of our generation.
4c. Qualifications and Accolades of the Expert *
(For example)  B.E (CSE), PGDBA (Marketing), NLP Master Practitioner, Certified Experiential Trainer, Certified Coach in Transactional Analysis 101, Global Expert in Software Quality Assurance.
5. Please select all the applicable languages in which you can offer your counseling or consulting services. *
Required
6.  The Life Areas in which you can provide services
7a. Days of the week in which you're available to provide Counseling / Biz Consulting *
7b. TimeZones of the day, in which you're available to provide Counseling / Biz Consulting *
Required
7c. Years of Experience *
N/A
0-2
2-5
5-10
10-20
20+
Counselors / Life Coaches
Spiritual Counselors
Friends Of Support
8a. Bank Account Details - Bank Name *
8b. Bank Account Details - Branch Address *
8c. Bank Account Details - IFSC Code *
8d. Bank Account Details - Account Type *
8e. Bank Account Details - Account Name *
Please type as FREE, if you're preferring to consult on pro bono basis.
8f. Bank Account Details - Account Number *
Please type as FREE, if you're preferring to consult on pro bono basis.
9. INSTRUCTIONS >> :      Below are the CHECK-LIST of Original Docs that have to be scanned and MAILED to "amp@alphamindpower.net" for background validation. On successful validation, you'll receive a SERVICE Agreement that you need to sign and courier back to AMP office within 2-3 days. Once agreement is received with valid signs, you'll be ACTIVATED in our system within  2-5 working days. Please select below all the docs that you have and leave the unavailable ones unchecked: *
Required
Declaration *
Required
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