SLENDER WONDER DOCTOR APPLICATION FORM

Dear Dr,

Thank you for your interest in Slender Wonder!

Herewith information about the programme, click here > Slender Wonder Weight Loss Programme.

Should you be interested in becoming an accredited Slender Wonder doctor below are the outlined steps to becoming accredited. Once you have completed all the required steps, you can forward your signed documents to newapplications@slenderwonder.co.za & CC maroelana@slenderwonder.co.za.

Please complete the following steps to proceed:

Step 1
Step 2
Step 3
Step 4
Step 5
Step 6
Step 7
Step 8
Step 9

1. Complete the form below:

Slender Wonder Doctor Personal Details

Training Date:

Date of birth:

Do you have a Dispensing License?
YesNo

Wedding Anniversay:

Where did your hear of us:

InternetSocial MediaAdvertisingColleague / Friend / Word of MouthOther

Disclaimer & Signature

I certify that my answers are true and complete to the best of my knowledge. I understand that it is at the sole discretion of Slender Wonder to accept my application, or revoke my status as a Slender Wonder Doctor.

I Agree

2. Download and complete the Suppliers Agreement or read the document & complete the Suppliers Agreement online.

MULTIPLE PRACTITIONERS:

The Practitioners is identified in Schedule 1 hereto. In the event that the Company concludes this Agreement with more than one person, each such person shall be regarded as a Practitioners and a reference to Practitioners shall be a reference to any of those persons. Furthermore, in the event of multiple Practitioners, all such parties shall be jointly and severally liable as surety and co-principal debtor in solidum with each other, for all their respective obligations under the provisions of this Agreement.

THUS DONE AND SIGNED AT ON THIS DAY OF YEAR

AS WITNESSES:

For and on behalf of Company (who warrants that it is duly authorized to do so).

THUS DONE AND SIGNED AT ON THIS DAY OF 20

AS WITNESSES:

For and on behalf of Practitioner (who warrants that it is duly authorized to do so).

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3. Download and complete the Confidentiality Agreement or read the document & complete the Confidentiality Agreement online.

CONFIDENTIALITY AGREEMENT

Between
SLENDER WONDER MEDICAL WEIGHT LOSS (PTY) LTD
a company duly incorporated under the laws of South Africa having its main place of
business at 1153 Justice Mahomed Street, Brooklyn, Pretoria
(herein referred to as “the Discloser”)
and (herein referred to as “the Recipient”)

Effective Date:

NOTICES:

Any notice or communication required or permitted to given by either party hereunder shall be sufficiently given to the party to whom notice is given at the address as follows:

To the Discloser:
1153 Justice Mahomed Street
Brooklyn
Pretoria
By email: maroelana@slenderwonder.co.za

To the Recipient:

By Fax:
By email:

GOVERNING LAW

The validity and interpretation of this agreement will be governed by the laws of the Republic of South Africa.

AS WITNESSES:

For and on behalf of Discloser (who warrants that it is duly authorized to do so).

THUS DONE AND SIGNED AT ON THIS DAY OF 20

AS WITNESSES:

For and on behalf of Recipient (who warrants that it is duly authorized to do so).

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4. Send us a blank/canceled script with your practice address and contact details on.

Send it to newapplications@slenderwonder.co.za & CC maroelana@slenderwonder.co.za
I have read the above mentioned statement.

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5. Once you have been approved and paid for your training session we will liaise with you to book the training session (during lockdown we will host the one-on-one training session via Skype)

I have read the above mentioned statement.

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6. The training duration is approximately four hours.

I have read the above mentioned statement.

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7. We currently offer training at a reduced rate once-off of R4500.00 which includes; two first month Slender Wonder product packs and a training file.

I have read the above mentioned statement.

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8. Once training is complete and you are ready to start offering Slender Wonder in your practice we will load your details on our website and social media platforms.

I have read the above mentioned statement.

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9. You will also get access to marketing material.

We look forward to welcoming you to the Slender Wonder Family of Doctors!

I hereby consent to the personal information provided by me to be used for delivery of services offered by Slender Wonder.
It is my legal obligation to provide correct information in the contracting with Slender Wonder and where such information has been changed, I am obliged to inform
Slender Wonder accordingly.
I am aware that I can unsubscribe to any newsletters, campaigns, communications from Slender Wonder by notifying them accordingly.
It is my right to request Slender Wonder to delete and cease to use any of my personal information subject to any legal obligation on Slender Wonder’s side to keep same.
There is a legal obligation for Slender Wonder to retain your information for 5-years from date of contracting, whereafter it will be destroyed in a POPIA compliant
manner.
Should I believe that there has been a misuse of my personal information, I am aware that I can lodge a complaint with Slender Wonder and / or the Information Regulator at inforeg@justice.gov.za

I hereby acknowledge that I understand and agree to the above mentioned statements.

Please leave this field empty.

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