Department of Consumer Affairs
Ministry of Consumer Affairs, Food & Public Distribution
Government of India
Youth Energy Health Marketing Private Limited PROFORMA
(i) Name of the Company (As Registered) Youth Energy Health Marketing Private Limited
(ii) CIN No: U36999UP2017PTC096956
(iii) Name and address of Directors on Board(Enclose details) 5
Director Name 1 Arun Kumar Sharma
Director Address 1 Mitthepur,Bijnor,Uttar Prdesh-246746
Director Name 2 Bhupender Kumar
Director Address 2 Nagla Bhajja Ahatmali,Milak Puranpur,Bijnor,Uttar Pradesh-246761
Director Name 3 Rishipal Singh
Director Address 3 Rasheedpur,Budhanpur,Bijnor,Uttar Pradesh-246746
Director Name 4 Dinesh Kumar
Director Address 4 Ibrahimpur Narayan,Dhampur,Uttar Pradesh-246761
Director Name 5 Sazid Husain
Director Address 5 Village Budhanpur Thana Seohara,Budhanpur,Bijnor,Uttar Pradesh-246746
(a) Address of Registered Office (Enclose copy of Registration Certificate): Noorpur Road Jaitra,Dhampur,Bijnor,Uttar Pradesh-246761
(b) Email :
(c) Telephone Nos: 9193451265
(d) Company Website:
(e) Details of other registrations (with jurisdiction), if any
( Attach copy of Registration Certificate)
(f) Type of Entity (Private, Public, Trust, Ltd. Etc.) Private
(a) Address Noorpur Road Jaitra,Dhampur,Bijnor,Uttar Pradesh-246761
(b) Email :
(c) Details of Key Management Personnel as per registration under the Companies Act: Arun Kumar Sharma,Director,,7017362307
(d) Details of Regional Offices: NA
(e) Nodal Officer for interacting with D/o Consumer Affairs; (Name, designation, Tel No., e-mail, Fax, mobile No.) Bhupender Kumar,8979535339,,00,8979535339
4. Whether anyone from the Management was convicted by any court in the past within the past 5 years (from the date of application). If so, the details thereof;
5.Whether direct selling is of Products or services or both?
6. Details of License(s), Trade Mark or Principal Brand which indentifies the company:
TM Application No.4054553 Class 35 date 12.01.2019
i.Address / Telephone Nos. / e-mails etc. of Customer Care & Grievance Redress Cells(HQ & Branches); Noorpur Road Jaitra,Dhampur,Bijnor,Uttar Pradesh-246761,,9193451265
ii.Details of Consumer Grievance Redress Committee as per guidelines:
  • a. Member Name, Phone No,Email
Rishipal Singh,9758995917,
  • b. Member Name, Phone No,Email
Sazid Husain,8279928692,
  • c. Member Name, Phone No,Email
Dinesh Kumar,9456676223,
(Direct Selling Business Details)
8. Details of Products / Services offered(Give link of websites)
9. Please confirm the following about your direct selling scheme:-
(a) It has no provision that a Direct Seller will receive remuneration or incentives for the recruitment / enrolment of new participants and provide that direct sellers will receive remuneration derived only from the sale of goods or services.   Yes
(b) It does not require a participant to purchase goods or services:
i. for an amount that exceeds an amount for which such goods or services can be expected to be sold or resold to consumers;   Yes
ii. for a quantity of goods or services that exceeds an amount that can be expected to be consumed by, or sold or resold to consumers;   Yes
(c) It does not require a participant to pay any entry/registration fee, cost of sales demonstration equipment and materials or other fees relating to participation;   Yes
(d) It provides a participant with a written contract describing the “material terms” of participation;   Yes
(e)It allows or provides for a participant a reasonable cooling-off period to participate or cancel participation in the scheme and receive a refund of any consideration given to participate in the operations;   Yes
(f) It allows or provides for a buy-back or repurchase policy for “currently marketable” goods or services sold to the participant at the request of the participant at reasonable terms;   Yes
Note :
  1. Give details in regard to the above in an enclosure.
  2. In case any of the answers in this para is ‘No’, please provide full details with reasons in an enclosure.
(a) Whether proper identity document(s) to all the Direct Sellers are issued.   Yes
(b) Whether you maintain “Register of Direct Sellers” wherein relevant details of each enrolled Direct Seller is updated and maintained with details including verifiable proof of address, proof of identity and PAN as per the Income Tax Act.   Yes
(c) What is the mechanism for payment of VAT? Give details.   Instructions issued by the Govt. of India for payment GST will be adhered by DSE
(a) The website is proper and updated regularly with all relevant details, contact information, details pertaining to management, products, product information and complaint redress mechanism for direct sellers and consumers.   Yes
(b) There are arrangements for registering consumer complaints online or otherwise and grievances are resolved within 45 days of date of making such complaints. Details to be provided.   Yes
12.Notes/Remarks, if any.
I / We, Bhupender Kumar in the capacity of Director of the Youth Energy Health Marketing Private Limited company / firm declare that we are compliant with the following:
(a) We do not promote a Pyramid Scheme, as defined in Clause 1(11) or enroll any person to such scheme or participate in such arrangement in any manner whatsoever in the garb of doing Direct Selling business.
(b) We do not participate in Money Circulation Scheme, as defined in Clause 1(12) in the garb of Direct Selling of Business Opportunities.
(c) We are compliant with all the remaining aspects mentioned in the guidelines issued vide F. No. 21/18/2014-IT (Vol-II) dated 9th September, 2016 by the Department of Consumers, Ministry of Consumer Affairs, Food and Public Distribution and shall also provide such details as may be notified from time to time.
Place :Bijnor(Uttar Pradesh)
Date :2019-12-02 11:35:19
Name :Bhupender Kumar
Designation :Director
Tel No :8979535339
Available Documents
Certificate of Registration etc :View
Sample of Contract : View
List of Board of Directors : View
Brief Details of Direct Selling Business Scheme : View