DECLARATION

1.  I will apply my best efforts to promote the sale of this company products in a manner favorable to me and the company.

2.  I will not be employee, agent or legal representative of this company. I will be an independent contractor and will be responsible for my own business

3.  I will become an authorized distributor only upon acceptance of this application by the company.

4.  I will not make any claims, representation or statements about the products except as authorized in official literature.

I will indemnify the company against any legal liability arising out of unauthorized claims and representation or statements made by me

5.  I agree to comply with the code of ethics and rule of conduct as set forth in the company official literature, not only in letter, but as well as in “spirit”

6.  I understood and agreed that the company may terminate my distributorship immediately if I discredit the company’s name, violate any requirements of the marketing plan, misrepresent its products by making claims contrary to its product literature and labels, or for other cause.

7.  I certify that neither I nor my spouse (if married) have applied before and if this is not my first application to become distributor, I am now applying under the same previous upline, otherwise my distributorship has been expired for at least six months

8.  No refund of the registration fee/ Newsletter subscription fee shall be made to me in the event of my distributorship being terminated for my failure in compliance with any of the above conditions or due to my own resignation.

9.  My distributorship will expire on the last day of the 36th month from the application date.

10.  Any distributor may return the product(s) (in salesable condition with expiry date not shorter than six months) to the company within 180 days from the date of purchase. A refund no less than 90% of the amount paid will be made to him/her. Product(s) returned by a distributor can only be accepted at the issuing distribution centre or at the Head Office of TJC (MALAYSIA) SDN. BHD. The Yellow Copy of the Delivery Order/Tax Invoice must be returned together with the product(s) to the company.

Note : Order form(s) must be fully completed and faxed or mailed to the company

TJC (MALAYSIA) SDN.BHD. (178341-V) AJL 93289
Lot 609 & 610, Block A, Kelana Business Centre,
No.97, Jalan SS7/2, Kelana Jaya
47301 Petaling Jaya, Selangor
Tel: 03-7492 2228 Fax: 03-7492 2229
E-mail: http://www.tjc.com.my
DISTRIBUTOR APPLICATION FORM / FOR OFFICE USE ONLY
CODE NO.
JOIN DATE
EXPIRY DATE
REG-VOUCHER
VERIFIED BY ______
ENTERED BY ______

APPLICANT’S PARTICULARS

PREFIX
DR.
MR.
MISS
MRS.
MDM.
OTHERS ______
MARITAL STATUS
S-SINGLE
M-MARRIED
D-DIVORCED
W-WIDOW/ WIDOWER
NATIONALITY
HOUSE TEL
/ NAME
I.C. NO DATE OF BIRTH
SEX RACE
M-MALE / C-CHINESE / I- INDIAN
F-FEMALE / M-MALAY / O-OTHERS
ADDRESS
HOUSE NO./ STREET
POST CODE/ CITY/ STATE
HP/ OFFICE TEL

BENEFICIARY PARTICULARS SPOUSE PARTICULARS

RELATIONSHIP
NAME
I.C. NO.
DATE OF BIRTH
/ RELATIONSHIP
HUSBAND / WIFE
NAME
I.C. NO.
DATE OF BIRTH

SPONSORSHIP PARTICULARS

CODE PREFIX NAME
EXPIRY DATE
M-MALE / F-FEMALE
ADDRESS HOUSE TEL
HP/ OFFICE TEL

I/ We hereby certify that the above details as true and agree to abide by the declaration stated. I/We fully understand and accept that if I/We have been accepted as distributor, my/our false statements on this application form shall be sufficient cause for termination.

______

SIGNATURE OF APPLICANT DATE