COSWAY (M) SDN BHD(Company No: 50118-A) Licence No: AJL 93012

2nd Floor, Wisma Cosway, Jalan Raja Chulan, 50200 Kuala Lumpur, Malaysia. Customer Care Hotline: (603)-20704768 Fax: (603)-20704754 Email: customercare@cosway.com.my

BORANG PERMOHONAN KEAHLIAN MEMBERSHIP APPLICATION FORM 1. Saya mengesahkan bahawa butir-butir berikut adalah

benar dan lengkap. 1. 本人在此提供之有關資料是正確及完整的。 1. I hereby declare that the following particulars are true

and complete. 2. Saya sudah baca dan memahami Terma dan Syarat

COSWAY, dan bersetuju untuk mematuhinya. 2. 本人已明白 COSWAY 的所有條規與守則，並將

遵守其條規。 2. I have read and understood COSWAY’s Terms and

Conditions, and agree to be bound by them.

3. Bersama-sama ini disertakan wang sebanyak RM106.00 (termasuk GST) / SGD40 sebagai yuran pendaftaran termasuk fail barangan.

3. 本人茲附上 RM106.00（包括消費稅）/ SGD40 作為註冊費包括產品資料袋。

3. I enclose herewith the sum of RM106.00 (inclusive of GST) / SGD40 being the registration fee inclusive of the product folder.

4. COSWAY berhak menerima atau menolak permohonan ini, khususnya jika saya gagal melengkapkan butiran No. 5.

4. 本人完全了解 COSWAY 絕對有權接受或拒絕這項

申請，尤其是第 5項問題未被填妥。 4. I understand COSWAY reserves the right to accept or

reject this application, especially if details for No. 5 are not declared.

5. Adakah anda seorang ahli Cosway? (Ya / Tidak) Jika YA, sila nyatakan nama pendaftaran dan No. Keahlian / No. KP: ________________________________

5. 您現在是 COSWAY 會員嗎？(是 / 否)

如果是, 請提供註冊姓名, 戶口號碼和身份證號

碼 :________________________________

5. Are you currently a Cosway member: (Yes / No) If YES, please state your registered name and A/C No. / I/C No.: ________________________________

6. Pemohon mesti berumur 18 tahun ke atas. 6. 申請人的年齡須在十八嵗或以上。 6. Applicant must be 18 years of age and above.

ID SPONSOR 推荐人號碼 SPONSOR ID ID PENEMPATAN 設置人號碼 PLACEMENT ID

D D M M Y Y Y Y NAMA K.P. 身份證姓名 I/C NAME TARIKH LAHIR 出身日期 DATE OF BIRTH

WARGANEGARA 國籍 NATIONALITY NO. K.P. 身份證號碼 I/C NO.

TELEFON BIMBIT 流動電話 MOBILE ALAMAT E-MEL 電郵郵址 E-MAIL ADDRESS

TANDATANGAN SIGNATURE TARIKH PERMOHONAN DATE OF APPLICATION

FOR STOCKIST USE ONLY MEMBERSHIP NO. DATE PROCESSED STOCKIST CODE RECEIPT NO.

BUTIR-BUTIR PEMOHON DETAILS OF APPLICANT

AF01JUL16 OFFICE COPY

Membership Terms and Conditions MEMBERSHIP REQUIREMENTS 1. Applicants for COSWAY membership must be individuals of 18 years and above, citizens or permanent residents of Malaysia, and must not be undischarged bankrupts. 2. If an applicant has immediate family member(s) who is an (are) existing COSWAY member(s), that applicant shall be sponsored by an immediate family member. Immediate family members are defined as spouse, parents, brothers, sisters, and children. 3. Body corporate, businesses, trusts and partnerships will no longer be accepted as applicants for membership. 4. Applicants must submit their application forms to any COSWAY sales centre or COSWAY’s Headquarters. Upon payment of annual registration fees and registration of membership details, applicants will be issued a membership ID number. Members must furnish mailing and banking information at members online office, failing which COSWAY shall not be held responsible in any way for any consequences. 5. Subject always to Clause No 6 hereunder, an applicant shall be entitled to only one membership at any one time. 6. If a person holds more than one active membership, including by way of proxy as in Clause 17, the earliest valid registered membership shall prevail and supercede all subsequent memberships. All such subsequent proxy memberships shall be deemed to be null and void, and any registration fee(s) paid for subsequent membership(s) shall be forfeited.

STATUS OF MEMBERS 7. COSWAY members are independent contractors, and shall operate their memberships as independent dealers or distributors of products marketed by COSWAY. 8. COSWAY members shall not be deemed to be or represent themselves to be agents, partners, representative, legal or otherwise, franchisees and/or employees of COSWAY.

MEMBERSHIP RENEWAL 9. COSWAY members shall be solely responsible for renewing their memberships on or before the month of expiry. 10. In the event of any failure, refusal and/or neglect to renew their memberships as aforesaid, the membership shall be deemed to have expired. 11. COSWAY members whose memberships have expired may renew their lapsed membership under the same sponsor only if they do so within the next 6 months after the month of expiry. 12. Memberships which have expired past the 6 months period mentioned in 10) above may re-apply for membership either under the original or new sponsor.

MEMBERS' RESPONSIBILITIES 13. COSWAY members shall retail all products marketed by COSWAY at COSWAY's approved retail prices. 14. COSWAY members are automatically entitled to participate in any of the incentive programs launched by the Company and in addition thereto to the benefit of the bonuses payable under the prevailing COSWAY Bonus Plan. 15. A COSWAY member shall not permit, allow or in any manner directly or /indirectly participate in the sale and/or display of any / all products marketed by COSWAY at unauthorized premises and/or through internet online websites, including retail, counters, market stalls or public area, without prior written approval of COSWAY. 16. Members are not allowed either directly or indirectly create and/or offer schemes of free membership, lucky draws or any other form of inducements, financial arrangements or promises to entice individuals or existing COSWAY members of another network to register as COSWAY members under their network. 17. Line-switching is strictly prohibited. Line switching includes re-registering an existing member under the particulars of another person and/or in another line of sponsorship, and making subsequent purchases and/or sponsor under the new membership. The new membership used in such circumstances as proxy is deemed a phantom membership and shall be regarded as a dual membership which can be terminated by the company. 18. Members are strictly prohibited from enticing existing COSWAY members into joining other direct selling companies. 19. COSWAY members must use official printed or digital materials that COSWAY may from time to time supply, upload, and/or sell to COSWAY members. 20. Members shall not use the COSWAY logo, trade mark, letterhead, stationery and/or any other representations of COSWAY without the prior written approval of COSWAY. 21. COSWAY members, when transacting with COSWAY or COSWAY's Sales Centres shall furnish his/her COSWAY Membership Identity Number. 22. COSWAY strictly prohibits the purchase of products in unreasonable amounts primarily for the purposes of qualifying for earnings, incentives or advancements in the COSWAY Bonus Plan. Members found to be in breach of this clause shall not be entitled to the benefit of the Buy Back Policy in clause No.31. 23. Members shall conduct themselves in an honest and ethical manner and shall not in any way injure, or cause disrepute to COSWAY, COSWAY's name and/or its affiliated brand names 24. COSWAY members shall comply with all present and future national, federal, state, provincial, territorial, or local laws and regulations in the conduct of their businesses, including specifically Direct Sales and Anti-Pyramid Schemes Act 1993 ( Laws of Malaysia - Act 500) MEMBERSHIP TRANSFER 25. COSWAY may effect, upon application in writing, the transfer of the membership of any member concerned to his/her heirs, assignees or successors-in-title, in the event of any of the following : (a) the demise of the member concerned; or (b) where the member concerned has been medically certified to be insane. 26. Members may in any, of the following circumstances, apply to COSWAY for the transfer of his/her membership to his/her nominee subject to COSWAY's approval : (a) where the member concerned has furnished sufficient evidence of migration; or (b) under any other special circumstances and such application being made under this sub-section subject to approval at COSWAY's final and unfettered discretion.

CHANGE OF MEMBER’S COMPOSITION 27. This clause shall only apply to memberships of business or corporate entities that were registered as members prior to 1st June 2016. 28. Any business entity/company registered as a COSWAY member shall notify COSWAY within 14 days of any change in the board of directors, ownership, partnership, or shareholders. COSWAY however, reserves the unfettered right to affirm, suspend, or terminate the membership of such COSWAY members in the event such change in the composition of its directors, partners or shareholders is not made known to or is not approved by COSWAY.

CANCELLATION & RE-APPLICATION 29. A COSWAY member may cancel his or her membership by submitting a written request to COSWAY’s Headquarters. Following the membership cancellation, the COSWAY member concerned may re-apply under a different sponsor only after a cooling off period of six (6) months after the month of submitting the cancellation request, and paying the full prescribed registration fees. The COSWAY member concerned shall have no rights, interests or claims with regard to the earlier cancelled membership.

COOLING-OFF PERIOD & BUY BACK POLICY 30. Membership Agreement is subject to a 10 Working Days cooling off period. Cancellation requests must be submitted in writing within the cooling off period to be entitled to a full refund of membership fees paid and/or products purchased. 31. Provided that members make purchases in reasonable amounts that may be sold or consumed under clause No. 22, goods purchased that are returned within 6 months of purchase, and are of merchantable and re-saleable condition may be refunded at the personal written request of the member at not less than 90% of the purchased price. The company reserves the right to conduct investigations as to the circumstances of the original purchase, including unreasonable quantity, efforts in selling and disposing of the purchased products. The company shall not make any refund if it has reasons to believe that the original purchases were made for intentions other than for resale or consumption, or the by phantom member(s) to undermine the integrity of or abusing the benefits the COSWAY’s marketing plan. Members must personally co-operate in such investigations, and any willful failure by members in investigations shall be a valid reason for the company to withhold refunds under this term.

DISCIPLINARY ACTION 32. Any violation, non-compliance or breach of any of the COSWAY Membership Terms and Conditions may result, at COSWAY's discretion, in one or more of the following disciplinary actions:- a) COSWAY may suspend the membership including receipt of any bonuses or incentives, and/or terminate the membership, b) In the event of the termination of a membership the terminated member's group shall be transferred, or re-adjusted at COSWAY's sole and unfettered discretion. c) COSWAY shall be entitled to make necessary adjustments and/or rectification to any network groups and lines as it deems fit and proper. d) In addition to COSWAY's rights as above, COSWAY further reserves the right to take any other course of action or claims against any member who has violated any of the above terms and conditions. GENERAL 33. COSWAY may at its own unfettered discretion and from time to time amend the abovestated terms and conditions as deemed necessary and any such amendment shall take effect without prior notice to the members. 34. Any particular waiver by COSWAY of any of the Membership Terms and Conditions or breach of the Terms and Conditions shall not operate or be construed as a waiver for other or any subsequent breach. 35. In the event that any clause of the Terms and Conditions is held to be invalid or unenforceable, it shall not render the whole membership agreement invalid and unenforceable, and the remaining portion of the Terms and Conditions shall remain in full force and effect. 36. This English version of these Terms and Conditions will take precedence over any other versions, and will be governed by and construed in accordance with the laws of Malaysia. 37. The Bahasa Malaysia and Mandarin translations of this Terms and Conditions may be viewed and/or downloaded at COSWAY’s official website: www.cosway.com.my.