I, MOUTSITA JULDRICK CHRIS, residing at INFINITY MILLENIAL ROCK STAR LOMÉ 1 INFINITY

MILLENIAL ROCK STAR LOMÉ 1 TOGO TOGO 0000 Togo, with a valid identification type National IC
and number 793-350-1478 (“the IR/Customer”) do affirms or declare as follows:-
____________________________________________________________________________________________

I UNDERSTAND AND ATTEST TO THE FACTS BELOW.

1. I am of legal age in my country to enter contracts.

2. I have agreed to become an Independent Representative of QNet (or any of its affiliates/subsidiaries)
which means that I am not an employee of the company.
3. I have purchased products and/or services from QNet as part of a direct sales transaction from its e-
commerce website.
4. I understand that QNet is not an investment company.
5. I earn commissions when QNet sells products that I marketed. Commissions are calculated as per the
prevailing QNet compensation plan.
6. I will be responsible for paying taxes on the commissions I earn.
7. I understand QNet has Zero Tolerance for actual or attempted fraud, misrepresentation and
dishonesty. I understand that the company will take disciplinary action against me if I am found guilty
of violating the policies and procedures.
8. I fully understand the direct selling business model used by QNet to sell its products and services.
9. I agree that there will be no refund available after the refund period lapses according to the Terms and
Conditions of my purchase.
10. My rights and duties as an Independent Representative are controlled by the Policies and
Procedures, which I have read, understood, and agreed to additionally.

I affirm that I have reviewed and understood this declaration. I make this statement on my own free will and
am under no duress or undue influence. All the information stated above is true to the best of my knowledge,
information, and belief.
Signed by

………………………..
(Name )

Witnessed by Witnessed by

……………………………… ………………………………
(Name ) (Name )
ID: ID:

NOTE:
The Witnesses hereby certify that if the IR/ Customer is illiterate, he or she has been read aloud and
understands the contents of the declaration.