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Should there be any false information given, the company reserves ‘application without prior notice. | confiem that my spouse and Ihave nat been active for the last 12 consecutive months or my spouse and. | "have never joined DXN at the time ofthis appleation. li) understand that Iwi be a valid DXN distributor upon approval of this application, Iv) Ihave road and agreed with all the Rules and Regulations of DXN Marketing Sdn, Bhd OFFice Copy Signatur: - ow: BE GI Blo FOR OFFICE USE Membership Approved! Disapproved By: amitdata tsa Input By: Date:ON ter ff shturvrdig& webb tle tape WSL Ai Mopbns ah be Gere eine Are ff —) Sa)! ; Sy y Ca aiery Lee praca Fleer re C154