ATOMY MEMBERSHIP APPLICATION FORM (SG-01)

PLEASE MAKE THIS APPLICATION AFTER COMPLETE MEMBERSHIP REGISTRATION ON ATOMY WEBSITE (www.atomy.com/sg)
YOUR MEMBERSHIP SHALL BE EFFECTIVE ONLY UPON ACCEPTANCE BY ATOMY SINGAPORE.

Do you or your spouse have A t o m y me mb e rs h i p in any other country? No Yes

(Atomy allows only one member I D to each individual in international and one member I D for you and your spouse)

ATOMY MEMBER ID APPLICANT'S NAME

S
(Given ID on website) (As per NR IC or Passport) Koh Chee Huang
NRIC No DATE OF BIRTH
/ /
S7206862I (DD/MM/YY) 26 02 1972
E-MAIL estherkoh2001@yahoo.com.sg MOBILE
93688810
DIRECT S
SPONSOR’S ID SPONSOR NAME

Product Refunds and E x c h a n g e s

1. Atomy Distribution Pte Ltd offers a 7-day (excluding Saturdays, Sundays and Public Holidays) cooling-off period to allow our customer to seek full
refund of payment made if they wish not to continue with the purchase of our products. The cooling off period begins on the next working day from
the date of purchase.

2. If for any reason, you are not satisfied with our products, you may return them within 60 days of purchase, and the company will refund one hundred
percent (100%) of the price, less applicable bonuses to you on unopened and resalable products.

3. All products are returnable if the product is in the same condition as when purchased including the product packaging or if you discover the product
defects on delivery. However, on a rare occasion, if the product is found to have defects only after opening, do contact the Atomy local office for advice,
giving full details of the product and its defects that are discovered on opening.

4. The Company does not refund the original shipping costs on products that you return.

5. The form of the refund will be based on the original form of payment such as a credit card charge. Instead of a refund, the company may choose other
alternatives such as a product credit. The return of products may affect your eligibility to receive bonuses and your Mastership, and if bonuses have
already been paid on the returned product, then the company will recoup your bonuses.

6. The company will exchange products purchased directly from the company that are incorrectly sent, or are defective, if you notify the company within
sixty (60) days of the date of purchase.

7. You must comply with the following procedures to obtain a refund or exchange;
You must return the product to Atomy Distribution Pte. Ltd. during office hours together with the original sales receipt.
All return shipping cost (if any) must be paid by you.
Products sent to the company without prior company approval will not qualify for a refund or exchange and will be returned to you at your expense.
Procedures may vary in jurisdictions where different requirements are imposed by law.

By signing below, I understand that my appointment does not make me an employee or legal representative of my sponsor or Atomy Singapore.
I understand that my membership may be revoked if I fail to comply with Atomy's code of ethics and member agreement on Atomy Singapore
Website (www.atomy.com/sg).
In submitting this application, I hereby give consent for Atomy to collect, use and disclose my personal data for purposes connected to this
application or to support my business or membership, which purpose may include disclosure of my personal data to other Atomy related
corporations or entities that provide administration service to Atomy.

I hereby c o n s e n t and certify that the information given a b o v e is true and correct.

APPLICANT'S NAME Koh Chee Huang SIGNATURE

DATE (DD/MM/YY) 26 / 02 / 1972

Please note that your membership will only be activated when we receive the signed application form and a copy of your NRIC ( front and back) via our mobile
upload: www.atomy.kr/m/mload_sg. Verification will be done within 2 working days. Members can kindly login the mobile link to check their verification status.
If you are a business owner member, please register or update your bank account on your information on our website. (www.atomy.com/sg)
Please remind the c o mmi s s i on or bonus will not b e paid u n l e s s your bank a c c o u n t is registered correctly.
** If you do not submit the relevant documents for activating the membership ID within 1 month from the date of on-line registration, the membership ID will be terminated**

For Official Use Only:

Date received: Remarks:

ATOMY DISTRIBUTION PTE LTD

1 Commonwealth Lane #07-16 One Commonwealth Singapore 149544
Tel: +65 6659 2278 Fax: +65 6659 2998 Email: sg.atomy@atomy.com.sg