STEP 1: REFERRER AND COUNTRY OF RESIDENCE

Multiple Independent Representative Accounts are prohibited.

There is one or more errors. Please check below.

* ID Number of my referring Independent Representative (IR)

Please enter a valid Independent Representative ID Number

* Your Country of Residence

Select your country of residence

STEP 2 : REGISTRATION DETAILS

* I am enrolling as

An Individual

A Company

You have some form errors. Please check below.

NOTE: *Only Latin characters are permitted!

* IR ID Number

* Company Name

* Contact Person

* Position

Others

* Title

Please select your title

* First Name

Enter first name

* Last Name

Enter last name

* Full Name (In Arabic)

Your Full Name (In Arabic) is required.

* Date of Birth

* Email address

Enter email address Invalid email address * Only Basic Latin Characters allowed

* Re-Type Email Address Please re-type your email address Invalid email address Email address doesn't match * Only Basic Latin Characters allowed

* Contact Number

Please select your preferred contact

Enter contact number Invalid Contact Number Verification Code does not match. Please try again.

Start with country code of country of residence. Do not use symbols or spaces.

Code Verification

Enter Code

* Preferred Language

* Password

Enter password

* Re-Type your Password

Password must be 6-20 characters in length (a-z, A-Z, 0-9, _!@#$%^&*(),.=+?). No repeat or sequential series of letters or numbers (e.g. abc, 321, aaa, 444 not allowed).

* Valid ID Type

* Valid ID No.

Tax ID No.

Residential Address

* Address Line 1

Address Line 2

* Town/City

State/Province

* Postal/ZipCode

Enter your address Postal/Zip Code

To ensure timely delivery , Please fill in your shipment address field only in English letters.
* Street * (No., Building Name, Street)

Building, Wing, Apartment* (Municipality)

* Region

* Town/City

* Postal/ZipCode

Enter 0000 if your country does not use Postal/Zip Code

Use this address as my delivery address

BANK DETAILS

* Name Of Bank

* Branch Name

* Account Number

* Account Holder

STEP 3 : REFERRER'S PLACEMENT

OK, almost done. Your referrer must place your account within their organisational tree. Here you need to enter the Independent Representative (IR) ID Number, tracking centre and left or right placement preference provided by your referrer.

* IR ID Number

Please enter a valid IR ID Number

IR Name

[IR Name]

* Tracking Centre

Please select tracking centre.

* Preferred Placement

Left Right

Please select preferred placement: left or right

STEP 4 : ACCEPTANCE OF TERMS AND CONDITIONS

Our Business Agreement

THE OTHER LANGUAGE text is translated from Bahasa Indonesia. Every effort is made to translate all documents accurately but the Bahasa Indonesia version will prevail in the event of any ambiguity. PT. QN International Indonesia is not liable for any losses caused by any discrepancy between the languange versions.

Seek independent advice before accepting any document or text including the Policies and Procedures or Sales Terms and Conditions that is not translated into LOCAL LANGUAGE and/or which you do not understand. PT. QN International Indonesia will rely on your acceptance of all terms and/or conditions.

We will email you a copy of the Business Agreement, Policies & Procedures, Code of Ethics and the Earnings and Income Disclaimer for your future reference. However, be aware that these documents may be updated without notice and it is your obligation to check for any amendments which may be made.

By using eStore, you agree to accept unconditionally the terms of this Disclaimer and the terms herein may be revised and/or amended from time to time by PT. QN International Indonesia without prior notice to you. Please review these terms periodically for any modifications and/or amendments.

By clicking ACCEPT, I agree that:

I accept and agree to be bound by the terms and conditions of the Policies & Procedures, Code Of Ethics, And Earnings And Income Disclaimer.
I confirm this is my only IRship and I understand that multiple accounts are prohibited in the Policies & Procedures.
The person who introduced me to PT. QN International Indonesia treated me fairly at all times.
PT. QN International Indonesia will email me a copy of the Business Agreement, Policies & Procedures, Code of Ethics, and Earnings Disclaimer.
I am not allowed to duplicate my IRship by submitting multiple application(s)I am fully aware that duplication of IRship is a violation of the Policies & Procedures whereby an IR committing such violation will be subject to the necessary action that PT. QN International Indonesia deems fit.
I hereby expressly provide my consent to PT. QN International Indonesia to use the personal information submitted for the purpose of enrolling me into the business plan as stipulated in the Policies and Procedures and activities incidental thereto and for the purchase of products in accordance with the terms and conditions.I understand and agree that the personal information submitted may be disclosed to third party as may be necessary to give effect and to carry out the terms and conditions of this Business Agreement. I allow my personal information to be used in accordance with the Privacy Policy.