Reseller Application Form

To be considered an official Kalinisan Chemicals Corporation Reseller, please provide complete and
detailed answers to the following questions and return your completed application to
[email protected].

Name

Business Name

Address

Telephone Number
Facebook Business Name____________________________________

E-mail Address Website:

1. Length of time operating under the above-named business.

2. Length of time at above address.

3. Number of branch offices operated under the above-named business and the locations.

4. Number of sales people: full - time part - time

Are the sales representatives listed above exclusive to your organization (Yes No )
Are they employees (Yes No ) or independent contractors (Yes No )

5. What Kalinisan products are of most interest to you and why?

6. Provide a detailed description of the geographic territory you seek for Kalinisan products.

___________________________________________________________________________

7. How were you referred to Kalinisan Chemicals Corporation?

____________________________________________________________________________
As an applicant to become an independent reseller of Kalinisan Chemicals Corporation, I confirm, understand and
agree that:

1. I am of legal age and the execution and filing of this Reseller’s Agreement Form is my own free will and
volition; otherwise, I will submit the consent and/or waiver of my parents/ legal guardian together with this
application;
2. I have read and carefully evaluated the terms and conditions stated herein, including the privileges and
obligations of an independent reseller of Kalinisan Chemicals Corporation, the Kalinisan Chemicals
Corporation reseller policy, and all other company policies and rules on the matter. By signing on the space
indicated below, I commit myself to be bound by the stipulations contained in this Resellers Agreement Form
(RAF) and that the same shall constitute a binding agreement between me and Kalinisan Chemicals
Corporation. I understand that my application to become a Reseller of Kalinisan Chemicals Corporation
is approved unless Kalinisan Chemicals Corporation issues an order revoking my application for failure to
meet the standards and qualifications of an official Reseller within thirty (30) days of filing. As such, I
unconditionally agree to abide with all the rules and regulations governing the relationship of Kalinisan
Chemicals Corporation and Reseller as soon as this RAF is filed;
3. I fully understand that any and all privileges created in my favor by executing and submitting this RAF is
personal in nature and is neither transferrable nor assignable except in the event of my death, where the law
in my succession applies, however, to the existing policy of Kalinisan Chemicals Corporation on the
qualifications of a Reseller;
4. I attest that I personally attended and participated Kalinisan Chemicals Corporation Business
Presentation and Product Orientation and my privileges, obligations and responsibilities were fully explained
to me prior to my agreeing to sign this Reseller Agreement Form and selling the Kalinisan Chemicals
Corporation products.
5. I am fully aware that Kalinisan Chemicals Corporation reseller program has no geographical area of
exclusivity and shall use its best efforts, consistent with its prudent business practice, and shall devote time
to conduct an aggressive marketing and selling program and to promote the sale of the products.
6. As soon as my application as an Kalinisan Chemicals Corporation reseller is submitted, I confirm and
attest that I have read, studied and understood the Kalinisan Chemicals Corporation Reseller Policy, and
all other Company rules and policies on the matter, including my commitment to read and be aware of new
company rules and policies that may be published periodically from Kalinisan Chemicals Corporation, and
that I will faithfully abide with the same. I can then engage in the selling of Kalinisan Chemicals
Corporation products as a Reseller and earn sales discounts, rebates, and other privileges. Further, it is
hereby understood that there is a minimum product purchase that I need to make but no required minimum
inventory that I need to maintain in order to sustain my status as a Reseller.
7. As a Reseller, I shall be eligible to discounts and privileges that may be granted by Kalinisan Chemicals
Corporation relative to my sales performance or successful delivery of products. In connection with my
sales activity, I further understand that discounts and privileges are in accordance with reseller scheme
established in the Kalinisan Chemicals Corporation Reseller Program which has been fully explained to
me and which I fully understand, provided, that I have achieved such performance in good faith, and I have
not violated any of the provisions contained In this RAF.
8. This RAF and/or any other agreement that may be entered by me with Kalinisan Chemicals Corporation
does not create or establish any employment, partnership, agency, joint venture or an employer-employee
relationship between Kalinisan Chemicals Corporation and me; neither may I claim to be a legal
representative of Kalinisan Chemicals Corporation, nor bind Kalinisan Chemicals Corporation in any
agreement without the express written authority from Kalinisan Chemicals Corporation;
9. I understand that I should secure an express of written approval from the Board of Directors and
Management of Kalinisan Chemicals Corporation, or any of its authorized representative prior to making
any form of advertisement in mainstream media, social networking sites, internet and online media,
including, but not limited to audio, visual and printed materials, other than the company’s existing
advertisement and marketing materials and postings on its official website and social media pages.
10. I am aware that making any and all misinterpretations, revisions, modifications or alterations of the
Company’s trademark, brands, logos, marks, marketing plans, products, advertisements, marketing
materials and other company provided marketing tools is strictly prohibited and shall be considered a
violation of the rules, regulations, and policies of Kalinisan Chemicals Corporation.
11. I shall diligently pay and settle to the designated government agency/ local government unit all taxes due
from the taxable earnings and sales discounts I have received from Kalinisan Chemicals Corporation.
 12. I promise and bind myself to notify and advise Kalinisan Chemicals Corporation of any changes in my
personal circumstances and contact details, if there be any, within ten (10) days from any changes.
13. I am fully aware that the Kalinisan Chemicals Corporation reserves the right to modify, revise, and update
its existing policies and business plan for the best interest of Kalinisan Chemicals Corporation and its
Resellers, with 30 days prior notice.
14. I agree to conduct all my sales activities in accordance with the existing laws and regulations of the Republic
of the Philippines and release Kalinisan Chemicals Corporation from any liability arising from my own
personal actions.

I certify that the answers given are true and complete to the best of my knowledge. I authorize investigation of
all statements contained in this application. In the event that an agency or reseller agreement is entered, I
understand that false or misleading information given in my application or interviews may result in immediate
termination of my agreement. I agree to hold in confidence all materials provided to me by Kalinisan
Chemicals Corporation until such time as an agency agreement between Kalinisan Chemicals Corporation
and myself is established.

Done this _______________________ at ____________________________.

Signature of Applicant (type your name to indicate an e-signature)

Print Name & Title

THIS SECTION WILL BE FILLED UP BY SALES REPRESENTATIVE/ COORDINATOR:

PREPARED BY: ____________________________

APPROVED BY: _____________________________

NOTED BY:

______________________
GLENYS M. ARIZO
PRESIDENT