World Financial Group Associate Membership Agreement

4 ACKNOWLEDGEMENTS I. APPLICANT S PROCESSING FEE As part of the application process, I acknowledge that I will pay an administrative fee of $125 plus taxes due. These fees are payable by credit card, certified cheques or in order of payment to World Financial Group Canada Inc. for the processing of this application. I recognize and understand that this tax is an administrative tax and cannot be refunded. I recognize and understand that I am responsible (if any) for all review fees and all royalties for countries; Pre-licensing and post-licensing fees; Product/program certification training fees; Error and absence insurance and/or borrowing costs. I recognize and understand that before I am eligible for compensation for licensed products, I must sign the corresponding associated contracts of World Financial Group Canada Inc., contracts with insurance companies and/or broker/dealer contracts and obtain the necessary licenses. However, this application allows me to market all world Financial Group product lines that do not require a license after orientation/certification training. II. APPLICATION I recognize and understand that the application section of this Agreement is not a legal and binding contract and that the filing of this application does not entitle me to compensation, rights or benefits. III. SOCIAL ASSURANCE IN PARjure, I confirm that my Social Security number (SIN) is correct, as it appears in this application. I also confirm that all the information contained in this application is, in good conscience, true and complete.

I understand that if I am an applicant seeking to re-enter Canada Global Financial Group Inc., I may have incurred debts to Canada Global Financial Group Inc. or its affiliates during my previous period as a partner of Canada Global Financial Group Inc. As an express condition for my reinstatement as a partner of Canada Global Financial Group Inc., I recognize that, in accordance with the policies and procedures of Canada Global Financial Group Inc. and its related companies, I am required to repay this debt. I also recognize that I have disclosed these potential debts to my new recruiter and senior marketing manager. V. AUTHORIZATION FOR RELEASE OF INFORMATION I agree that the World Financial Group Canada Inc. can verify my background information through an independent source regarding my credit file, business record, criminal conviction statements and all other information relevant to my application and distribution relationship with Global Financial Group Inc. and its related companies. I understand and agree that I must execute and pass on the consent and authorization attached to the World Financial Group Canada Inc. Candidate`s name.

Candidate`s Name: Date: In signing this document, I approve sections I, II, III, IV and V above. 4 3 World Financial Group Canada Inc. Please print the candidates` profiles readably. CODE PROMOAL APPLICANT LEGAL SIN – Common Name Original Code (if reintroduction) Section 1 PERSONAL DATA Home – Phone – Birth Date STREET APT. – CITY PROVINCE P/C Have you ever been convicted or convicted under a law that did not follow you through the Criminal Records Act (Canada), or are you currently the subject of a criminal records act Examples of these offences include fraud, theft, weapons charges, drug trafficking, assault, limited conduct and tax evasion.

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