The undersigned applicant ("Applicant") submits this Application to XMEDEX Pty Ltd (ABN 48 590 596 237). All private/non-public information submitted by the applicant shall be held in complete confidence by XMEDEX TECHNOLOGIES GROUP.
* The information provided by the Applicant is true & correct to the best of their knowledge.
* XMEDEX Pty Ltd may, in reviewing this Application, investigate and evaluate the credit worthiness, general reputation, character, background and experience of Applicant. Applicant expressly requests and authorizes any individual, partnership, corporation or other entity to provide XMEDEX Pty Ltd. and its employees and agents (including independent investigative agents) with any and all information that may be requested of them in connection with the review of this Application.
* This Application does not bind Applicant to accept, nor does it bind XMEDEX Pty Ltd. in any way to offer, an XMEDEX Distributor Agreement to Applicant. Any investments, expenditures, agreements, and other acts or omissions made by Applicant in anticipation of such a Distributor Agreement or in reliance upon this application are made at Applicant's sole risk and responsibility and do not obligate XMEDEX Pty Ltd or any of its employees or agents in any way.
* Any material misrepresentation or omission, intentional or unintentional, in the information supplied by Applicant to XMEDEX Pty Ltd shall constitute grounds for XMEDEX Pty Ltd to immediately terminate any Distributor Agreement that may be entered into by XMEDEX Pty Ltd with Applicant.