TotalEnergies CARD APPLICATION FORM FOR CORPORATE & BUSINESS ENTITIES

Please fill out the below application form only if you represent a Business or Corporate company

Full Name ^*

"(Please write your full name as in the birth certificate) "

Name of organisation ^*

"(Please enter the name of your business)"

Designation ^*

"(Please enter your job title)"

Address ^*

"(Enter your business address)"

Mobile or landline number ^*

"(Enter your mobile or landline phone number)"

Email Address ^*

"(Enter your business address) "

TIN number ^*

"(Enter your (Taxpayer Identification Number) TIN number)"

I hereby confirm to receive the news and information from TotalEnergies Company and its business partners (information & news in the form of flyers, emails, newsletters, brochures etc). ^*

Term & Condition ^*

DEFINITIONS:
CONTRACT refers to the contract signed by the CLIENT and TotalEnergies Marketing (Fiji) Pte Ltd for the supply of CARD(S) at special conditions defined below.
CLIENT: means an entity or individual who has signed a contract with TotalEnergies Marketing (Fiji) Pte Ltd.
REPRESENTATIVE: means a person to whom the CLIENT has given a TotalEnergies Marketing (Fiji) Pte Ltd card with full powers to use it.
CARD: means a TotalEnergies Marketing (Fiji) Pte Ltd card validated for the CLIENT and authorizing the purchase of the PRODUCTS with the CLENT's agreement. This CARD may under no circumstances be used for obtaining cash.
PRODUCTS: means the products and/or services distributed at the TotalEnergies Marketing (Fiji) Pte Ltd stations and whose purchase is possible upon presentation of the CARD, subject to the limited maximum amounts which the CLIENT is authorized to buy.
POINT OF SALE: station bearing the TotalEnergies Marketing (Fiji) Pte Ltd colors at which the use of the CARD is authorized, as indicated by a logo.
CONFIDENTIAL CODE: 1. Four digits number determined by the client or randomly generated by TotalEnergies Marketing (Fiji) Pte Ltd. 2. Four to Six digits number for the driver code randomly generated by TotalEnergies Marketing (Fiji) Pte Ltd
ELECTRONIC PURSE CARD: CARD functioning in the prepayment mode.

ARTICLE 1: PURPOSE
TotalEnergies Marketing (Fiji) Pte Ltd shall make available to the CLIENT a purchase CARD system called Club Card making it possible for him to obtain PRODUCTS without needing to make any immediate payment. Thanks to this CARD, the client will be able to get supplies at the POINTS OF SALE approved by TotalEnergies Marketing (Fiji) Pte Ltd and shown on the list which shall be communicated to the CLIENT at the time of delivery of the CARDS. If necessary, this list shall give, rise to an update which shall also be communicated to him upon request.

ARTICLE 2: USE OF THE CARD The use of the TotalEnergies Marketing (Fiji) Pte Ltd CARD:
 Shall be limited to the CLIENT and/or REPRESENTATIVES subject to the maximum amounts and PRODUCTS authorized and defined in agreement with the CLIENT on the reverse side. May be at the authorized POINTS OF SALE whose list shall be available upon simple request.
 Shall be subject to presentation of the CARD to the station's personnel prior to any transaction. Any transaction effected with the CARD shall give rise to the editing of a ticket by the electronic terminal. The CONFIDENTIAL CODE entered by the bearer at the time of each transaction shall serve as a signature testifying to the client's acceptance of the transaction. It is expressly stipulated that the purchase of fuel shall be exclusively limited to the immediate filling of the vehicle's tank; any removal by other means is excluded. The records edited on the electronic terminals at the lime of each transaction shall constitute irrefutable proof of the amount of the transaction.

ARTICLE 3: CHARACTERISTICS OF THE CARD
Further to the review and acceptance of the CONTRACT TotalEnergies Marketing (Fiji) Pte Ltd shall provide the number of CARDS requested by the CLIENT after printing on each CARD the authorized PRODUCTS, and, unless otherwise specified, the license plate number of the vehicle and/or the name of the bearer.
A CONFIDENTIAL CODE shall be attributed to each card and permit the use of the CARD exclusively by the bearer cognizant of this CONFIDENTIAL CODE. The CLIENT must ensure that the CARDS and their CONFIDENTIAL CODE(S) are never stored together and must protect the confidentiality of the CONFIDENTIAL CODE(S). An issue unit price shall be billed to the CLIENT according to the official list of prices in effect on the date of the request for membership. This unit price shall remain identical regardless of the number of cards ordered by the CLIENT. These prices may be modified at any time without advance notice (a price schedule is available upon simple request).
The CARDS shall be billed to the client at regular intervals as per the terms approved by TOTALENERGIES(FIJI) PTE LIMITED. Each modification requested by the CLIENT on CARDS can be invoiced at a cost determined by TotalEnergies Marketing (Fiji) Pte Ltd.

ARTICLE 4: BILLING AND COLLECTION
1) Billing
The supplies of PRODUCTS shall be billed at Intervals on the basis of the prices charged at the POINTS OF SALE on the date of the transaction.
Any complaint or dispute concerning the amount or the type of transactions summarized on the periodic bills must be expressed in writing within one month from the date of issue of the bill and be accompanied by substantiating documents. Past that period, no claim shall be accepted.
2) Payment
The bills shall be paid according to the terms of payment and on the due dates mentioned in the Statement of Account. For the ELECTRONIC PURSE CARD, there shall be three loading methods giving rise to two methods of payment:
- Direct in-station loading corresponding to immediate payment at the station for the amount of loading requested by the CLIENT. The CONFIDENTIAL CODE entered by the bearer at the time of loading shall serve as a signature proof to the acceptance of the transaction by the client.
- In case of deferred loading (at the local station or, centrally, at the registered office), the amount of the transaction requested by the CLIENT shall be billed in the manner mentioned above (cf. Article 4-1).
The Post Paid CLIENT must hold a bank account and keep it open, making sure that the funds deposited in this account are sufficient to pay all the bills due to TotalEnergies Marketing (Fiji) Pte Ltd.
Payments shall be made by means of automatic deductions from the bank account mentioned by the client on the due dates specified on the Statement of Account. The CLIENT must hold and keep open a bank account which accepts automatic deductions, ensure that the funds deposited in this account are sufficient to pay all the bills due to TotalEnergies Marketing (Fiji) Pte Ltd, and maintain the authorization of automatic deductions from this account in favor of TotalEnergies Marketing (Fiji) Pte Ltd.
No discount for payment prior to the scheduled date may be applied.
Any amount unpaid on the due date mentioned on the bill may result, with no need for a formal notice, in a penalty for each day of delay, computed on the basis of Bank Prime Lending Rate (Bank to be determined by TOTALENERGIES Fiji) plus 2% per annum.
TotalEnergies Marketing (Fiji) Pte Ltd also receives the right to log the details of the overdue account on to the local DATA BUREAU.
In case of partial payment or non-payment, TotalEnergies Marketing (Fiji) Pte Ltd  shall have the right, with no need for any prior formal notice, to claim immediate payment of all the amounts, even those not yet due, that may be payable to it and to subject the performance of a new supply to such payment.
In case of non-payment or partial payment of one or more bills, this contract shall be automatically terminated, with no advance notice and no judicial formality, further to a simple notification by TotalEnergies Marketing (Fiji) Pte Ltd and security deposit used to offset due amount.

ARTICLE 5: TERMS OF THE CONTRACT
This contract is entered into for a specific term and shall be tacitly renewed if neither party cancels it. It shall become effective as of the date of delivery of the cards to the client. Each party shall have the right to cancel this contract at any time, subject to informing the other party by written notice at least eight days before the effective date of the cancellation.
Since the CARDS shall remain the property of TotalEnergies Marketing (Fiji) Pte Ltd, the termination of this contract for any reason whatsoever shall automatically require that the CLIENT return them to TotalEnergies Marketing (Fiji) Pte Ltd and bar him from using them. If, upon expiry of the CONTRACT, the holder continues or tries to make use of the cards, he shall be subject to legal action and to the payment of damages.

ARTICLE 6: OBLIGATIONS AND LIABILITY OF THE CLIENT
All the cards shall be entrusted to the CLIENT personally. Consequently, his personal liability shall remain even if the cards are used by third parties.
The CLIENT alone shall be liable vis-A-vis TotalEnergies Marketing (Fiji) Pte Ltd for the payment of any transactions made by means of his cards, even in the event of uses that do not conform to this contract. The CLIENT shall have the obligation to inform TotalEnergies Marketing (Fiji) Pte Ltd in writing of any change of particulars (address. telephone numbers, fax, bank information relating to automatic deductions).
The limits of the number of daily transactions authorized, of the daily and monthly amount of the transactions, taking into account the payment deadline agreed to, are defined in section F. TotalEnergies CARD ORDER form and subject to written advice by Client.

ARTICLE 7: LOSS OR THEFT OF THE CARD(S)
In once of loss or theft of one or more CARD(S), the client shall be obligated to immediately notify such fact to TotalEnergies Marketing (Fiji) Pte Ltd by telephone, (during the business hours of TotalEnergies Marketing (Fiji) Pte Ltd) by fax or by email, subject to written confirmation within the next 48 hours. If no written confirmation is received within 48 hours, the TotalEnergies Marketing (Fiji) Pte Ltd shall not be held liable for any consequences of the loss,
However, the client shall remain liable during the 48 business hours following the notice, for any transactions made by means of the lost or stolen CARD(S).
If a lost or stolen CARD is found, the CLIENT may not use it without making a request to that effect in writing and sealed with the approval of TotalEnergies Marketing (Fiji) Pte Ltd.
Should the CLIENT fail to inform TotalEnergies Marketing (Fiji) Pte Ltd or inform it past said 48 hours, the CLIENT shall remain liable, and TotalEnergies Marketing (Fiji) Pte Ltd shall be released from any liability subsequent to the loss and/or theft of the CARD(S).

ARTICLE 8: CANCELLATION OF THE CARDS
Should the CLIENT breach its contract obligations, TotalEnergies Marketing (Fiji) Pte Ltd may put an immediate stop to the use of the CARD(S) held by the CLIENT.
A CLIENT may ask in writing for the cancellation of one or more CARDS, which he must then return to TotalEnergies Marketing (Fiji) Pte Ltd.
TotalEnergies Marketing (Fiji) Pte Ltd may cancel and/or refuse to renew one or more CARDS held by the CLIENT. Such a decision, which must be notified to the CLIENT and substantiated in writing, shall take into account (without limitation) any significant modification of the CLIENT'S financial position, the absence or inadequacy of the security deposit and/or the bank guarantee, unpaid installments, abnormal removals, supplies in excess of the maximum amounts authorized, etc..

ARTICLE 9: REVISION OF THE GENERAL CONDITIONS
TotalEnergies Marketing (Fiji) Pte Ltd may modify or supplement the terms of this contract in writing at any time. Any withdrawal of PRODUCTS by the CLIENT after receiving said written document shall mean that the CLIENT accepts the new clauses of the contract.

ARTICLE 10: FORCE MAJEURE
TotalEnergies Marketing (Fiji) Pte Ltd shall be exempted for liability in cases where failure to perform its obligations is caused by force majeure circumstances, which shall include other than the cases defined by the jurisprudence: wars, riots, events disrupting the supply of the refiners or the conditions of transportation, strikes or lockouts, legislative or regulatory provisions limiting the quantities available on the market or modifying the conditions of delivery or removal.

ARTICLE 11: JURISDICTION
Any dispute concerning the interpretation or performance of this contract shall be governed by the law of the Republic of Fiji Islands and shall be subject to the jurisdiction of the courts of law in the Fiji Islands.

ARTICLE 12: TAXES AND DUTIES
Unless precluded by legislation, TotalEnergies reserves the right to charge the Accountholder's account with Government rates taxes or charges which new are or which in the future may be imposed or charged upon the Accountholder's TotalEnergies Club Card transactions whether or not the Accountholder is primarily liable for the impost or charge.

ARTICLE 13: FEES AND CHARGES
The Accountholder will agree to pay TotalEnergies Marketing (Fiji) Pte Ltd for the replacement of a damaged and lost card. TotalEnergies Marketing (Fiji) Pte Ltd reserves the right to amend from time to time fees and charges and any other associated fees as maybe deemed necessary.

ARTICLE 14: EXTRANET PORTAL
The extranet portal needs to refer as “Extranet Portal” and it is owned and maintained by the TotalEnergies S.A. The extranet portal will be used only by the authorized nominee of the customer; the customer will provide the email address of the concerned nominee. Customer will be completely responsible for creation of sub-users and provision of rights to the sub-users. In case of TotalEnergies Card Blocking and unblocking, customer will take the complete responsibility of the request. If the authorized user of the customer leaves the organization, the customer needs to inform TotalEnergies Fiji immediately for avoidance of any untoward situation and for blocking of the extranet rights of that user. The data available at the extranet portal related to the client will be for use of the customer only and sharing of the data further and its integrity will be complete responsibility of the customer. Any change in TotalEnergies Card particulars through extranet portal will be implemented on the TotalEnergies Card within 24 working hours from the time of the request submitted. Any change in the TotalEnergies Card particulars via authorized person will remain the responsibility of the customer and TotalEnergies Fiji we remain indemnified from any operational consequence(s) arising directly or indirectly by the change requested through extranet portal. TotalEnergies Fiji at its sole discretion may update, modify, change, add or remove the terms and conditions or any aspect of the extranet portal, including the availability of any feature at any time or the service itself. Extranet Portal provides dynamic information of the customer’s activity through TotalEnergies Card which is updated after every transaction taking place through Customer’s TotalEnergies Card.

Term & Condition ^*

Acceptance of Terms ^*

"By checking the "Acceptance of Terms" button above I declare that I am legally competent to apply for the TOTAL Card and thereby accept all the terms and conditions stipulated above in this form related to submission of my application and provision of TOTAL Card once the application is approved"

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This information is being provided with the free consent. Total (Fiji) PTE Limited and its affiliates are hereby authorized to use said information for internal purposes and for the purpose of publicity or advertising of a diverse scope which may not only be restricted for its products or service promotions but may also contain text messages (designs/videos) of a thematic nature or any public service message etc.