1.3(e) E-mail address 1.3(f) Postal address 1.3(g) Signature (electronic is acceptable) 1.3(h) Date Part 2: Exclusion Grounds Please answer the following questions in full. Note that every organisation that is being relied on to meet the selection must complete and submit the Part 1 and Part 2 Section 2 Grounds for mandatory exclusion Question Question Response number Regulations 57(1) and (2) 2.1(a) The detailed grounds for mandatory exclusion of an organisation are set out on this , which should be referred to before completing these questions. Please indicate if, within the past five years you, your organisation or any other person who has powers of representation, decision or control in the organisation been convicted anywhere in the world of any of the offences within the summary below and listed on the . ☐ Yes Participation in a criminal organisation. No ☐ If Yes please provide details at 2.1(b) Yes ☐ Corruption. No ☐ If Yes please provide details at 2.1(b) Yes ☐ Fraud. No ☐ If Yes please provide details at 2.1(b) Yes ☐ Terrorist offences or offences linked to No ☐ terrorist activities If Yes please provide details at 2.1(b) Money laundering or terrorist financing Yes ☐ No ☐ If Yes please provide details at 2.1(b) Yes ☐ Child labour and other forms of trafficking in No ☐ human beings If Yes please provide details at 2.1(b) If you have answered yes to question 2.1(a), 2.1(b) please provide further details. Date of conviction, specify which of the grounds listed the conviction was for, and the reasons for conviction, Identity of who has been convicted
1.3(e) E-mail address 1.3(f) Postal address 1.3(g) Signature (electronic is acceptable) 1.3(h) Date Part 2: Exclusion Grounds Please answer the following questions in full. Note that every organisation that is being relied on to meet the selection must complete and submit the Part 1 and Part 2 Section 2 Grounds for mandatory exclusion Question number Question Response 2.1(a) Regulations 57(1) and (2) The detailed grounds for mandatory exclusion of an organisation are set out on this , which should be referred to before completing these questions. Please indicate if, within the past five years you, your organisation or any other person who has powers of representation, decision or control in the organisation been convicted anywhere in the world of any of the offences within the summary below and listed on the . Participation in a criminal organisation. Yes ☐ No ☐ If Yes please provide details at 2.1(b) Corruption. Yes ☐ No ☐ If Yes please provide details at 2.1(b) Fraud. Yes ☐ No ☐ If Yes please provide details at 2.1(b) Terrorist offences or offences linked to terrorist activities Yes ☐ No ☐ If Yes please provide details at 2.1(b) Money laundering or terrorist financing Yes ☐ No ☐ If Yes please provide details at 2.1(b) Child labour and other forms of trafficking in human beings Yes ☐ No ☐ If Yes please provide details at 2.1(b) 2.1(b) If you have answered yes to question 2.1(a), please provide further details. Date of conviction, specify which of the grounds listed the conviction was for, and the reasons for conviction, Identity of who has been convicted
Citizens%20Advice%20Standard%20Selection%20Questionnaire%20-%20Promotional%20Merchandise%20Services.docx.docx