4.1g) ever voluntarily disclosed to any regulatory and/or law enforcement agency any activity that may constitute bribery, money-laundering, fraud, or another criminal offence involving fraud, corruption, modern slavery or unethical behaviour? 4.1h) ever had cancelled, revoked or failed to hold a licence or membership of an organisation required by law? Yes No 4.2) Are any directors, officers or 10%+ shareholders of your Company, or any of its associated companies, an employee or official in any state owned entity or public international organisation? Yes No 4.3) Is your organisation or any director, officer or 10%+ shareholder of your organisation, or any of its associated organisations, currently sanctioned by, barred or suspended from business with any government, national or public international organisation including any multilateral development bank? Yes No If you have answered to any of questions 4.1 to 4.3 please give an explanatory statement: “Yes” SECTION 5: ETHICAL POLICIES 5.1) Does your Organisation currently hold policies or guidelines on the following? Anti-Fraud, Bribery & Corruption (or equivalent) Yes No ☐ ☐ Conflicts of Interest (or equivalent) Yes No ☐ ☐ Ethical Code of Conduct (or equivalent) Yes No ☐ ☐ Gifts & Hospitality (or equivalent) Yes No ☐ ☐ Whistleblowing (or equivalent) Yes No ☐ ☐ 5.2) If you have answered yes to any of 5.1, are those policies or guidelines proactively flowed down within your organisation? Yes No N/A ☐ ☐ ☐ 5.3) Does your organisation undertake due diligence on the organisations with which it deals, including partners, contractors, consultants, sub-contractors, suppliers, representatives and agents? Yes No ☐ ☐ 5.4) Does your organisation agree to adopt, comply with and implement Crown Agents’ Ethical Code for Business Partners when working with Crown Agents? The code can be found here: Yes No ☐ ☐ SECTION 6: DECLARATION
4.1g) ever voluntarily disclosed to any regulatory and/or law enforcement agency any activity that may constitute bribery, money-laundering, fraud, or another criminal offence involving fraud, corruption, modern slavery or unethical behaviour? 4.1h) ever had cancelled, revoked or failed to hold a licence or membership of an organisation required by law? Yes No 4.2) Are any directors, officers or 10%+ shareholders of your Company, or any of its associated companies, an employee or official in any state owned entity or public international organisation? Yes No 4.3) Is your organisation or any director, officer or 10%+ shareholder of your organisation, or any of its associated organisations, currently sanctioned by, barred or suspended from business with any government, national or public international organisation including any multilateral development bank? Yes No If you have answered “Yes” to any of questions 4.1 to 4.3 please give an explanatory statement: SECTION 5: ETHICAL POLICIES 5.1) Does your Organisation currently hold policies or guidelines on the following? Anti-Fraud, Bribery & Corruption (or equivalent) ☐ Yes ☐ No Conflicts of Interest (or equivalent) ☐ Yes ☐ No Ethical Code of Conduct (or equivalent) ☐ Yes ☐ No Gifts & Hospitality (or equivalent) ☐ Yes ☐ No Whistleblowing (or equivalent) ☐ Yes ☐ No 5.2) If you have answered yes to any of 5.1, are those policies or guidelines proactively flowed down within your organisation? ☐ Yes ☐ No ☐ N/A 5.3) Does your organisation undertake due diligence on the organisations with which it deals, including partners, contractors, consultants, sub-contractors, suppliers, representatives and agents? ☐ Yes ☐ No 5.4) Does your organisation agree to adopt, comply with and implement Crown Agents’ Ethical Code for Business Partners when working with Crown Agents? The code can be found here: ☐ Yes ☐ No SECTION 6: DECLARATION
business-partner-questionnaire-1.docx