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Published by arrazimarketing2015, 2023-09-06 00:52:26

KYC FORM - LADANG

KYC FORM - LADANG

IOI GROUP: KNOW YOUR CUSTOMER QUESTIONNAIRE ON ANTI-BRIBERY & CORRUPTION (ABC) 1 | Page V 17122 0 Introduction The IOI Group’s Code of Business Conduct & Ethics (“the Code”) is created to ensure that our employees’ business decisionsfollow our commitment to the highest ethical standards and law. In addition to our commitment under the Code, IOI Group expects its contractors, subcontractors, consultants, agents, representatives, business partners, joint venture partners, and others performing work or services for or on behalf of IOI Group, and those third parties collaborating in business with the IOI Group, to observe and comply with the IOI Group’s Business Ethics, Compliance, Anti-Corruption and Anti MoneyLaundering Policy (“the Policy”) and any other related and issued guidelines or polices of the IOI Group thereto, when performing such work or services, or in doing business with us. Therefore, all contractors, subcontractors, consultants, agents, representatives, business partners, joint venture partners, and others performing work or services for or on behalf of IOI Group, and those third parties collaborating, or intending to collaborate, in business with the IOI Group, are required to undergo our “Know Your Customer” (KYC) verification process, in order for us to understand the identity, business and background of all our prospective business counterparts and to ensure good governance and integrity risk culture. Given that the IOI Group may ultimately be held accountable for any non-compliance with the Code or the Policy, where arises, if such acts are construed to be in contravention of the relevant laws in Malaysia, this KYC verification process is implemented as part of our corporate governance and compliance procedures. Application This KYC Form is applicable to: • New projects or transactions; • Joint-ventures, mergers and acquisition; • Acquisition / Divestment of assets or equity; • Procurement of good and services; • Corporate Social Responsibility (CSR) activities; and • Corporate Hospitality/Sponsorship activities.


IOI GROUP: KNOW YOUR CUSTOMER QUESTIONNAIRE ON ANTI-BRIBERY & CORRUPTION (ABC) 2 | Page V 17122 0 Instruction As the IOI Group’s contact person dealing in any potential transaction with any such prospective third-party affiliate (as described above), you are required: i. to obtain the information requested in the following questionnaire in both SECTION A and SECTION B from the prospective third-party affiliate; ii. to return the Form duly signed by the prospective third-party affiliate, to IOI Group’s Corporate Legal Department. Should you require any clarification on this Form, or further amendment or rectification to be made to any signed and submitted Form, please contact the IOI Group’s Group Legal Counsel at: [email protected] or +603-8947 8888 (Ext. 8890). NOTICE OF DISCLOSURE Personal Data Protection Act 2010, Malaysia (“PDPA 2010”) Pursuant to the enforcement of PDPA 2010, we give this notice and seek your consent on the processing of the personal data you have provided as well as to give an assurance of our commitment to ensure that your data is securely processed, kept and not used or disclosed for any other purpose other than the commercial dealings we have with you.


IOI GROUP: KNOW YOUR CUSTOMER QUESTIONNAIRE ON ANTI-BRIBERY & CORRUPTION (ABC) 3 | Page V 17122 0 SECTION A: COMPANY INFORMATION No. Questions Response 1. Full legal name of Company or Person (and any previous legal names and/or trading names). 2. Country of incorporation of Company / Nationality of Person. 3. Date of incorporation and Company registration/identification number. 4. Registered address. Address of Current Place of Business. 5. Telephone number. Fax number. E-mail address. 6. Nature of the Company’s business. 7. Please provide a copy of the Company’s latest annual report or any other information, website link, or publications describing the Company’s activities. 8. Please provide the following details: a) Shareholder(s); b) Ultimate beneficial owner(s); MEKAR MEDIK SDN BHD (Poliklinik Ar Razi, Perubatan & X-Ray) Malaysia 19 March 2009 25200 Kuantan, Pahang No.18 Jalan Putra Square 1, Malay Town, 09-5173477 09-5272447 [email protected] Healthcare Services Refer attachment Section 68 - AR1 Refer attachment Section 68 - AR1


IOI GROUP: KNOW YOUR CUSTOMER QUESTIONNAIRE ON ANTI-BRIBERY & CORRUPTION (ABC) 4 | Page V 17122 0 SECTION A: COMPANY INFORMATION No. Questions Response c) Percentages held and jurisdiction/ nationality of each shareholder; and d) Jurisdiction(s) of residence of each ultimate beneficial owner(s). 9. Please provide the following details of each current Director: a) Full name b) Nationality c) Date of birth 10. List of “key” employees, contractors and consultants of the Company who will be involved with IOI Group and/or has an existing commercial relationship with IOI Group. 11. Does the Company outsource, assign or appoint, or intend to outsource, assign or appoint any of its services to any person or third party contractor, in relation to the proposed arrangement with IOI Group? If yes, please set out details of such person, or such third party contractor(s). Please note that any outsource arrangement in relation to the transaction requires IOI Group’s prior written consent. Refer attachment Section 68 - AR1 Suhaimi bin Ali, Marketing Department No.


IOI GROUP: KNOW YOUR CUSTOMER QUESTIONNAIRE ON ANTI-BRIBERY & CORRUPTION (ABC) 5 | Page V 17122 0 SECTION B: ETHICS & INTEGRITY No. Questions Response 1. Has the Company (or any of its affiliates, shareholders, directors or key employees) ever been the subject of any convictions or prosecutions, or is the subject of any pending investigations by any public or regulatory authority in relation to bribery, corruption or money laundering, in any country? If yes, please provide details including details of any remedial action taken. 2. Does the Company have policies in place to ensure compliance with relevant Anti-Bribery and Corruption laws, and Anti-Money Laundering and Terrorism laws? Does the Company have and disseminate to its employees the following: i. A written employee code of conduct; ii. A written anti-bribery and corruption, and antimoney laundering policy; and iii. A policy and process for reporting bribery or money laundering if discovered. Please provide copies of the relevant policies and procedures. 3. Is there a Corporate Governance and Compliance department or any related role or function within the Company’s structure that ensures corporate responsibility for ethical conducts and fair business practices? No. No. No.


IOI GROUP: KNOW YOUR CUSTOMER QUESTIONNAIRE ON ANTI-BRIBERY & CORRUPTION (ABC) 6 | Page V 17122 0 SECTION B: ETHICS & INTEGRITY No. Questions Response Does the Company require its contractors, sub-contractors and other third parties to comply with its ethics and compliance policies (including anti-bribery and corruption, and anti-money laundering)? If yes, please provide details to what extent does the Company monitor the integrity of, and compliance by, its third parties. 4. Are any of the current Directors or current key employees of the Company a Public Official? If so, please provide the details. Descriptions For reference, “Public Official” shall include the following: i. A person employed by a public authority holding a legislative, executive, administrative or judicial office, whether appointed or elected, whether permanent or temporary, whether paid or unpaid, irrespective of the person’s seniority; ii. Any other person who performs a public function, including for a public agency or public enterprise, or provides a public service; or iii. Any other person defined as a “public official” in the domestic law of a country. No.


IOI GROUP: KNOW YOUR CUSTOMER QUESTIONNAIRE ON ANTI-BRIBERY & CORRUPTION (ABC) 7 | Page V 17122 0 SECTION B: ETHICS & INTEGRITY No. Questions Response 5. Please disclose any relationship which the Company, its affiliates, its Directors and/or key employees has or have with any Public Official related to the transaction. 6. Have any payments been made by or on behalf of the Company, or by any Director or employee of the Company, during the past five (5) years to any Public Official? If so, please provide the details. 7. Does the Company, or any of its Directors or employees, have any affiliation with any current IOI Group Director or employee who is involved in this transaction? If yes, please provide the details of said current IOI Group Director or employee: i. Full name of the individual ii. Position held iii. The duty/duties of the position(s) 8. Does any government, government agencies or governmentlinked company, or any other organisations performing a governmental function, own any interest in or exercise any control over the Company’s business? If yes, please list the nature and extent of any such interest or control. N/A. N/A. N/A. N/A.


IOI GROUP: KNOW YOUR CUSTOMER QUESTIONNAIRE ON ANTI-BRIBERY & CORRUPTION (ABC) 8 | Page V 17122 0 SECTION B: ETHICS & INTEGRITY No. Questions Response 9. Has the Company (or any person or entity listed in this questionnaire) ever been barred from competing for government contacts in any country? If yes, please provide details. CERTIFICATION By signing this document, the undersigned, being duly authorized to represent the Company to complete this questionnaire, hereby certify the following: i. Declare that he/she has, or has obtained from the relevant authority, the proper mandate and authority to disclose such information; ii. Consents to the processing of such information for the purpose described in the Notice of Disclosure; iii. Acknowledges that the processing of such information may be conducted by a third party on behalf of IOI Group; and iv. Represents that the information provided in this document is, to best of his/her knowledge, accurate, current and complete as of the date stated below. I __________________________ on behalf of _________________________________ do declare that I have taken reasonable steps to verify the information provided in this KYC Form to be true and correct. _____________________ Designation: Date: N/A. Suhaimi bin Ali MEKAR MEDIK SDN BHD MARKETING MANAGER 5 SEPTEMBER 2023


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