Annual Statement of Declaration and Compliance to Independence & Anti-Bribery Behaviour

Part 1: Employee Information

Branch

Part 2: Conflict of Interest (“COI”) Declaration

I declare and confirm that:-

I declare and confirm that:-

*If you are not able to tick any one of the above or unsure of a potential COI, kindly disclose particulars.

Name of COI Third Party / Company Nature of Business Nature of Relationship with You

I acknowledge that if my circumstances change, I am required and agree to update this declaration immediately and no later than within seven (7) days of becoming aware of the conflict or potential conflict.

Part 3: Declaration & Commitment to Anti-Bribery Policies, Training & Awareness

Name
Channel
Group Anti-Bribery and Corruption Officerlinwaihoong@kianjoocan.com.my
Group Company Secretaryshukfong@canone.com.my
Group Legal Counseltong.yiu.shyian@canone.com.my
Group Managing Directormarcyeoh@canone.com.my
Confidential Whistleblower Reportingwhistleblowing@kianjoocan.com.my +6012-596 0930

Part 4: Declaration of Compliance with No Gift Policy

Part 5: Information on Property(s) Rented to the Group

I hereby confirm as follows (Please tick one):-

Address of property Type of property Rental per month (RM) (Furnished/unfurnished)

* Note to completing information on PROPERTY/PROPERTIES rented to the Group.
Please provide the following in a separate attachment:

  1. Copy of the tenancy agreement
  2. Address of the property
  3. Purpose the property rented
  4. Rental per month and whether furnished or unfurnished

Part 6: Acknowledgment of Disciplinary Consequences & Escalation Process

I understand that this declaration is not exhaustive but merely extracted from the following Can-One Group or KJ/BP Group policies (“Group Policies”) which I have been made aware of and have been provided with a copy (to be revised by the Group from time to time at the Group’s discretion) which form part of the terms and conditions of my employment and agree to adhere to the same throughout the tenure of my employment with the Group:-

  1. Employee’s Handbook;
  2. Code of Conduct;
  3. Anti-Corruption Policy;
  4. No Gift Policy;
  5. Whistleblowing Policy; and
  6. Any other policies to be included and revised by the Group from time to time.

Signature: