NWNS SELF-CERTIFICATION

As NWNS, we are committed to carrying on business in accordance with the highest ethical and global standards. This includes complying with all applicable sanctions laws and regulations in the countries in which we operate.

In this regard, NWNS endeavours to understand the extent of its partner and clients’ activities with certain sensitive sanctioned countries and list based sanctions regimes. Therefore, the purpose of this form is to ask questions which seek to best identify and understand the nature of any such exposure.

We understand this form may feel intimidating but this is not how it is intended. It is however important having all possible risks properly catalogued and audit ready. We therefore very much appreciate your cooperation and suggestions.

For more information and /or background motivation please visit the legal section of our website.

1. To the best of your knowledge, is the company or are any of the company’s connected parties currently targeted by sanctions administered by the following bodies: UN, EU, UKHMT, OFAC, or as part of local sanctions law? *

No Yes

2. To the best of your knowledge, does the company have any current business activity involving individuals, entities or organisations which are currently targeted by sanctions administered by the following bodies: UN, EU, UKHMT,OFAC, or as part of local sanctions law? *

No Yes

3. To the best of your knowledge, does the company have any direct or indirect business activity, legal commitments or exposures relating to any of the sanction listed countries (including via customers, suppliers, agents, brokers, distributors, and origin or shipping of goods). *

No Yes

4. If question 3 is answered with yes, does the company hold any specific licenses (e.g. OFAC) to conduct these businesses? Or are there specific exemptions under US and EU sanctions rules that permit the nature of your activity with the sanctioned country? *

No Yes Not Applicable

5. To the best of your knowledge, is the company subject to supervision and control concerning anti money laundering or any other financial malpractice (incl. corruption or bribery) or counter-financing of terrorism?. *

No Yes

6. Can you confirm that your company has a zero tolerance to financial crime, including tax evasion, the facilitation of tax evasion and money laundering. These zero tolerances to financial crime include, but is not limited to having, policies, processes and controls in place to reduce the possibility of financial crime?. *

No Yes

DECLARATION

The company acknowledges that they may not utilise NWNS products or services for illegal activity involving Iran, North Korea, Syria, Cuba, or Crimea region or any other country or region or an individual, entity or organisation targeted by sanctions administered by the UN, EU, UKHMT, OFAC, or as part of local sanctions law.

Furthermore, we (I) declare that to the best of my knowledge the foregoing certified statements are correct. I understand that the information will be used in the process to assess my organization’s suitability to work with NWNS. Should any of the above supplied information prove to be materially incorrect NWNS may have grounds for the termination of any contract under the contractual obligations on accuracy of information. Furthermore, I understand that NWNS may require my organization to re-certify at a future date.

I also confirm that I downloaded, read and understand the NWNS Code of Conduct on Corruption and Bribery

SIGNED FOR AND ON BEHALF OF THE BELOW-NAMED COMPANY

Company *

Company Name (Branch) Location

Name *

First Name Last Name

Email *

example@example.com

Date

Hour Minutes AM/PM Option

Signature *

Clear