Business Ethics and Conduct Disclosure Statement
Business Ethics and Conduct Disclosure Statement
1. Are you familiar with and do you support the company’s code of ethics?
Yes No
2. Are you aware of any illegal, unethical or improper practices or conduct anywhere within
this Company?
Yes No
If the answer to the preceding question is ‘yes’, list here, in full and complete details, all such
practices or conduct. (Use additional pages if necessary.)
3. Have any threats or promises been made to you in connection with your answers to the
questions on this form?
Yes No
If ‘yes’ please identify them in full and complete detail and notify company management
immediately.
You attest that you have read and fully understand this document and the consequences thereof
and that you are in agreement with all of the items contained herein.
Deponent
VERIFICATION
Verified that the contents of my above declaration are true and correct to the best of my
knowledge and belief and nothing has been concealed therein.