Consent to Screen

Please check the form carefully, and then sign the following declaration.

RISQ Group is conducting your background screen on behalf of your prospective or current i) employer or
ii) principal to whom you or your company provides services, hereby referred to as “the Company”.

The purposes of this letter are to explicitly inform you and to obtain your consent to release to RISQ Group
incorporating AIM Screening (“RISQ Group” or “us”), agents of the Company, all personal information provided by
you to us or information about you; collected, compiled or retained by us (the “Information”) in the course of or in
relation to your recruitment, engagement or employment with the Company.

The Information will be released to RISQ Group and/or its agents to conduct searches and verification on your
background information, which may include employment references, civil, credit and criminal records, media,
directorship, property ownership and driver’s license information, education, employment history and credential
verification, and other background information on you as requested by us (the “Collected Information”). You hereby
authorise the Company through RISQ Group and/or its agents, to contact various government agencies, any and all
corporations, former employers, educational institutions, consumer credit information agencies, law enforcement
agencies and courts and other contributors (the “Contributors”) as a relevant party acting on your behalf for the
purposes of obtaining and/or verifying the Collected Information. This letter releases the Contributors from any
liability and responsibility for releasing the Collected Information to the Company or RISQ Group. RISQ Group and/or
its agent may release the information and this consent letter to the Contributors and such other persons as may be
necessary for the purposes of performing such searches and verification and the Information may be disclosed to
Contributors in overseas locations. You further release and forever discharge the Company, its partners including
RISQ Group, its agents, clients, employees and the individuals and companies contacted as part of the enquiries,
from any and all claims, demands, damages, actions, causes of action, or suits of any kind or nature whatsoever
arising from the Company’s investigation of my credentials.

RISQ Group will furnish to the Company a report containing the Collected Information (the “Report”). The Report
shall be the property of the Company.

In signing this letter, you confirm that your consent is given voluntarily and shall remain valid and effective until the
purpose has been served or unless it is withdrawn by you with prior written notice.

We acknowledge that RISQ Group in collecting, holding, processing and using the Information, the Collected
Information and such other related information and documents that may contain your personal data, does so solely
on behalf of the Company and does not hold, process or use the Information for any of its own purposes.

I hereby certify that all information provided in this application form or in any document/s attached to the
application form, by me to the company, is accurate, correct, and complete to the best of my knowledge. I authorize
the Company or its authorized representative to verify my personal, employment, educational background,
collected and provided information in the application form or any document/s attached thereto. Furthermore, I
understand and acknowledge that any misrepresentation or falsification or any omission of facts, or documents
provided of whatever nature, required in this application and provided by me could be considered sufficient cause
for the company in its absolute discretion to take the necessary action, including dismissal and/or termination of
employment.

Signature of Candidate

Name of Candidate (Please print full name)

Date of Birth (DD/MM/YYYY)

Recognised Identification Number/Passport Number

Date (MMM DD, YYYY)

If you wish to obtain details of your personal information which is held or collected by RISQ Group, please forward your request in writing
to: The Privacy Officer, RISQ Group, GPO Box 2639, Sydney, NSW, 2001, Australia.
Last updated on 01 Aug 2017