Supplier Name Expo Flora

Supplier Address 121, Sobha Morzaria Grandeur, 4/1 Bannerghatta Main Road.
Supplier Address 2 Next to Oracle Building, near Diary Circle.
City State, Zip Code Bengaluru – 560029.

Marriott's commitment to global diversity and inclusion encompasses every business

unit worldwide and our supplier diversity initiatives are an integral part of how we do
business every day. Please assist us in assessing our progress toward a more diverse
and inclusive supply chain by providing the following information:

Legal Business Name (if different than above)

Floral Supply
Product(s) and/or Service(s) Provided

To be considered as a diverse supplier, you must demonstrate that a minimum of

51% of your business is owned, operated, and managed belonging to one or more of
the following diverse classifications: (Please check all that apply)

□ Disabled
□ Lesbian, Gay, Bisexual or Transgendered (LGBT)
□ Minority
□ African-American
□ Asian-American
□ Hispanic-American
□ Native American
□ Other _____________________________
□ Service Disabled Veteran
□ Service Veteran
□ Woman

Are you certified as a diverse vendor? YES / NO

If yes, please complete the following and provide a copy of your certification:

Certifying Organization

Page 1of 2
Certification Number
Expiration Date

If no, please confirm that you meet the diverse supplier qualifications stated above?

YES / NO

I certify that the information provided is true and correct.

30 –
10 - 2019
Signature (Officer of the Company) Date

Poonam
Printed Name

Sharma
Title

punam.jaiswal@gmail.com +91
9342508871
Email Address Telephone Number

Page 2of 2