@ iPT PowerTech | Group} Declaration of Relatives Acknowledgement & Disclosure Form Employee Name: 1 Us Moumadicn Cire Yorn]! TPTPG OOTF Offices SUPERVISION (AOC) Department: MAIN TEM AN CE IPT Powertech Group defines “Relative” as spouse, parent, guardian, sibling, child, grandchild, in-laws, aunt, uncle, nephew niece, cousin, or any person with whom the employee has a close personal relationship. |, the undersigned, hereby declare that | have reviewed and accepted the provisions of the present Declaration of Relat Policy and | understand that upon my employment with IPT Powertech Group or any of its subsidiaries, | must disclose: Identity of any relatives who are current employees of IPT Powertech Group, shareholders, board members, offic directors, employees or contractors of any company that has a business relation of any kind with IPT Powertech Group. \also understand that throughout my employment with IPT Powertech Group, | will be required to disclose the identity of relative who becomes an employee of IPT Powertech Group as well as any employee who becomes my relative and of person who becomes a shareholder, board member, officer, director, employee or contractor of any company that ha business relation of any kind with IPT Powertech Group or any person that is a shareholder, board member, officer, direct ‘employee or contractor of any company that will have a business relation of any kind with IPT Powertech Group following ‘employment. | hereby acknowledge that any breach of the foregoing shall be deemed as a breach of IPT Powertech Group's inter regulations and policies and shall entitle IPT Powertech Group to exercise its rights under the Lebanese Labor Law. As at the date of signature hereof, my Relative(s) who work for/with IPT Powertech Group as further described above are: Relative’s Name. Relationship to Department Position Role with IPT Powertech Employee Group's business counterparty and name of counterparty wae we eee ae Be aa a ae ma eae ie E — oe Employee/Applicant’s Signature & Date 19 /A8 [2015 Hiring Manager/line Manager's signature & Date