MORE POWER [MORE ELECTRIC AND POWER CORPORATION Declaration of Conflict of Interest Personal Information ‘Name (Last Name, Given Name, Middle Name): 2 Position Title (3. Department/Division: i. Date Hired (mm/dd/yy): Civil Sutus 6. Contact Number: 7 Do you have any outside cmployment/ engagement aside from MORE Power? 1 ues SNe Ifyes, please identify the name of organization, the nature of engagement and working hours, ‘Company/ Organization on ie Nature of Engagement ‘Working hours ___Engagement ature of Eagagem Affiliated Person Employed in MORE Power 8. Do you have an affiliated person(s) employed in MOREPower? Yes. No TF yes, please identify the name/s of your relative/s, your relationship, and the Department/Unit where your relative’s are assigned. [Name of Aine Peron Your Relationship Deparment Ua Affiliated Person and Business Interest 9. Do you have official dealing and/or private interest to other persons/companies which has business dealings (supplier or sub-contractor) with MORE Power? oes NoMORE POWER MORE ELECTRIC AND POWER CORPORATION | Tryes, please identify the name of the person or the company identified person or company "your relationship or your duties which involved the Name of Person/Company Brief Description of Duties 10.Do any of your affliated persons have offical dealing and/or private (director indirect) interests to other ‘persons/companies which has business dealings (supplier or sub-contractor) with MORE Power including its ves No | Tf yes, please identify the name of your affiliated persons, your relationship to the person, name of ~ persons/company, relationship between your affiliation and name of persons/company which has business dealings (supplier or sub-contractor) or competitor/s of MORE Power. ‘Name of Affiliated Person/s ‘Your Relationship | | | IL Are you or any of your affiliated persons a party to or have an interest in any pending legal proceedings involving MORE Power? [Name of Persons/Company ues No | Tf yes, please describe the proceeding(s) and iFan affiliated person is involved, the identi of the affiliated person and your relationship with that person Description of the Proceeding 12. Are you aware of any other events, transactions, arrangements or other situations that have occurred, or may ‘occur in the future concerning MORE Power, its employees, suppliers, contractors/subcontractors, ec, that ‘you believe should be examined by MORE Power in accordance with the terms and intent of the Company's Conflict of Interest Policy? oes NoMORE POWER MORE ELECTRIC AND POWER CORPORATION Tres, pease deseribe the stuation() and ian affiliated person is involved, the identity ofthe affliated person and your relationship with that person. 5 ~ Your L Description ofthe situation Hdentty ofthe affiliated person | setationship Thereby confirm that [have read and understood MORE Power's Declaration of Conflict of Interest Policy and that iy responses to the above questions are complete and correct to the best of my information and belief. Particulars of my private interests and those of my immediate family of which Iam aware are set out in the attached form. agree that if | become aware that the information that I have provided is no longer accurate or should a situation arise where an interest of mine, or an interest of a member of my fatnily of which Lam aware, turns or may | reasonable be thought to turn into a confliet-of- interest situation, 1 will promptly make an appropriate written, disclosure of all relevant facts to MORE Electric and Power Corporation. Signature over Prinied Name Date