CONFLICT OF INTEREST

Name=----------------------------------------------------------------------------------------------------· Empl Code· ----------------------------------------------------------------------------

Designation=---------------------------------------------------------------------------------------- Head Quarter·-------------------------------------------------------------------------

Date --------------------------------------------------------------------------------------------------------

1 Have you understood the Core Values of Frontiers?

2 Have you paid any money or given any gift to get a job in Frontiers?

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~~if;~~~~m~ifi~cfi"W?
If Yes, then give his name, designation, HQ, Mobile no.

3 Do you or any of your relatives has any business or partnership in any business
of Agricultural products?

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If Yes, then give full details :
a. Name of Relatives
b. Name of business firm
c. Address of business firm
d. Products sold
e. Vear of establishment of business

4 Is any of your close relative presently working in Frontiers or its Principal

Companies or with any Distributor or retailer?
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cf>" 11TB cJilll cRffi i?

If Yes, then give his name, designation, HQ, Mobile no.

5 Have you ever collected cash or cheque or taken any personal advance from any
Distributor or Retailer or from any employee for any reason?

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am~fw:rrt?
If Yes, then give full details :
a. Name of Company/Firm/Distributors/Retailer/Employee
b. Address
c. Amount and date of receiving cash
d. Reason
 CONFLICT OF INTEREST

6 Have you ever physically carried or moved material to any Distributor or

Retailer or farmer?
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~t?
If Yes, then give full details :
a. Name of Firm/Distributor/Retailer
b. Address
c. Reason

7 Have you ever paid bribe to any Govt officials or anyone to get relaxation or to
bypass local rules, laws & regulations?
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If Yes, then give full details :

8 Have you ever misused or sold free product samples which are meant for free
distribution or demonstrations?

If Yes, then give full details :

9 Have you ever promoted Crop protection products of our Principal Companies
to farmers on other than label claim or under dose or going against prescription
written on product manuals?
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~ ~ <l"T '3ls{ ffi <l"T ~ 1:IT ~ ~'3Wf ~ cfi" fcrc!m oRWIT i?
If Yes, then give full details :

10 Do you use any company property for your personal use?

If Yes, then give full details :

a. Name of property or vehicle or asset
b. Type of activity or use
c. Extent of Time spent out of your working timings
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CONFLICT OF INTEREST

11 Do you know that you are supposed to keep all the information of the
company as confidential during your employment and even after termination or
cessation of employment?
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cfi)" ~ ""1-1 ifil tl 1frq•fPn~.<R cfi)" ~eyr cfi)" ~ ~?

12 Have you ever committed any price/scheme/information to your customer

without written any approval or consent from the management?
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If Yes, then give full details :

13 Have you ever accepted any Gift /Cash from any Distributor/Retailer to
influence your business decision?
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~'l~~~?

14 Have you placed any order without Distributor's consent? Yes I No

If Yes, then give full details :

15 Have you shared any Company's competitive information with any of its
competitiors without written approval from the management?

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~ if> BT?.J ~ cfi)" ~?

If Yes, then give full details :

DECLARATION
I hereby declare that the above information is true and correct to the best of my knowledge and nothing has been
concealed therein.

Dated · . Signature .

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