DUE DILIGENCE FORM

FOR CORPORATE

Corporate Information
(Please complete all fields below)

1. Date of incorporation/registration
*For Malaysia PLC (Form 8)
*For Malaysia Sdn Bhd (Form 9)

2. Principal country business

*Headquarter located

3. Other country(ies)(if any) in which

activities are undertaken

4. Shareholder(s) (please include % of

shareholdings)
(Please use additional sheet if space provided
is insufficient)
*For Malaysia Company will be Form
25/Section 54(1)

5. Director(s)
(Please use additional sheet if space provided
is insufficient)
*For Malaysia Company will be Form
49/Section 141(6)

6. Principal business address (if different

from registered office address)

7. Source of funds for the business: ❏ Beneficial owner(s)

(Please √ as applicable (you may select ❏ Share Capital
❏ Business income
multiple boxes) and provide details) ❏ Related party financing
❏ Third party financing
❏ Other (please specify below)

8. Has your organisation been the target of ❏ Yes

any Sanctions, where, ❏ No
❏ If yes, please provide details
"Sanctions" means any economic, trade or
financial sanctions laws, regulations,
embargoes or other restrictive measures
imposed, enacted, administered or enforced
from time to time by any Sanctions Authority;
and
"Sanctions Authority" means (a) the United
States, (b) the United Nations, (c) the European
Union and any EU member state, (d) the United
Kingdom, (e) Malaysia and (f) the respective

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 governmental institutions of any of the
foregoing which administer Sanctions,
including OFAC, the US Department of
Commerce, the US Department of State and
the US Department of the Treasury.

If the Company and/or any of its parent entities shown in the ownership structure chart (Note 1) is public
listed or regulated, or a government or a public body, please provide the following information for the
Company and/or the relevant entity (if applicable)

1. Name of stock exchange on which the Company is listed

(Eg. Bursa Malaysia)

Name of stock exchange on which the parent entity is listed

(Eg. Bursa Malaysia)

Full name of the listed parent entity

2. Name of regulatory authority of the Company

Name of regulatory authority of the parent entity

3. Full name of the government or public body of the Company

Full name of the government or public body of the parent

entity

Documents
Please provide the following documents/information (please √ as applicable)

❏ Ownership structure chart (required for multi-layer shareholding structure only (Note1))

Malaysia and Non-Malaysian companies, please provide certified copies of the following
documents:
❏ Register of Members
❏ Business Registration Certificate
❏ Register of Substantial Shareholders (if applicable)
❏ Memorandum and Articles of Association/Constitution
❏ Company Profile (if applicable)

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Notes:
1. Certified by a director showing the name, country of incorporation and percentage ownership of
each intermediate company to the level of the ultimate holding company for multi-layer
shareholding structure and the names and percentage ownership of each individual ultimate
beneficial owner owning or controlling 20% or more of the Company’s beneficial interest.
2. Certified by the relevant authority or a professional third party in the place of incorporation and
issued within the last 6 months.
3. Copies of all documents provided to us must be clearly legible.
4. Apart from the information/documents listed in this form, we may request further information or
documents at our discretion.

Senior Management Information

Please list down all the management of your Company including directors and senior management.
(classification of management and senior management staff is in accordance with your Company’s own
definition) (Please use additional sheet if space provided is insufficient)

Name & NRIC No./Passport Job Title/Designation Nationality

No.

Lists of Lawsuits
Please list down all the litigation matters past and present.
No. List of Litigation Matters (Past and Present) Brief Details (Facts of the
case)

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Questionnaire
Please answer the questions below.

1. Has your organisation implemented any program or measures related to anti-bribery and Yes No
the prevention of corruption? If yes, please provide details and supporting documents
(eg. policies) (if any).

2. Does your organisation have procedures in place to monitor the effectiveness of the anti- Yes No
corruption and/or anti-bribery policy? If yes, please provide details and supporting
documents (eg. policies) (if any).

3. Does your organisation include anti-corruption and/or anti-bribery provisions in contracts Yes No
with third parties, including subcontractors, sub-agents, consultants and sales
representatives? If yes, please provide details and supporting documents (eg.policies)
(if any).

4. Does your organisation review your subcontractors’ anti-corruption and/or anti-bribery Yes No
policies? If yes please provide details and supporting documents (eg.policies) (if any).

5. Has any officer, director, shareholder, or employee of your organisation had a conflict of Yes No
interest with any director, shareholder and/or employee of AirAsia Group Berhad or and
of its subsidiaries and associated companies (including being persons related or
connected as prescribed by the Main Market Listing Requirements of Bursa Malaysia
Securities Berhad or the Companies Act, 2016 or otherwise in any way with a director,
shareholder and/or employee of AirAsia Group Berhad, the entity, AirAsia Group Berhad
and its subsidiaries and associated companies or has any financial interest in the entity
and its subsidiaries and associated companies)?

If yes, please provide the name(s) of the directors and/or employees and provide details
and supporting documents (if any).

6. Has your organisation ever been suspended or barred from doing business in any Yes No
capacity as a result of fraud, corruption, money laundering or any other related activities
in any jurisdiction? If yes, please provide details and supporting documents (if any).

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7. Has your organisation made any contribution to any political party, politician, elected Yes No
official or candidate for public office in any country in the past five (5) years? If yes,
please provide details and supporting documents (if any).

8. Has your organisation provided any gift, entertainment, travel or promotional Yes No
sponsorship to any public body in the past five (5) years? If yes, please provide details
and supporting documents (if any).

9. Does your organisation have any director, shareholder, or employee who is a current or No
former public official or has connection or relationship with a current or former public
official?

If yes, please describe the relationship between such person(s) and the public body.

*Note: Public officials include the Government of Malaysia, the Government of a State, any local
authority, or statutory authority, officer of the Government of Malaysia, officer of the Government
of a State, officer of any local authority and any other statutory authority.

10. Has your organisation made any cash or cash equivalent payment of any kind including Yes No
but not limited to a bribe or facilitation payment (a modest payment) to an official of a
public or regulatory body any public or regulatory body in the past five (5) years? If yes,
please provide details and supporting documents (if any).

11. Does your organisation engage any additional third parties, including subcontractors, Yes No
sub-agents, consultants or sales representatives in carrying out services to be provided
by your organisation?

12. Has your organisation been requested by any entities (eg. government, public body, Yes No
public official or business official) to pay a bribe or to make a facilitation payment (a
modest payment to an official)? If Yes, please provide details and supporting documents
(if any).

13. Have any officer, directors, shareholders, or employees of your organisation been Yes No
convicted, charged or investigated for violation of any law or regulation with respect to
including but not limited to fraud, bribery and/or corruption in any jurisdiction in the past
five (5) years? If yes, please provide details and supporting documents (if any).

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 14. How long has your organisation been providing its services/operating in this industry?

15. Has your organisation conducted transactions with public officials or have any ongoing
transactions with public officials? If yes, please describe the nature of the transaction
entered into between your organisation and the public official.

*Note: Public officials include the Government of Malaysia, the Government of a State, any local
authority, or statutory authority, officer of the Government of Malaysia, officer of the Government
of a State, officer of any local authority and any other statutory authority.

Confirmation

We are duly authorised and have the full legal capacity to complete this Questionnaire on behalf of our
organisation/ company. We have made the necessary checks and assure you that all information set forth
in this Questionnaire, including the supporting documents (if any), are accurate, complete and up-to-date.
We will notify AirAsia Group Berhad (“AAGB”) and/or AAGB’s respective associate or subsidiary companies
within thirty (30) days of any changes to the above information / documents.

We declare that none of our board of director(s) have ever been declared as bankrupt.

We have read the Privacy Policy and Data Protection Statement (see below) and we consent / do not
consent (please delete as appropriate) to receive marketing and promotional material from AAGB’s Group
of companies.

Signature: Signature:

_____________________________ _____________________________
Name: Name:
Designation: Designation:
Date: Date:

[Note:This questionnaire must be signed by at least two (2) persons. A member of the senior management
of the potential Business Partner and/or Supplier and the primary contact person of the potential Business
Partner and/or Supplier, respectively.]

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Privacy Policy and Data Protection Statement

This statement provides you with notice as to why your personal data is collected, how it is intended to be used, to
whom your personal data may be provided to and how to access, review and amend your personal data.

AirAsia Group Berhad (“AAGB”) and/or AAGB’s respective associate or subsidiary companies recognises their
responsibilities in relation to the collection, holding, processing or use of personal data. The provision of your
personal data is voluntary: you may choose not to provide us with the request data, but failure to do so may inhibit
our ability to provide services to you/the Company.

AAGB collects and processes personal information about you for the following purposes (the “Purposes”):
1. to perform the contract we have entered into with you;
2. to communicate with you in connection with the provision of services;
3. to assist in law enforcement purposes, investigations by police or other government or regulatory authorities
and to meet requirements imposed by law or agreed to with government or regulatory authorities; and
4. for other purposes directly relating to any of the above.

Personal data will be kept confidential but may, where such disclosure is necessary to satisfy all or any of the
Purposes or a directly related purpose for which the personal data was collected, provide such personal data to the
following parties:
● any member of AAGB and/or AAGB’s respective associate or subsidiary companies;
● agents, contractors or third party service providers (within or outside the AAGB) including companies to
help deliver the services; and
● government or regulatory bodies or any person to whom AAGB and/or AAGB’s respective associate and
subsidiary companies is to make disclosure: (a) for the provision of services; or (b) under a legal and/or
regulatory obligation in that jurisdiction applicable to that particular AAGB and/or AAGB’s respective
associate or subsidiary companies.; or (c) which AAGB and/or AAGB’s respective associate or subsidiary
companies have agreed to make disclosures.

From time to time, we may purchase a business or sell one or more of our business (or portions thereof) and your
personal data may be transferred or disclosed as part of the purchase or sale or a proposed purchase or sale. In the
event that we purchase a business, the personal data received with that business would be treated in accordance
with this statement, if it is practicable and permissible to do so. In the event that we sell a business, we will include
provisions in the selling contract requiring the purchase to treat your personal data in the same manner required by
this statement.

Your personal data may be provided to any of the above parties who may be located in Malaysia or outside Malaysia.

You have the right under applicable law to obtain access to and to request correction of your personal information
held by AAGB and/or AAGB’s respective associate or subsidiary companies, please contact AAGB’s Privacy Officer.
We will not be responsible for any losses arising directly or indirectly from any inaccurate and/or incomplete
information provided to us by you.