Form No.

: DCI/HR001
KOMARK GROUP OF COMPANIES Revision :1
DECLARATION FORM – CONFLICT OF INTEREST Effective Date : 01/07/2022

MUHAMMAD SYAFIQ BIN AZIZI K036B M3

Employee Name Emp. No Job Grade
SSHC 06 JUNE 2021
Department Date Join
KOMARK INTERNATIONAL MANAGER
Company Position

I, the above named, hereby officially declare that I, my spouse and/or child/children is/are presently engaged in the
following external business interest/activities/additional activities on a full time/part-time/free-lancing/consultancy/project
basis as indicated below. I will hereby undertake to update this declaration should there be a change in status within two
(2) weeks of the change.

SECTION I
Applicable to those who are presently holding a position with an external company, may it be family
business, spouse and/or child/children's business and/or in partnership/shareholding with.

Name of Nature of Position Held Shares Attached to Since

Company Business Held (%) Spouse/Child/Children When
TERATAK TOURISM DIRECTOR 40 FAMILY 2023
D’PAHLAWAN

SECTION II
Applicable to those who are involved in any other additional outside business activities such as providing
consulting services, project work, part-timing, etc.

Name of Business Position Please thick (√) the nature of service Since
Company Industry Held Consulting Project Part-time Others, please When
Services Work Specify
CHEETAH RETAIL CONSULT / 2023
ANT

AUDACITY FINANCE FUNDED CONTRACT 2023

CAPITAL TRADER /
FREELANC
E

SECTION III
Applicable to those who holds more than 5% shares in other companies and/or partnerships but are not
involved in its operations.

Name of Company No. of Shares Held (%)

OG ESPORT MY 16
MEE TARIK D’PAHLAWAN 5
SECTION IV

Any other conflicts that are not covered by the above.

Nature/Type of Conflict Description

Date of Submission 4/1/24 Date of Receipt

Acknowledge Receipt
Employee Declaration
By Head of
By Signature
Department

Reviewed by Financial Controller / Executive Director

Conflict interest with Yes / No *

Name
Company

Signature
Comments
Date

* Delete whichever not applicable.

* Kindly include a photocopy of the ROC/ROB certificates, letter of appointment/ agreement where applicable.

Important Note

Failure to declare and update any changes is classified under major misconduct. The Company reserve the right to
proceed with disciplinary action.