Supplier Conflict of Interest, Anti-Bribery/Anti-Corruption, Data Protection and Whistle-Blowing

Declaration

Suppliers conducting business with DTB must complete and return the Supplier Conflict of Interest Declaration
Form in order to adhere to the conflict of interest policies as stated within the declaration section below.

If a vendor is related to a DTB employee/director/shareholder, the vendor shall disclose the information required
below.

This document is to be completed by the person mandated to contract on behalf of the customer

Name of Company………………………........................................

1. Declaration of connected relationship statement

• I/We………………………………. of ID No. ………………………. declare to the bank that I am

not related, nor do I have connected dealings with any employee/director or major
shareholder of the bank

Signed…………………………………………………………………………………

Date……………………………………………………………………………………

• I/We………………………………. of ID No. ………………………. declare to the bank that I/We

have association with………………………. (name of employee/director/ major shareholder of
the bank) as follows: (please tick as appropriate)

o Business partners
o Spouse
o Parent -(step) father / mother (in-law)
o (Step) Child
o Sibling-(step) brother/sister (in-law)
o Cousin/Nephew/Niece

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Supplier Conflict of Interest, Anti-Bribery/Anti-Corruption, Data Protection and Whistle-Blowing
Declaration

2. Anti-Corruption Declaration Commitment Declaration

(Sections39, 40,41,42,43 & of the Public Procurement and Disposal Act, 2005)

I/We/Messrs.…………………………………………………………………………….

of Street, Building, P O Box……………………………………………………………

…………………………………………………………………………………………..

Contact/Phone/E mail…………………………………………………………………...

declare that Public Procurement is based on a free and fair competitive Tendering process which should
not be open to abuse.

I/We ..…………………………………………………………………………………..

a) declare that I/We will not offer or facilitate, directly or indirectly, any inducement or reward to any
Bank officer, their relations or business associates, in connection with in the awarding of the
contract and subsequent performance for the service/product offered to DTB.

b) Have not been debarred from participating in public procurement.

c) Have not been involved in and will not be involved in corrupt and fraudulent practices regarding
procurement.

Authorized Signature.........................................................................................................

Name and Title of Signatory…………………………………………………………….

Official Seal/ Stamp ………………………………………………………………….

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Supplier Conflict of Interest, Anti-Bribery/Anti-Corruption, Data Protection and Whistle-Blowing
Declaration

3. Data Protection (Data Protection Act, 2019)

I/We/Messrs…………………………………………………………………………….
of Street, Building, P O Box……………………………………………………………
…………………………………………………………………………………………..
Contact/Phone/E mail…………………………………………………………………...

Declare that;

a) I/We and my/our agents have the appropriate technical and organisational measures in place
against unauthorised or unlawful processing of personal data and against accidental loss or
destruction of, alteration of, or damage to, personal data held or processed by me/us/them
and will ensure that any Confidential Information will be held and treated as if it was such
personal data.

b) I/We and my/our agents will comply with the provisions of the Data Protection Act, 2019
and any regulations implementing it and that I/We and my/our agents will duly observe all
my/our/their obligations under the Data Protection Requirements which arise in connection
with any Confidential Information.

4. Whistle-Blowing

DTB is committed to conducting its business whilst upholding high standards of honesty, integrity, and fairness.
DTB expects and requires the same commitment from all employees, suppliers and contractors.

This DTB policy aims to ensure that suppliers and suppliers’ employees and contractors are fully aware that they
should report concerns or suspicions about any wrongdoing, unethical practice or criminal acts on the part of
any employee of DTB. Any information received will be treated confidentially and seriously, in line with best
practice and applicable law.

In line with Kenya’s Whistle Blower Protection Act, you are therefore encouraged to report, using the contact
details below, any of the following acts which you reasonably believe have or will take place:

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 Supplier Conflict of Interest, Anti-Bribery/Anti-Corruption, Data Protection and Whistle-Blowing
Declaration
• An employee of DTB engaging in bribery, corruption or economic crimes as defined in the Anti-Corruption and
Economic Crimes Act, 2003 or any other written law;
• An employee of DTB coercing you (or others) to offer, or soliciting you (or others), or accepting any gift or other
advantage which might reasonably be seen to influence the exercise of their official duties or responsibilities;
• An employee of DTB knowingly directing or counselling an individual to commit improper conduct
• Any criminal offence including fraud or theft
• Any failure to comply with a regulatory or legal obligation
• Any attempt to conceal any of the above matters

Reports of suspected wrongdoing, unethical practice or criminal acts should be made to …….:

Contact: +254 719031888/718390800/732121888/732390800

Or report online at:
Or email: contactcentre@dtbafrica.com

I/We/Messrs…………………………………………………………………………….
of Street, Building, P O Box……………………………………………………………
…………………………………………………………………………………………..
Contact/Phone/E mail…………………………………………………………………...

Declare that;
I/We will commit to upholding the whistle-blower policy without fear of retaliation or retribution
and will make know to DTB through the relevant channels any conduct, or potential conduct of
wrong doing in line with DTB’s whistle-blower policy

Authorized Signature.........................................................................................................

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Supplier Conflict of Interest, Anti-Bribery/Anti-Corruption, Data Protection and Whistle-Blowing
Declaration
Name and Title of Signatory…………………………………………………………….

Official Seal/ Stamp ………………………………………………………………….

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