CODE OF CONDUCT REPORTING FORM The PureCircle Code of Conduct on-line reporting form allows you to raise concerns related to the Code of Conduct or other potential violations of laws, regulations, or company policies in a confidential manner. The concern raised on this webpage are transmitted to the Head of Finance (as Compliance Officer). Please provide the following details for any suspected misconduct or breach of law, regulation, or company policy. Please note that while you may report anonymously, it would be most helpful if you identify yourself so that you may be called upon to assist in the investigation, if required. REPORTER'S CONTACT INFORMATION (This section may be left blank) NAME DESIGNATION DEPARTMENT / AGENCY LOCATION EMAIL-ADDRESS CONTACT NUMBER SUSPECT'S INFORMATION NAME* DESIGNATION* DEPARTMENT / AGENCY* LOCATION* EMAIL-ADDRESS* CONTACT NUMBER* WITNESSES'S INFORMATION (if any) NAME DESIGNATION DEPARTMENT / AGENCY LOCATION EMAIL-ADDRESS CONTACT NUMBER COMPLAINT Briefly describe the suspected misconduct / improper activity and how you know about it. What misconduct / improper activity occurred ? * ---Financial and business recordsBribery and “facilitation payments”Gifts and entertainmentHealth, Safety and SecurityHarassment and bullyingSexual harassmentProduct safety and qualityDiversion or misuse of company’s assetsConfidential information / Proprietary information / computer securityDiversity / DiscriminationBreach of privacy and protection of personal dataConflicts of interestsEnvironmental stewardshipSupplier selection and fair treatment of suppliersAnti-competitive practicesViolation of Human Rights in the workplace / Employees legal rights Who committed the misconduct / improper activity ? * When did it happen and when did you notice it ? * Where did it happen ? * Is there any evidence that you could provide us ? Are there any other parties involved other than the suspect stated above ? Do you have any other details or information which would assist us in the investigation ? Any other comments ?