Fujitsu Third Party Approval Portal

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Fujitsu Third Party Due Diligence Questionnaire

Dear Katy Sarkis,

The Fujitsu Group (Fujitsu) is committed to the highest standards of ethics and business practices. As part of a companywide effort to maintain these standards, Fujitsu has implemented a Third Party due diligence process.
There are two components to this program. The first component requires that Third Party suppliers provide Fujitsu with the information necessary to conduct a background review. In order to do so, you are requested by Fujitsu to provide relevant documentation and information. The second component requires Third Party suppliers to become familiar with and agree to act in accordance with Fujitsu's Global Business Standards, including its Annexes, the Global Policy on Anti-Bribery and Anti-Corruption and Global Policy on Compliance with Antitrust & Competition Laws.
All information provided in the Third Party Due Diligence solution will be used solely for the purpose of Fujitsu’s compliance with the United States Foreign Corrupt Practices Act, United Kingdom Bribery Act, export control and sanctions laws, as well as other applicable anti-bribery, corruption, financial record-keeping and related laws, and for the purposes of the operation and maintenance of the technical tools and platform utilized to use, process and store this information.

Any questions you may have regarding these forms or your qualifications as a Third Party provider for Fujitsu should be addressed to fujitsu.supplier@ts.fujitsu.com

To ensure a smooth workflow please note the following points:

Use English if possible

Make sure to state the right email addresses for future communication

Fill in all mandatory fields and save your questionnaire if you have to interrupt (an email with the link to the saved questionnaire is sent to the email address you have stated)

If you have any questions please use the 'contact us' box

(*) Mandatory fields

A | Basic Information

Full Legal Name of Company in Latin alphabet*

Full Legal Name of Company in original alphabet (Russian, Arabic, Japanese, etc.)

1. Registered Information (in Latin alphabet)

Street / No.*

P.O. Box*

Postal code / City*

Country*

Date registered*

Day	Month	Year

DUN & BRADSTREET (D&B) Number

VAT / TAX Identification Number*

Type of organization*

Please attach a copy of your most recent public filing showing the Company’s shareholders, partners or owners; if this filing does not list major (>5%) shareholders, please identify the major shareholders (public and non-public)*

I agree that entered information is correct.

2. Corporate Headquarters Address (in Latin alphabet)

Same as registered address

Postal code / City*

Country*

Company Website*

Company does not have a website

3. Contact Information

Title*

First name in Latin alphabet*

Last name in Latin alphabet*

First name in original alphabet (Russian, Arabic, Japanese, etc.)

Last name in original alphabet (Russian, Arabic, Japanese, etc.)

Telephone number*
(please select international area code)

- -

Email*

I agree that entered information is correct.

Same as registered address

Postal code / City*

Country*

4. Accounts Receivable Contact Person

Title

First name in Latin alphabet

Last name in Latin alphabet

First name in original alphabet (Russian, Arabic, Japanese, etc.)

Last name in original alphabet (Russian, Arabic, Japanese, etc.)

Telephone number
(please select international area code)

- -

E-mail

5. Payment Information

How does the Company request Fujitsu to pay?*

Bank Transfer Other

* If other, please explain:

6. Beneficiary Details

Name of Beneficiary*

Street / No.

P.O. Box

Postal code / City*

Country*

7. Bank Account Information

Bank name*

Country*

IBAN / Bank account number*

BIC / SWIFT*

I agree that entered information is correct.

B | Company Details

1. Please briefly describe the products and/or services that the Company will provide to Fujitsu*

2. Approximate number of fulltime employees*

3. Current status of Company's relationship with Fujitsu*

4. Approximate annual revenue in USD*

5. Does the Company have any affiliations (i.e. parent companies, subsidiaries, joint ventures) or other entities affiliated with the Company?*

Yes
No

* If yes, please describe your corporate structure or attach a company organization chart

Documentation

Please attach the following documents for the country of intended activity. If the jurisdiction in which services will be provided requires licenses/permits to provide such services legally, proof of current licenses/permits must be provided.

6. Company’s financial statements for three (3) most recent years*

[x] 2014 Financial Statements.pdf

7. Company’s most recently filed annual report

8. Company’s certificate of incorporation, articles of incorporation, commercial registration, or other documents evidencing formation of entity*

[x] Certificate of Registration.pdf

9. Company’s professional licenses or permits held in order to provide services in this jurisdiction

10. Other - please describe the additional documents

C | Experience

1. Company’s principal line of business*

2. Number of years in principal line of business*

3. Please describe the line of business relevant to the products and/or services that Company will provide to Fujitsu.*

4. Will any other companies or entities affiliated with the Company be involved in providing good/services to Fujitsu in any country?*

Yes
No

* If yes, please specify registered name, type of service and country

D | Ownership and Management

1. Who are the shareholders or equitable owners of the organization? If the entity is a Partnership, list all partners and indicate which person is the managing partner*

* At least one entry required

[X]

Partner/Shareholder 1

Partner / Shareholder is a person Partner/ Shareholder is a privately held company

Company Name*

Percentage of ownership*

Date of acquisition*

Day	Month	Year

2. Do any other persons or entities have any opportunities to share in the Company’s equity, revenues or profits, whether directly or indirectly?*

Yes
No

* If yes, please identify such persons or entities and explain the opportunity, including how it is held

[X]

Person 1

First name in Latin alphabet*

Last name in Latin alphabet*

First name in original alphabet (Russian, Arabic, Japanese, etc.)

Last name in original alphabet (Russian, Arabic, Japanese, etc.)

Opportunity*

3. Please list the individuals who serve on the Board of Directors of the Company*

* At least one entry required

[X]

Board of Directors member 1

Title*

First name in Latin alphabet*

Last name in Latin alphabet*

First name in original alphabet (Russian, Arabic, Japanese, etc.)

Last name in original alphabet (Russian, Arabic, Japanese, etc.)

Percentage of ownership*

Nationality*

Date of Birth*

Day	Month	Year

4. Are any other persons able to exercise control or influence over the entity through any arrangement or relationship? *

Yes
No

* If yes, please identify such persons and explain the nature of the control or influence over the entity, including specifics of the arrangement or relationship

[X]

Person 1

First name in Latin alphabet*

Last name in Latin alphabet*

First name in original alphabet (Russian, Arabic, Japanese, etc.)

Last name in original alphabet (Russian, Arabic, Japanese, etc.)

Nature of control or influence*

5. Are any of the owners, partners, directors, officers or employees of the Company affiliated with any entities that conduct business with Fujitsu?*

Yes
No

* If yes, please identify

[X]

Person 1

First name in Latin alphabet*

Last name in Latin alphabet*

First name in original alphabet (Russian, Arabic, Japanese, etc.)

Last name in original alphabet (Russian, Arabic, Japanese, etc.)

6. Key Employees of Company who will be involved in conducting business with Fujitsu*

* At least one entry required

[X]

Employee 1

Title*

First name in Latin alphabet*

Last name in Latin alphabet*

First name in original alphabet (Russian, Arabic, Japanese, etc.)

Last name in original alphabet (Russian, Arabic, Japanese, etc.)

Nationality*

E | Questionnaire

1. To the best of your knowledge, does the Company currently employ any person that had been employed by Fujitsu or any company with the Fujitsu name within the last 5 years?*

Yes
No

* If yes, please explain:

2. Is the Company’s expected business with Fujitsu likely to relate or involve government?*

Yes
No

* If yes, please explain:

3. Is any individual at the Company who will have business contact with Fujitsu a current or former Government Official?*

Yes
No

* If yes, please provide the name (in Latin alphabet and original), business address, organization, position and the dates in the position of the person who is or was a government official. If the details involve several individuals and require more space than given, please attach the complete details on a separate sheet of paper:

4. Is any member of the immediate family of any of the principals, owners, partners, directors, officers or employees of the Company a Government Official as defined above?*

Yes
No

5. Does the Company have a compliance function/department?*

Yes
No

* If yes, please provide Compliance contact details

Title*

First name in Latin alphabet*

Last name in Latin alphabet*

First name in original alphabet (Russian, Arabic, Japanese, etc.)

Last name in original alphabet (Russian, Arabic, Japanese, etc.)

Telephone number*
(please select international area code)

- -

Email*

Same as registered address

Postal code / City*

Country*

6. Does the Company have specific anti-corruption policies in place?*

Yes
No

* If yes, please attach a copy

[x] FCPA and Bribery Act Quick Reference 06 07 11.pdf

7. Is every principal, owner, partner, director, officer or employee of the Company made aware of Company anti-corruption policies and procedures upon hiring/contracting?*

Yes
No

8. How are the Company’s anti-corruption policies communicated to its employees?*

Verbally In writing Training Other

* If other, please explain:

9. Does the Company have a written policy that requires employees to abide by ethical business practices?*

Yes
No

* If yes, please attach a copy

[x] Code of Ethics.pdf

10. Does the Company require all third parties to abide by the requirements of the Company’s anti-corruption policy?*

Yes
No

11. Will the Company use third parties to provide labor or perform any other services that the Company may be contracted to perform for Fujitsu?*

Yes
No

* If yes, in what capacity would such third parties be used?

12. Has the Company currently or in the past three (3) years earned revenues from government contracts?*

Yes
No

* If yes, with which government entity and for what type of services?

13. Have there been any offers, promises or received requests for payments or anything of value of any kind from government officials (including state-owned enterprises) or former employees for the following?*

A.	Your Company,
B.	Any company in the chain of command including your immediate and ultimate parent companies,
C.	Any of a) or b)’s employees, officers, directors or partners or shareholders (as part of their duties in relation to the company).

Yes
No

* If yes, please describe the circumstances of the request and how the Company responded to it.

14. Have there been any violations (alleged or charged by any government authority) of any bribery, fraud, embezzlement, or corruption law, or any violations related to government procurement for the following? *

A.	Your Company,
B.	Any company in the chain of command including your immediate and ultimate parent companies,
C.	Any of a) or b)’s employees, officers, directors or partners or shareholders (as part of their duties in relation to the company).

Yes
No

15. During the past ten (10) years, have there been any convictions of any crimes or citations of any regulatory violations resulting in imprisonment or fines against the following?*

A.	Your Company,
B.	Any company in the chain of command including your immediate and ultimate parent companies,
C.	Any of a) or b)’s employees, officers, directors or partners or shareholders (as part of their duties in relation to the company).

Yes
No

16. Have there been any offers of any benefit valued at USD 50 or greater to any key employee of Fujitsu by the following?*

A.	Your Company,
B.	Any company in the chain of command including your immediate and ultimate parent companies,
C.	Any of a) or b)’s employees, officers, directors or partners or shareholders (as part of their duties in relation to the company).

Yes
No

* If yes, please explain the circumstances under which such benefit was provided

17. Is there any other relevant information that you would like to disclose which has not been covered by the preceding questions?*

Yes
No

* If yes, provide details

18. Does the Company agree to notify Fujitsu immediately of any action that might constitute a violation of anti-corruption law related to the business with Fujitsu group?*

Yes
No

F | Affirmation

First Name*

Last Name*

Position in company*

Day	Month	Year

I certify that I am the person identified above, and that I have the authority to act for Getty Images Sales Australia Pty Ltd and bind same. I have read and agree, on behalf of myself and the Getty Images Sales Australia Pty Ltd, to comply with Fujitsu Global Business Standards, including its Annexes, the Global Policy on Anti-Bribery and Anti-Corruption and Global Policy on Compliance with Antitrust & Competition Laws. I further certify that I am in compliance with all laws and regulations applicable to Fujitsu or Getty Images Sales Australia Pty Ltd.

I agree that the information provided in this questionnaire is being collected for the purpose of Fujitsu’s compliance with the United States Foreign Corrupt Practices Act, United Kingdom Bribery Act, export control and sanctions laws, as well as other applicable anti-bribery, corruption, financial record-keeping and related laws (the “Relevant Laws”). Fujitsu, including its authorized third parties, contractors or vendors, may gather, store, process and transmit this information for the purpose of ensuring compliance with the Relevant Laws and for the purposes of the operation and maintenance of the technical tools and platform utilized to use, process and store this information. This may include the gathering, storing, processing and transmission of the information outside the EU/EEA territory to non-EU countries that do not afford the same level of data protection as applicable within the EU EU/EEA territory. The information I am providing will not be used for any other purposes.

Fujitsu will store this information specifically and delete it when not used or obsolete. Fujitsu is entitled to disclose the information to third parties contractually bound to Fujitsu if and to the extent this is required for the purposes stated above and will not disclose this information to any other third parties or for any other purposes than stated above, unless this is required in accordance with applicable laws (including the applicable data protection laws) or if Fujitsu has obtained my permission in advance.
In providing information for this questionnaire, I certify that I have complied with all applicable data protection laws. This includes my authority to declare, on behalf of the persons about whom information is provided, an express declaration of consent with respect to the privacy statement below. I am aware, that data subjects can revoke their consent to Fujitsu at any time by sending an email to unsubscribe.fujitsu.supplier@ts.fujitsu.com, without giving any reason and may require a corresponding erasure or blocking of the data for future use.*

	Yes, I understand the information, and agree to the collection, recording, storage, processing, transmission and the terms above.
	Yes, I have seen the privacy statement of Fujitsu, read it and accept the content.

*Should I not give my consent or later withdraw I am aware that Fujitsu has no permission to use my personal data as of this date or as of the date of withdrawal. If this results in disadvantages for me, I cannot derive any legal claims against Fujitsu.