Section A: Declaration Type
Please indicate the purpose of this declaration
*
Gift Given
Gift Received
Festive Gifting Activity (Company-sponsored)
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Section B: Declarant Information
Salutation
*
Please Select
Mr.
Mrs.
Miss
Dr
Prof
Dato/Datuk
Datin
First Name
*
Last Name
*
Preferred Name
*
Full Legal Name
*
Department
*
Please Select
Management
Strategy
Clinical
Life Sciences
Manufacturing
Microbiology
Technical Service
Administration
Digital
Finance
Quality Assurance
Regulatory Affairs
Supply Chain
Talent Management
Project
Executive Office
Position Title
*
Email Address
*
example@biomedglobal.com
Date of Declaration
*
-
Day
-
Month
Year
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Section C: Gift Details
Date of Gift Activity
*
-
Day
-
Month
Year
Recipient / Giver Company Name
*
Nature of Gift
*
e.g.: food hamper, souvenir, stationery, branded item, etc
Estimated Market Value (MYR/SGD)
*
Occasion
If applicable
Type of Relationship
*
Customer
Supplier / Principal
Sub-Channel Partner
Consultant / Service Provider
Public Official
Other
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Section D: Gift Justification
Purpose of the gift
*
Was the gift addressed to a company or an individual?
*
Company / Department
Individual (Not allowed unless exception granted)
Is the gift compliant with Biomed’s Gifting Policy value thresholds?
*
Yes
No
Please attach written approval from Management
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Are you aware of any “No Gift Policy” applicable to this party?
*
Yes (Do not proceed)
No
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Section E: Declaration & Signature
Signature of Declarant
*
Date
*
-
Day
-
Month
Year
Submit
Should be Empty: