Supplier KYC and Due-Diligence Questionnaire

Identifies a producer, processor or trader and the origin of the material it offers. Required before any offer is listed.

1. Company

Registered company name

Trading name (if different)

Country of incorporation

Registration number

Date of incorporation

Tax / VAT number

LEI (if held)

Registered address

Operating address (if different)

Website

Main telephone

2. Contact

Contact name

Position

Telephone

3. Ownership and management

List every natural person who ultimately owns or controls 25% or more, or otherwise controls the company.

Full name	Nationality	Date of birth	% owned / controlled	Nature of control	PEP? (Y/N)

4. Directors and authorised signatories

Full name	Position	Nationality	ID / passport no.	Signatory? (Y/N)

5. Operations

Minerals or materials supplied

Product forms and typical grades

Mine(s) of origin: name, location, licence number and holder

Monthly production or trading volume

Processing plant (if any)

Export route and port

Main current buyers or offtakers (optional)

6. Licences and permits

Licence / permit	Number	Issuing authority	Holder	Expiry

7. Risk questions

Answer yes or no, and explain any yes on a separate sheet.

Does any material originate from, or transit through, a conflict-affected or high-risk area?
Is any material mined by artisanal or small-scale miners?
Is the company, an owner or a director a politically exposed person or a state-owned entity?
Has the company, an owner or a director been subject to sanctions, criminal proceedings or regulatory action in the last ten years?
Are any payments made to security forces, armed groups or officials other than lawful taxes and fees?
Is any part of the supply chain covered by a traceability scheme (e.g. ITSCI) or an independent audit? If yes, attach evidence.

8. Documents to attach

Certificate of incorporation and company register extract (less than 3 months old)
Shareholder register and beneficial-ownership declaration (ARAM-F-03)
Passport or national ID of each beneficial owner and signatory
Proof of registered address
Mining, export and/or dealer licences
Most recent independent assay or certificate of analysis
Mine-of-origin and chain-of-custody declaration (ARAM-F-04) for 3TG, gold, cobalt and diamonds
Tax clearance certificate

Declaration

We declare that the information in this questionnaire and its attachments is true, complete and not misleading. We agree to notify ARAM of any change, to allow ARAM to verify this information with third parties and registries, and to comply with ARAM's Responsible Sourcing, Anti-Money Laundering and Sanctions policies.

For the supplier

Signature

Name

Position

Date

Company stamp