PHILIPS r creation and maintenance form Directions for the supplier: = _Allthe information required in the form must be completed and highly recommended to be typed. = The form must be signed and sent to your Philips contact in a non-modified format. - All must be returned in one e-mail package. = For BoM (Bill of Material) suppliers it is mandatory to provide the DUNS number. If you do not have one, you can already submit the form without the DUNS number, but you need to apply for one at hitps://www.dnb.com/duns-number/get-a-duns.html and submit it to your Philips contact person within 4 weeks. ~ Philips General Condition: chase Supplier's Company identification ‘Company's full legal name] Lionbridge International Unlimited Company 9 digit DUNS number (obligatory for, BoM) International Tax number (VAT}| IE 6540945 D Domestic Tax number | No Tax number available| C} supplier to tick the box if appitcable Country| Ireland Street, House number] 3 West Pier Business Campus. Postal code, City} Co.Dublin,A96 A621 PO box (ifapplicable) | Philips Procurement Representative ‘Company contact — Sales / Order desk Dun Laoghaire Sales contact name e-mail address for ordering (purchasing documents communication! Phone number (including area code} ‘Company contact ~ Finance & Accounting administration ~ F&A contact name Bronagh Doyle ‘e-mail address for billing/remittance communication arqueries@lionbridge.com/remits@lionbridge.com Phone number (including area code) #353 12021 200“Template last modified: 2018-07-09 Philips Procurement PHILIPS Payment information Beneficiary name (if different from] Lionbridge International Unlimited Company company name) Bank Name| Allied Irish Bank Bank Address] Bank Centre, Ballsbridge, Dublin 4, Ireland IBAN] 1£43AIBK93136525994018 Bank Key Bank Account Number] 25994018 SWIFT (BIC) code AIBK IE 2D Payment term agreed with PHILIPS, 60 Procurement representative We certify that the above-mentioned data is truthful and correct, and that we agree that we will notify PHILIPS in advance should this information change. We hereby acknowledge that PHILIPS shall not be held liable or responsible for any payments not made, or payments made to an improper account, based on the information provided above. This form is to be completed, signed and stamped by the supplier’s legal representative and returned to PHILIPS, in PDF format via e-mail, Processing of personal data includes collecting, storing, recording, organizing, altering, disclosing, transmitting, deleting and/or granting remote access of Philips employees, consumers, customers, patients of customers, vendors and/or other business partners’ personal data.