RUREAU VERITAS TESTING AND INSPECTIONS

SOUTH AFRICA (PTY) LTD.

Date :

Name of Exporter / Representative :

Inspection Address:

BV Ref number .-

Exporter Invoice Number :

Remote Inspection on site

Dear

To ensure high level of efficiency and safety in our operations, especially in areas where there is restriction to perform
physical inspection, Bureau Veritas added remote inspections to its breadth of services. Within the scope of this remote
inspection, we are using a dedicated remote application involving Bureau Veritas inspectors and clients directly in the
field.

For this purpose, you should:

authorize by this form the performance of this remote inspection and ;
make available the resources and equipment as detailed in attached invoice that will be used by your representative on
site to connect to the remote application on a smartphone/tablet connected to the internet under the instructions
of our inspector.

During the inspection, your representative remains solely responsible of the inspection site and you should ensure high
standards of safety on site and notify as any other particular hazard to Bureau Veritas Inspection centre and remote
inspector prior starting remote inspection.

Moreover, please note that photos and video streaming could be collected during the inspection exclusively for the purpose
of the verification of the export and for use by Bureau Veritas within its assignment and by the local Authorities of the
country of destination.

The conditions under which Bureau Veritas will perform the processing of this data are set forth in its personal data
protection policy available on the following link: https //personaIdataprotection.bureauveritas.com.

By signing this consent form, you agrees that your consent shall remain in effect as long as the request for certificate is
pending, and is effective regardless of whether you are present at the time of the inspection. Failure to grant consent
for this remote inspection may result in, denial of the certificate sought.

Sagre der

By signing this form, I certify that I am authorized to give consent to Bureau Veritas as described above.

Name and Signature of Exporter’s representative on inspection site : (II F/é +/l fin '? !^!’