CAF No.

Compliance Background Questionnaire

(To be answered by Zuellig)

Page 3 of 6

Zuellig Pharma is committed to upholding the highest ethical standards in all aspects of our business. Hence, we expect the same from our customers to act with integrity and conduct
their business in an ethical manner.

As part of our Customer Screening review process, you are requested to complete Zuellig Pharma Customer Accreditation Form that is related to you and/or your organization. This
includes background information of you and/or your organization, ownership structure and business relationships.

For us to meet our obligations relating to anti-corruption laws and maintain our high ethical standards, the Customer Screening review process of customers’ needs to be conducted in a
way that minimizes legal and financial risks associated with these relationships.
Any red flags that are identified in relation to the information that you will provide and through Zuellig Pharma Compliance desktop system, further verification from Zuellig Pharma will be
conducted.

Definition of Terms

Government officials refers to:

•Any elected official, officer or employee of a government or any department or agency, including any officer, employee or member of a ruling family;
•Any officer or employee of a public international organisation (for e.g. United Nations, International Monetary Fund, World Bank etc.);
•Any political party or candidate of a political party or office;
•Any officer or employee of a state-owned or state-controlled entity;
•Any person acting in an official capacity for or on behalf of any such entity or persons above
Debarred Entity refers to:
•a corporation, partnership or association that has been debarred by the FDA pursuant to Title 21 of U.S.C. Section 335a(a) or (b) from submitting or assisting in the submission of any
abbreviated drug application, or
•an agent, subsidiary or affiliate of a Debarred Entity.
Debarred Individual refers to:
•an individual who has been debarred by the FDA pursuant to Title 21 of U.S.C. Section 335a(a) or (b) from providing services in any capacity to a person that has an approved or pending
drug product application.
"Excluded Individual” or “Excluded Entity” refers to:
•an individual or entity, as applicable, who has been excluded, debarred, suspended or is otherwise ineligible to participate in federal health care programs such as Medicare or Medicaid by
the Office of the Inspector General (OIG/HHS) of the U.S. Department of Health and Human Services; or
•an individual or entity, as applicable, who has been excluded, debarred, suspended or is otherwise ineligible to participate in federal procurement and non-procurement programs, including
those produced by the U.S. General Services Administration (GSA).
Convicted Individual or "Convicted Entity refers to:
•an individual or entity, as applicable, who has been convicted of a criminal offense that falls within the ambit of Title 21 of the United States Code (“U.S.C.”) Section 335a(a) or Title 42 of
U.S.C. Section 1320a - 7(a), but has not yet been excluded, debarred, suspended or otherwise declared ineligible.
"Sanctioned lists” consist of:
•the U.S. Treasury Department’s List of Specially Designated Nationals and Blocked Persons (the “SDN List”)
•the U.S. Commerce Department’s Denied Persons List
•the Consolidated List of Persons, Groups and Entities Subject to EU Financial Sanctions
•the Consolidated United Nations Security Council Sanctions List (“UN List”)

Please provide complete answers to all questions

1.Have you or any of your employees been previously employed by ZP or are any of your employees related to any ZP employees?

If so, please provide name and details.

2.Are any of your employee currently a government official or in a position which may reasonably provide an opportunity to influence decisions or actions with respect to the business
activities or contractual negotiations with ZP?

If so, please provide name and details.

3.Are you or any of your employees currently the subject of a proceeding that could lead to you or them being a debarred individual or debarred entity, an excluded individual or excluded
entity, or a Convicted individual or entity?

If so, please provide name and details.

4.Are you or any of your employee, management ever been listed on any of the Sanctioned Lists?

If so, please provide name and details.

Acknowledgment and Declaration

You hereby confirm that you are fully authorised to provide such information to Zuellig Pharma on behalf of the Company and that to the best of your knowledge, all declarations and
information provided by you in this Customer Accreditation Form are correct and complete at the date of completion. Any false or misleading information provided could impact any
business engagement you have or will have with Zuellig Pharma.
You hereby also undertake to inform Zuellig Pharma immediately and sign a new Customer Accreditation Form if (i) any of the declarations or information provided by you in this form
needs to be changed, or (ii) you become aware that any of the declarations or information provided by you in this form was incorrect.
Your signature below authorizes Zuellig Pharma to use any information contained in this form for the purpose of determining whether you will be engaged by Zuellig Pharma. You also
confirm that you are fully authorised to provide such information to Zuellig Pharma and that to the best of your knowledge, all information provided in the form is correct and complete at the
date of completion of this form. Any false or misleading information provided could impact any contractual agreement or other business arrangements with Zuellig Pharma.
Your signature does not authorize the use of this information for any other purpose or disclosure to any customer without express written consent, unless required by law.

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Signature over Printed Name / Date
F.N. 022.2022.06 Distribution: 1 - Credit (soft copy)