Compliance Declaration

I, ______________________________________ am a candidate for the post of __________________________ and going to appear

(Name) (Designation)

in an interview on ___________________ at ____________________. As required by bKash Limited, I hereby declare the following:
(Interview Date) (Time)

Section A: Employment History

 I worked in □ bKash Limited □ BRAC Bank Limited □ Other BRAC organization: ________________________________
ID No.______________ Unit/Division ____________________ Start Date: __________________ End Date: ______________
 I never worked in bKash Limited or BRAC Bank Limited or any other BRAC organization

Section B: Relationship Declaration

 No, I have no relative(s) or significant other(s) 2 working at bKash Limited or any other BRAC organization
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 Yes, I have relative(s) 1 and/ or significant other(s)2 working at bKash Limited and/ or other BRAC organization whose details are
given below:
Name Designation Organization Relationship

I undertake to inform the company as soon as such a situation arises, if I am employed by bKash.

 No, I have no relative(s) 1 or significant other(s) 2 working at any other Financial Institution -MFS/Bank/ /NBFI.
 Yes, I have relative(s) 1 and/ or significant other(s)2 working at other Financial Institution -MFS/Bank/ /NBFI whose details are given
below:
Name Designation Organization Relationship

I undertake to inform the company as soon as such a situation arises, if I am employed by bKash.

Section C: Conflict Of Interest

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 No, I do not have any conflict of interest with bKash
 Yes, I have Conflict of Interest3 with bKash (please provide full details)
Name of the company Engagement Type Nature of business Approx. Annual Turnover

I undertake to inform the company immediately when such a situation arises, if I am employed by bKash.
Section D: Personal and/or Individual Borrowing
 No, I have not borrowed from or lent money to any employee/ customer of bKash or of any other organization I have worked for.
 Yes, I have (please provide full details)
Name Organization or Business Department Transaction type Amount

I undertake to inform the company prior to borrowing/ lending money from/ to any bKash employee or its customer/ partner, if I am
employed by bKash.
Section E: Outside Business Interest
 No, I do not have any Outside Business Interest (OBI)4 other than my professional engagement.
 Yes, I have Outside Business Interest4 (please provide full details)
Name of the organization or Nature of interest (Incl. type of Reason for getting involved in Financial benefit from the
business share and % of ownership the OBI venture

I undertake to take prior permission from the company in case I want to get involved in any outside business interest which includes
(but not limited to) becoming a CEO/director/ beneficiary/ partner/ active participant/ sponsor/ volunteer for any organization outside

Signature: …………………………………………………..

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 Compliance Declaration
The above information provided by me is true. In the event if this declaration is found to be false at a later date or I have not
updated HR officials as necessary, bKash Limited can take appropriate disciplinary action(s) up to separation from my service, if I am
employed by bKash.

Signature ____________________________________________________ Date ___________________________

Address: ______________________________________________________________________________________________________
Email: ______________________________________________________ Mobile Number: ____________________________________
1. Relative: Spouse, relatives by marriage, children (including step-children and foster children), parents, step-parents, grandparents, grandchildren, in-laws
and siblings (including step-brothers and step-sisters).
2. Significant Others: Includes individuals who are engaged to be married but may or may not reside together.
3. Conflict of Interest: Being involved directly or indirectly in negotiating/ contracting on behalf of or with bKash in managing of a relationship where me or my
relatives are owners, totally/ partially, or are beneficiaries.
4. Outside Business Interest: Interest outside of bKash which may or may not generate any income but involves time and effort and may be deemed as dual
employment and/ or cause for a potential conflict of interest. This may be (but not limited to) to become a director/ beneficiary/ partner/ active
participant/ sponsor/ volunteer for any organization.

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