Hospitality and Gifts Form Hospitality and Gifts Form A. Compliance Program Process Program Elements Due Diligence Training / Certification Export Controls Communications / Tone-at-the-Top Hospitality, Gifts, Donations, other HelpLine Data Privacy Investigations B. Business Related Information B1. Business Services / Unit Program Evaluation Review, Response OtherOther B2. Region Involved North America Latin America EMEA (Europe, Middle East, Africa) Asia / Australia / New Zealand B3. Projects (click here for list) Project 002 Project 003 Project 004 Project 005 Project 006 Project 007 Project 008 Project 009 Project 010 C. Date Form Opened D. Email Address of Person who Opened Form E. Status of Form Open Completed F. Activity Information F1. Type Meal Entertainment Gift F2. Value in USD per Person (approx) F3. Description including details of location, type of event or item. F4. Objective Business Development Business Achievement Holiday / Festivals Business Reputation Current Contract Other F5. Country Provided click for country Afghanistan Aland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Bouvet Island Brazil Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Colombia Comoros Congo Costa Rica Côte d'Ivoire Croatia Cuba Curacao Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Fiji Finland France French Guiana French Polynesia Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati North Korea South Korea Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Norway Northern Mariana Islands Oman Pakistan Palau Palestine Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Romania Russia Rwanda Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia and Montenegro Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Sudan Spain Sri Lanka Sudan Suriname Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Togo Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Virgin Islands, British Virgin Islands, U.S. Yemen Zambia Zimbabwe F6. Name(s) of Our Company people involved F7. Are there any legal, third party or contractual issues such as guidelines, restrictions or related requirements? Yes No F8. Is there a government official involved? Yes No G. Attach Supporting Documentation, As Applicable .... Receipts, Confirmations - Invitations/Request Correspondence - Entity Background Drop a file here or click to upload Choose File Maximum upload size: 2.1MB Add Photo of Receipt or other Documents H. Internal Information H 1. Name and Title of Primary Employee Involved H2. Email of Primary Employee Involved H3. Email of Leader for Primary Person Responsible H4. Was an additional Business Review/Approval required Yes No If so, was it obtained N/A Yes No H5. Was an additional Compliance Review/Approval required Yes No If so, was it obtained N/A Yes No G. Completed and Confirmed as Accurate click for virtual signature 1. Full Name and Title 2. Email Address 3. Date Submit
