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STRATEGIC PARTNER STATEMENT
The undersigned hereby acknowledges, represents and warrants that (i) the following
warranties, (ii) answers in Strategic Partner Identification Checklist, and (iii) all
information disclosed to Booking.com is true, accurate, complete, correct and not
misleading on the date hereof and throughout the term of the relationship between the
Strategic Partner and Booking.com:
(a) he/she is fully and duly authorized and empowered to sign, execute and deliver
this statement and to represent and act for and on behalf of the Strategic Partner;
(b) he/she has full (or at least sufficient) knowledge, insight and understanding (and
to the extent required title, power and authority to conduct a full due diligence
investigation) about and/or in respect of (the (ultimate) ownership, management
and control in respect of) the Strategic Partner;
(c) to the extent required, he/she conducted and satisfactorily completed a full (due
diligence/audit) investigation in respect of the Strategic Partner, its management
and (direct and ultimate beneficial) ownership;
(d) the Strategic Partner and its management/directors and (direct and ultimate
(beneficial)) owners (and their management/directors) are not in any way
connected to, part of, involved in or related to or under the control, management
or ownership of:
(i) terrorists or terrorist organizations;
(ii) organizations that fund, assist or otherwise support (with whatever means
(cash and kind)) terrorists and/or terrorist organizations;
(iii) parties / persons guilty of trade violations;
(iv) parties / persons subject to (US/UN/EU/UK/Dutch) (a) trade embargo, or
(b) financial, economic and trade sanctions, and
(v) parties / persons guilty of money laundering, bribery, fraud or corruption;
(e) the completed Strategic Partner Identification Checklist (attached as Appendix
A) is true, accurate, complete, correct and not misleading.
The undersigned shall immediately notify Booking.com in respect of any change of
control, ownership, membership, management or any other change pursuant to which
any trade restrictions/embargo or financial, economic and trade sanctions as (from time
to time) issued by US, UN and EU authorities shall become relevant or applicable or
appropriate to comply and follow up with.
SIGNED FOR ACKNOWLEDGEMENT, AGREEMENT, CONFIRMATION AND ACCEPTANCE:
______________________________x
Name:
Place:
Date:
Name Strategic Partner:
Strategic Partner ID:
APPENDIX A – STRATEGIC PARTNER ("Partner") IDENTIFICATION CHECKLIST
QUESTION YES/NO (√) ANSWER / EXPLANATION/
1. Strategic Partner name: w hat is the statutory name and trade name of the
Partner
2. Ownership: Which company, enterprise, organization and/or natural person
is (are) the direct and ultimate (beneficial) ow ner/shareholder of the Partner1
(i.e. "(ultimate) owner of the owner") (the "Owners")1
3. Government: Is the Partner ow ned by, under the control or management of:
- Your government
- a governmental official2
YES □ NO □
YES □ NO □
4. Restricted Party: Do any of the follow ing qualify as, related to or identified
as a Restricted Party3
:
- Partner
- management/director(s) of the Partner
- (direct/ultimate (beneficial) ow ner(s) of the Partner
- Management/director(s) of the Ow ners
YES □ NO □
YES □ NO □
YES □ NO □
YES □ NO □
5. Governmental officials: Are there any government officials in, connected or
related to:
- the Partner (as ow ners, management or in other relevant positions)
- the persons, entities, corporations ow ning or controlling the Partner.
YES □ NO □
YES □ NO □
1
Give full name (including surname, family/mother name, given names and aliases) of person and/or statutory name and trade name of shareholder.
2 "Government official" means (i) an officer or employee of any government or any department, agency, or instrumentality of a government, (ii) an individual acting in an official capacity for or on
behalf of a government agency, department, instrumentality or of a public international organization, or (iii) any officer or employee of a company ow ned or controlled by your government.
3
"Restricted party" means persons, bodies, enterprises, corporations or organizations w hich are (a) a member of the Government (e.g. senior officials, political party or organization) and (i) their
related family members, or (ii) their related entities (companies, corporations, enterprises, businesses, foundations) or bodies associated w ith them, or (b) identified or appointed as restricted
party or (special) designated party under or pursuant to any US/UN/EU/UK/Dutch) trade embargo, or financial, economic and trade sanctions.
STRATEGIC PARTNER IDENTIFICATION CHECKLIST 2/2
Further comments/remarks Partner:

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Statement and strategic partner identification checklist (booking 12 08 14)

  • 1. STRATEGIC PARTNER STATEMENT The undersigned hereby acknowledges, represents and warrants that (i) the following warranties, (ii) answers in Strategic Partner Identification Checklist, and (iii) all information disclosed to Booking.com is true, accurate, complete, correct and not misleading on the date hereof and throughout the term of the relationship between the Strategic Partner and Booking.com: (a) he/she is fully and duly authorized and empowered to sign, execute and deliver this statement and to represent and act for and on behalf of the Strategic Partner; (b) he/she has full (or at least sufficient) knowledge, insight and understanding (and to the extent required title, power and authority to conduct a full due diligence investigation) about and/or in respect of (the (ultimate) ownership, management and control in respect of) the Strategic Partner; (c) to the extent required, he/she conducted and satisfactorily completed a full (due diligence/audit) investigation in respect of the Strategic Partner, its management and (direct and ultimate beneficial) ownership; (d) the Strategic Partner and its management/directors and (direct and ultimate (beneficial)) owners (and their management/directors) are not in any way connected to, part of, involved in or related to or under the control, management or ownership of: (i) terrorists or terrorist organizations; (ii) organizations that fund, assist or otherwise support (with whatever means (cash and kind)) terrorists and/or terrorist organizations; (iii) parties / persons guilty of trade violations; (iv) parties / persons subject to (US/UN/EU/UK/Dutch) (a) trade embargo, or (b) financial, economic and trade sanctions, and (v) parties / persons guilty of money laundering, bribery, fraud or corruption; (e) the completed Strategic Partner Identification Checklist (attached as Appendix A) is true, accurate, complete, correct and not misleading. The undersigned shall immediately notify Booking.com in respect of any change of control, ownership, membership, management or any other change pursuant to which any trade restrictions/embargo or financial, economic and trade sanctions as (from time to time) issued by US, UN and EU authorities shall become relevant or applicable or appropriate to comply and follow up with. SIGNED FOR ACKNOWLEDGEMENT, AGREEMENT, CONFIRMATION AND ACCEPTANCE: ______________________________x Name: Place: Date: Name Strategic Partner: Strategic Partner ID:
  • 2. APPENDIX A – STRATEGIC PARTNER ("Partner") IDENTIFICATION CHECKLIST QUESTION YES/NO (√) ANSWER / EXPLANATION/ 1. Strategic Partner name: w hat is the statutory name and trade name of the Partner 2. Ownership: Which company, enterprise, organization and/or natural person is (are) the direct and ultimate (beneficial) ow ner/shareholder of the Partner1 (i.e. "(ultimate) owner of the owner") (the "Owners")1 3. Government: Is the Partner ow ned by, under the control or management of: - Your government - a governmental official2 YES □ NO □ YES □ NO □ 4. Restricted Party: Do any of the follow ing qualify as, related to or identified as a Restricted Party3 : - Partner - management/director(s) of the Partner - (direct/ultimate (beneficial) ow ner(s) of the Partner - Management/director(s) of the Ow ners YES □ NO □ YES □ NO □ YES □ NO □ YES □ NO □ 5. Governmental officials: Are there any government officials in, connected or related to: - the Partner (as ow ners, management or in other relevant positions) - the persons, entities, corporations ow ning or controlling the Partner. YES □ NO □ YES □ NO □ 1 Give full name (including surname, family/mother name, given names and aliases) of person and/or statutory name and trade name of shareholder. 2 "Government official" means (i) an officer or employee of any government or any department, agency, or instrumentality of a government, (ii) an individual acting in an official capacity for or on behalf of a government agency, department, instrumentality or of a public international organization, or (iii) any officer or employee of a company ow ned or controlled by your government. 3 "Restricted party" means persons, bodies, enterprises, corporations or organizations w hich are (a) a member of the Government (e.g. senior officials, political party or organization) and (i) their related family members, or (ii) their related entities (companies, corporations, enterprises, businesses, foundations) or bodies associated w ith them, or (b) identified or appointed as restricted party or (special) designated party under or pursuant to any US/UN/EU/UK/Dutch) trade embargo, or financial, economic and trade sanctions.
  • 3. STRATEGIC PARTNER IDENTIFICATION CHECKLIST 2/2 Further comments/remarks Partner: