Global Credit Suisse Agency Candidate Form

All candidates to be submitted to Credit Suisse must complete Section A.

If a candidate answers “Yes” to question (1) in Section A, they must complete Section B.
If a candidate answers “Yes” to question (2) in Section A, they must complete Section C.
This form must be uploaded as an attachment when submitting a candidate via the agency portal.

Candidate Full Name: Arunim Tripathi

Candidate Email Address: arunimgoku@gmail.com

Requisition ID:

Requisition Title:

Agency Name: Doa

Agent Name:

Section A:
(1) Are you a current Government Official who, or were you a Government Official
within the last two years, at an entity that interacts or may interact with Credit Suisse
in a business or regulatory context?
Definition of Government Official is an officer or employee of a:
- national, provincial, or local government;
- government-owned or -controlled company;
- public international organization (e.g., United Nations, World Bank);
- regulatory authority, judicial authority, or law enforcement agency;
- A member of a royal family or ruling family remunerated from public monies; or
- A candidate for political office.

Answer No

(2) Are you related to, or a close associate of, a current Government Official at an entity
that interacts or may interact with Credit Suisse in a business or regulatory context?
Note: You should answer “Yes” to this question if: (1) you are related by birth, blood, or marriage to a
current Government Official as defined above, or (2) if you are a “close associate,” meaning
you have a close personal relationship with a current Government Official as defined above
such that the Government Official might request a favor on your behalf.

Answer No

Global Experienced Talent Acquisition April 27 2016

Section B: (only to be completed if candidate answers “Yes” to question (1) in Section A)
1. Position/Title:

2. Name of Government Department/

government-controlled entity:

3. Location of Employment (City/Country):

4. Dates of Employment:

5. Type of Employment
(Perm/Intern/Consultant/Self
Employed/Temp-Contractor):

6. Specific Department/Branch:

7. Are/were you, or is/was your entity, involved

in audits/regulatory exams/decisions
regarding licenses for Credit Suisse?

8. If yes, please explain.

9. Are/were you vested with the authority to

award business to Credit Suisse or
supervise individuals with such authority?
10. If yes, please explain.

11. If the answers to both preceding questions

are “no,” then explain the nature of your
interaction as a Government Official, or
the entity’s interaction with Credit Suisse
in a business or regulatory context:

12. Did a Government Official refer you

to a Credit Suisse employee?

Global Experienced Talent Acquisition April 27 2016

Section C: (only to be completed if candidate answers “Yes” to question (2) in Section A)
1. Please state the relationship to the
Government Official (name of Government
Official need not be provided):

2. Position/Title of Government Official:

3. Name of Government
Department/government-controlled entity:
4. Government Official's Location
of Employment (City/Country):
5. Government Official's Dates of Employment:

6. Government Official's Type of Employment

(Perm/Intern/Consultant/Self
Employed/Temp-Contractor):

7. Specific Department/Branch:

8. Is the Government Official or entity involved

in audits/regulatory exams/decisions
regarding licenses for Credit Suisse?

9. If yes, please explain.

10. Is the Government Official vested with the

authority to award business to Credit Suisse
or supervise individuals with such authority?

11. If yes, please explain.

12. If the answers to both preceding

questions are “no,” then explain the
nature of your Government Official’s or
the entity’s interaction with Credit Suisse
in a business or regulatory context:
13 Did a Government Official refer you
to a Credit Suisse employee?

I hereby confirm that I have answered the above questions to the best of my knowledge.

Print Full Candidate Name: Arunim Tripathi

Date: 17- Sep-2016

Candidate Signature:
Global Experienced Talent Acquisition April 27 2016