Politically Exposed Person (PEP) Declaration

1. Purpose of the Declaration

Samoon Foundation is committed to complying with applicable laws and regulations, including anti-money laundering (AML) and anti-corruption standards. As part of our due diligence and risk management process, we require this declaration to determine if any person associated with the Foundation is a Politically Exposed Person (PEP).

2. Definition of PEP

A Politically Exposed Person (PEP) is an individual who is or has been entrusted with a prominent public function either domestically or internationally. This includes, but is not limited to:

- Heads of State or Government

- Senior politicians

- Senior government, judicial or military officials

- Senior executives of state-owned corporations

- Important political party officials

- Family members and close associates of the above

3. Declaration

A. Personal Information

Full Name: _____________________________________

Designation/Role in Samoon Foundation: _____________

Date of Birth: ____________________________________

Nationality: ______________________________________

B. PEP Status

Please select the appropriate option:

☐ I hereby declare that I am NOT a Politically Exposed Person (PEP).
☐ I declare that I AM a Politically Exposed Person (PEP), as defined above.

If you selected that you are a PEP, please provide details below:

Position Held: __________________________________________

Country of Appointment: _________________________________

Duration of Position: _____________________________________

Relationship to Public Official (if applicable): _______________

C. Declaration and Signature

I, the undersigned, confirm that the information provided above is true, accurate, and complete to the best of my knowledge. I understand that this declaration is part of the due diligence process of Samoon Foundation and will be kept confidential in accordance with applicable laws and policies.

Signature: ___________________________
Name: _______________________________
Date: ________________________________