Thank You for Your Interest in Employment with HP

HP Mexico Federal, State Local Government Employment History Questionnaire

Thank you for your interest in employment with HP. As you know, your desire to enter into discussions with HP for possible employment must be reported to your appropriate government agency prior to any contact with HP.

It is HP policy to comply with applicable regulations and laws that impose certain restrictions regarding the hiring and employment of current or former Federal (including military), State or Local Government or public educational institution employees (NOTE: excludes students that are part-time public educational institution employees UNLESS part-time responsibilities include purchasing IT products or services.). Accordingly, HP will not conduct any employment discussions until a determination has been made that you are in compliance with the regulations that require you to notify your agency ethics officer and request an ethics officer’s opinion, if appropriate to your position and agency, complete and submit the following questionnaire.

Please stop here if:

 You are a current government employee and have not communicated your intentions to your appropriate agency ethics officer and/or  You are a government procurement official involved in pending procurement activity in any way affiliated to HP or its interests

If you are a current government employee or procurement official and have notified your ethics officer in writing, or if you are a former government employee (within the last five years), please proceed by completing the following questionnaire and attach the completed questionnaire, and, your ethics officer opinion (if you have it at this time), to your profile along with your resume.

To attach the completed questionnaire to your profile:  Go to http://www.hp.com/go/jobs  Select “submit/update your profile”  On page 2 of our application, you will find the “Attach Files” section where you can select Browse to find the location of this questionnaire and attach it, your ethics officer’s opinion/letter, and any other relevant documents to your application.

Current Government Employees: Begin with Section I and complete entire questionnaire

Former Government Employees: Complete sections II and III

Section I-Verification of Standing (if a Current Government Employee)

I, hereby acknowledge that I am a current government employee and that I have communicated my interest in employment with HP to my appropriate ethics officer, known as:

Name of Ethics Officer: Formal Tile/Agency: Telephone: Email Address:

FORMCHECKBOX Further, I hereby acknowledge, by checking this box (to the left) that I am not a current, government procurement official involved in any pending or active procurement activity.

Section II-Verification or Prior or Current Government Role/s

1. Employing Agency: Sub-Agency or Department: Position Held: Date of Hire: / / Date of separation: / / Reason of leaving: Current or most recent Salary Grade level (in last five years): Description of Job Duties: 2. Do you have official written descriptions of your assigned job responsibilities? Yes No If so, please provide.

3. Are you current or former (within the last two years) Department of Defense (DoD) official who participated personally and substantially in an acquisition, or contract, with a value in excess of $10M while serving 1) in a Executive Schedule position, Senior Executive Service, or general or flag officer positions, or 2) if any of the following DoD positions: program manager, deputy program manager, procuring contracting officer, administrative contracting officer, source selection authority, member of a source selection evaluation board, or chief or a financial or technical evaluation team?

Yes No

4. Where you involved in any matters in which HP had or has a financial interest?

Yes No

If yes, please describe in detail:

If yes, have you obtained a waiver and/or disqualified yourself from participation in that matter? Yes No

If yes, please provide a copy of all appropriate documentation.

5. Did you have any procurement responsibilities in any matter in which HP or any of its affiliates was a bidder or participant?

Yes No

6. Have you acted in the capacity of a “procurement official” for a Mexican Federal State or Local Government within the last 5 years?

Yes No

7. Were any of your procurement duties related to HP or the industries in which HP does business?

Yes No

8. Do you maintain any personal relationships with any current government procurement personnel that might present a conflict or interest or the appearance of a conflict of interest?

Yes No

If yes, please describe the nature of the relationship(s) below.

Section III-Affirmation and Acknowledgment Regarding Prior Government or Military Service

I, , by checking the box below , hereby affirm that I have fully disclosed the relevant facts and details of my present and/or former government or military service to Hewlett-Packard (“HP”) as a condition of my employment. I understand that an intentional omission or misrepresentation of a material fact concerning my present or former government or military service may lead to disciplinary action, up to and including immediate termination. I further affirm that I have disclosed and discussed with Human Resources and all post- employment restrictions that I am aware apply to me.

I understand that it is HP’s policy to scrupulously comply with all government rules and regulations regarding the hiring of current and/or former government or military personnel. I agree to abide by that policy and to ensure that my assigned job duties do not conflict in any way with any restrictions which may apply as a result of my former government or military service. I further agree to immediately inform my supervisor of any conflicts of interest, actual or potential, that may arise during my employment with HP. I hereby acknowledge that I have completed this form to the best of my ability and that the information provided is accurate and complete.