<p>Ethical Conduct D</p><p>Appendix E –Ethical Due Diligence Questionnaire</p><p>This questionnaire can be modified to the extent the items or requirements are not applicable or suitable to a particular situation, but only with the prior approval of the relevant LCO. </p><p>Ethical Due Diligence Questionnaire</p><p>This questionnaire is to be completed by all new and existing Counterparties prior to completion of any transaction with BG Group. The signature of a director or officer of a similar seniority is required.</p><p>Name of Counterparty:</p><p>Business Ownership</p><p>1 Please describe your ownership structure including giving details of all ultimate owners of your business.</p><p>2 Please give details of the proposed contracting company entity and all directors (name, address, contact information, company registration number etc.). </p><p>3 Is your business currently solvent? If no, please explain. </p><p>4 Has your business been insolvent at any point during the last three years? If yes, please explain the history and current status.</p><p>Ethical Conduct</p><p>5 Do any of your business’s directors or owners (if privately owned) have any criminal convictions for offences involving corruption or dishonesty? If yes, please provide full details.</p><p>1 of 5 Doc Ref: BG-ST-LEG-ECCU-003 Version: 2.1 (01 July 2013) Author: Edward Wall 6 With regards to bribery or corruption or dishonest dealings with third parties, in the last 3 years have any external investigations been commenced in which you have been involved or implicated in, or the subject of corrupt or dishonest dealings. If so, please provide details.</p><p>Have you been required to disclose any corrupt dealings under relevant laws or stock exchange requirements? If so, please provide details.</p><p>7 Which anti-bribery laws apply to your business (for example the UK Bribery Act and the US Foreign Corrupt Practices Act)? Do you have policies to ensure compliance? </p><p>If you are not aware or these laws and if you do not have policies etc. are you willing to adopt the policies that BG has adopted? </p><p>8 Does your business act in a manner consistent with BG Group's Business Principles? Please indicate any areas of inconsistency.(Available at www.bg-group.com)</p><p>9 Do you have a written ethical conduct policy? </p><p>1 What level of engagement does senior management have with any ethical conduct policy? 0 Please provide details.</p><p>1 Do you agree never to make facilitation, or "grease", payments in connection with any 1 business dealings with or on behalf of or related to BG Group? </p><p>1 What is your policy on conducting due diligence on all prospective business Counterparties? 2 How do you carry it out? </p><p>1 Does your business ever make political donations? If yes – please detail. 3</p><p>14 A) -Do you employ agents or intermediaries for the proposed relationship with BG group? If so, who, and for what purposes?</p><p>B) -Do you conduct due diligence on all prospective agents or intermediaries who have dealings on your behalf with public officials? </p><p>15 Do you employ anyone who might (or whose family might) improperly benefit from fees or commissions paid directly or indirectly to BG Group? Please identify all below.</p><p>16 Do you employ, directly or indirectly, any Public Official or person connected (by a family or business relationship) to a Public Official in a position of influence with respect to your business? If yes, please provide details.</p><p>17 Do any of your contractors have family or other relationships that might improperly influence governmental decisions? If yes, please provide details.</p><p>18 Are you the end user of the items to be sold? </p><p>19 If you are not the end user of the items to be sold, do you know the identity (or likely identity) of the end user?</p><p>3 of 5 Doc Ref: BG-ST-LEG-ECCU-003 Version: 2.1 (01 July 2013) Author: Edward Wall 20 Do you do business in any sanctioned countries?</p><p>21 Have you ever conducted business with a sanctioned entity?</p><p>22 What is the destination country of the items being sold / what is the intended use of the items being sold?</p><p>I confirm that the answers given above are correct.</p><p>______</p><p>Name:</p><p>Position: Must be a director or officer of similar seniority</p><p>Date:</p><p>NOTE: If completed and submitted electronically, confirmation of the authority of the sender as an authorised representative of the company is acceptable. 5 of 5 Doc Ref: BG-ST-LEG-ECCU-003 Version: 2.1 (01 July 2013) Author: Edward Wall</p>