Supplier Registration Form

supplier company information

Name of Company

Address

Please indicate where your company is in the supply chain?

Tier A Exploration/ Mining Company. Large Scale

Artisanal and small-scale miners (ASM)

Tier B1 Mid-Stream Company Sourcing directly from Tier A companies

Tier B2 Mid-Stream Company (Tier 2) Sourcing directly from Tier B1 or Tier B2 companies

Tier C Downstream Companies Sourcing from Polished traders, Jewellery manufacturers, Wholesalers, Retailers.

Is your company compliant with industry wide standards?

BPP Compliant

RJC Compliant

Other

Has your company been Independently audited?

Yes

N/A

Are you ready to be audited by an external audit company?

Yes

Who is the responsible person for compliance in your company?
( Email and Phone number )

Phone Number

product source and origin

Are the diamonds you are supplying EL-RAN rough or polished?

Rough

Polished

Both

Can you confirm from where your rough or polished diamonds are sourced?

How are the rough diamonds sourced?

Sight

Tender

Market

How are the polished diamonds sourced?

Manufactured

Market

Both

Do you get or collect any form of traceability?

Yes

N/A

Can you confirm that diamonds you supply EL-RAN originate from legitimate sources and have not been involved in funding conflict, in compliance with UN Resolutions and corresponding national laws?

Yes

N/A

Can you confirm that diamonds you supply EL-RAN adhere to the WDC SoW guidelines and have not been obtained in violation of applicable national laws and/or sanctions by the US Department of Treasury’s office of Foreign Assets Control (OFAC)?

Yes

N/A

Please list the percentage of diamonds you are supplying EL-RAN into the following categories:

Mined rough/polished stones with known origin

Mined rough/polished stones with no known origin

Recycled stones

Grandfathered stones

sum has to be 100%

Are the rough or polished diamonds you supply EL-RAN consolidated before export?

Yes

N/A

Do your suppliers of rough or polished diamonds provide information regarding their origin?

Yes

N/A

polices and due diligence management

Have you a “Responsible Diamond Sourcing Policy” in accordance to Annex 2 of OECD Guidence or De Beers BPP?

Yes

N/A

Is this responsible diamond sourcing policy publically available?

Yes

N/A

Do you require your suppliers to have no conflict diamonds?

Yes

N/A

Have you had your due diligence independently audited?

Yes

N/A

supplier risk assessment

Have you carried out a risk assessment on your suppliers aligned with the OECD Guidance or De Beers BPP?

Yes

N/A

If yes, did you identify any ‘red flags’ as part of that risk assessment and if so what type of red flag have you identified?

Location

Supplier

Other

Was the relationship with that particular business partner terminated?

Yes

N/A

Can you provide a brief description.

human rights

Do you have a written policy commitment on human rights consistent with UN Principles?

Yes

N/A

Do you have a written policy commitment on the 17 UN sustainable development goals?

Yes

N/A

Do you have procedures that assesses/mitigates all potential human rights violations for all companies in your group?

Yes

N/A

Do you have specific policies against child labour, forced labour and human rights trafficing?

Yes

N/A

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