SUPPLIER ASSESSMENT FORM CODE OF CONDUCT

IOI is committed to establishing a traceable, transparent and sustainable palm oil supply chain. It is important that all corporate entities take responsibility for the environment and communities in the areas they operate in.

Please fill in the form below and note that all information will be kept confidential. * This form is for Mills, KCP and/or PK suppliers
Company Details Land Details Sustainability Contact External Suppliers Survey Declaration Complete

COMPANY DETAILS
BUTIRAN SYARIKAT

Name of Company - Name of Mill / Kernel Crushing Plant *
Nama Syarikat - Nama Kilang / Nama Loji Penghancur Isirong Kelapa Sawit

Name of Parent Company (If any)
Nama Syarikat Induk (Jika Ada)

Palm Oil Mill / KCP Address *
Alamat Kilang Kelapa Sawit / Loji Penghancur Isirong Kelapa Sawit

Palm Oil Mill / KCP Telephone Number *
Nombor Telefon Kilang Kelapa Sawit / Loji Penghancur Isirong Kelapa Sawit

GPS Coordinates of POM/KCP *
Kordinat GPS POM/KCP

Mill / KCP Capacity (Ton.hour) *
Kapasiti Kilang / Penghancur Isirong Kelapa Sawit

Mill-KCP Manager / Contact Tel Number / Email *
Nombor Telefon / Emel Pengurus Kilang Kelapa Sawit