Report

GENERAL INFORMATION

Date of form completion

City of form completion *

REPORTER'S CONTACT DETAILS

Full name *

Residential address *

Contact phone *

E-mail *

INFORMATION ABOUT THE IRREGULARITY

Date of occurrence of the Irregularity, Date of becoming aware of the Irregularity *

Place of occurrence of the Irregularity, Place of becoming aware of the Irregularity *

Have the Irregularities also been reported to another authority? (if yes, please indicate the authority) * YESNO

Name of the authority

DESCRIPTION OF THE REPORTED IRREGULARITY

Description *

POTENTIAL WITNESSES

Witness 1: Full name of the witness

Witness 1: Position (if it applies to another company - please specify)

Witness 2: Full name of the witness

Witness 2: Position (if it applies to another company - please specify)

Witness 3: Full name of the witness

Witness 3: Position (if it applies to another company - please specify)

Witness 4: Full name of the witness

Witness 4: Position (if it applies to another company - please specify)

Witness 5: Full name of the witness

Witness 5: Position (if it applies to another company - please specify)

INDICATION OF EVIDENCE RELEVANT TO THE CASE

Evidence 1: Indication of evidence

Evidence 1: Indication of the circumstances to be proven in connection with the presentation of evidence

Evidence 2: Indication of evidence

Evidence 2: Indication of the circumstances to be proven in connection with the presentation of evidence

Evidence 3: Indication of evidence

Evidence 3: Indication of the circumstances to be proven in connection with the presentation of evidence

Evidence 4: Indication of evidence

Evidence 4: Indication of the circumstances to be proven in connection with the presentation of evidence

Evidence 5: Indication of evidence

Evidence 5: Indication of the circumstances to be proven in connection with the presentation of evidence

NATURE OF THE IRREGULARITY

Select the nature of the irregularity * suspicion of preparation, attempt or commission of a prohibited act by entitiesfailure to fulfill duties or abuse of powers by entitiesfailure to exercise due diligence required in the given circumstances in the actions of entitiesirregularities in the organization of activities of companies belonging to the Group, which could lead to the commission of a prohibited actviolation of internal procedures and ethical standards adopted in the Company/Groupviolation of capital market law regulations (e.g. WpHG, BörsG, AktG) in accordance with § 2 sec. 1 point 3 lit. r, t HinSchGviolation of the provisions of Regulation (EU) 2017/1129 of the European Parliament and of the Council of 14 June 2017 on the prospectus to be published when securities are offered to the public or admitted to trading on a regulated market, and repealing Directive 2003/71/ECother

ATTACHMENTS

1. Attachment

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2. Attachment

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3. Attachment

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4. Attachment

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5. Attachment

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DECLARATIONS

(please tick the accepted declaration, noting that the first two are required to obtain Whistleblower status)

1 I declare that I have read the information clause regarding the processing of my personal data * 2 I declare that I am aware of the possible consequences associated with falsely reporting an irregularity. * 3 I declare that I am submitting this report in good faith

NOTICE

If during the investigation it is found that false information was deliberately provided or data was concealed in the irregularity report, the reporting employee may be held liable in accordance with the company's internal regulations and applicable labor law provisions. Such behavior may additionally constitute a serious violation of basic employee duties and, in extreme cases, lead to immediate termination of the employment contract without notice pursuant to § 626 of the German Civil Code (BGB).

Report an Irregularity Form

GENERAL INFORMATION

REPORTER'S CONTACT DETAILS

INFORMATION ABOUT THE IRREGULARITY

DESCRIPTION OF THE REPORTED IRREGULARITY

POTENTIAL WITNESSES

INDICATION OF EVIDENCE RELEVANT TO THE CASE

NATURE OF THE IRREGULARITY

ATTACHMENTS

DECLARATIONS

NOTICE