The Wildlife Conservation (Special Wildlife Investment Concession Areas) Regulations, 2021

2. Name of a company:. ……………………………………………………………………………………………… ………………… Communication (a) Address of Principal Premises of business: ………………………………………………………………………. (b) Postal Address: ………………………………………………………………..…………………… ………………………… (c) Telephone Number: ………………………………………………………...…………………………… ………………... (d) Fax Number: ………………………………………………………………………..…………… …………………………….. (e) E-mail address: ……………………..……………………………………………………………… …………………………. (f) Website: ………...…………….……………………………………………………………… …………………………………. (g) Exact location of any other premises (state whether owned or rented, and the nature such as office, garage, store, etc) ……………………………………………………………………………………

3. Shareholding structure Name of shareholder Citizenship Percentage of shares (a) (b) (c) (d) ………………………………… ……………………………… ………………………………… ……………………………… ………………………………… ……………………………… ………………………………… ……………………………… ……………… ………… ……………… ………… ……………… ………… ……………… ……….. …………………………… ………………… …………………………… ………………… …………………………… ………………… …………………………… …………………

4. Company’s Directors (a) (b) Name of Director …………………………………… …………………….. …………………………………… …………………….. Profession Background ……………………………………………… ………………………….. ……………………………………………… ………………………….. 32 Wildlife Conservation (Special Wildlife Investment Concession Areas) GN. NO. 397 (Contd.) (c) (d) …………………………………… …………………….. …………………………………… …………………….. ……………………………………………… ………………………….. ……………………………………………… …………………………..

5. Particulars of concession or wildlife area applied for as per Regulation 21 of the Wildlife Conservation (Special Wildlife Investment Concession Areas) Regulations, 2021 (a) (b) (c) (d) Name of concession …………………………………… ………………………….. …………………………………… ………………………….. …………………………………… …………………………. …………………………………… …………………………. Location (District and Region) ……………………………………………… …………………….. ……………………………………………… …………………….. ……………………………………………… …………………….. ……………………………………………… ……………………..

6. Payment of application fee (Please attach relevant documents) Name of concession Control Number Date (a) (b) (c) (d) …………………… …………………. …………………… …………………. …………………… …………………. …………………… ……………….… ………………… ……………. ………………… ……………. ………………… ……………. ………………… ……………. created and amount ………… ………….. ………… ………….. ………… ………….. ………… ………….. Date paid Receipt Number ……… …….. ……… …….. ……… …….. ……… …….. …………… …………… …………… …………… …………… …………… …………… ……………

8. Please, attach all relevant documents as prescribed under Regulation 14 of the Wildlife Conservation (Special Wildlife Investment Concession Areas) Regulations, 2021. DECLARATION 8 I/We hereby declare on our honour that we are not indebted by the Tanzania Wildlife Management Authority on any Government fee. The above statements are true and valid in every aspect and that this company will respect and observe the Wildlife Laws of Tanzania (The Wildlife Conservation (Special Wildlife Investment Concession Areas Regulations published on …………) Signature ……………………………………… ………. Official stamp ……………………………………………….. Date ……………………………………………….. 33 Wildlife Conservation (Special Wildlife Investment Concession Areas) GN. NO. 397 (Contd.) ______ THIRD SCHEDULE ______ (Made under regulation 27(5) SPECIAL WILDLIFE INVESTMENT CONCESSION AREA ALLOCATION CERTIFICATE Place of Issue:……………………..………………………………………………………………… Date of Issue:……………………..………………………………….……………………………… Date of expiry (subject to compliance with the Wildlife Conservation Act, Cap. 283 and its Regulations)………….…………………………………………….……………… Issued to:………………………………………………………..…………………………………… Name of company and address:………………………………………..………………………… Boundary …………………………….. description of the Special Wildlife Investment Concession Area: Special conditions attached to the allocation: (a) adhere to the provisions of the Wildlife Conservation Act, Cap. 283; (b) comply with the provisions of the Act related to consumptive and non- consumptive with (c) (d) (e) (f) regard to operation of activities; to pay the required fees annually; to timely pay all other fees and contributions relating to consumptive and non consumptive activities as prescribed under the law; to support and conduct anti- poaching operations or any other activities that contribute to conservation of wildlife; the Minister may cancel the allocation of the Special Wildlife Investment Concession Area upon occurrence of any of the events specified under Act, Cap. 283 . Given this ____________ day of ___________________________, 20………… ______________________ Minister for Natural Resources and Tourism 34 Wildlife Conservation (Special Wildlife Investment Concession Areas) GN. NO. 397 (Contd.) _______ FOURTH SCHEDULE ______ (Made under regulation 32) ______ INTERGRITY PLEDGE FOR NATIONAL AND INTERNATIONAL INVESTORS ENGAGED IN ACTIVITIES THAT RELATE TO NATURAL WEALTH AND RESOURCES IN THE UNITED REPUBLIC OF TANZANIA IN RECOGNITION of the importance of commitment and willingness by the Individuals and organizations involved in harvest and extraction of natural wealth and resources, to contribute to the elimination of corruption through ethical behavior, transparency and zero tolerance against corruption in all related dealings; IN RECOGNITION THAT business practices, corruption and other malpractices are potential impediments to sustainable economic growth and prosperity and erode public confidence in Government and their institution’s ability to serve their citizens fairly; and IN FURTHER RECOGNITION of our financial, environmental and social responsibility for the benefit of the people of the United Republic of Tanzania and the entire Nation: I/We............................................... Pledge that, I/We will operate in good faith, transparently and in the general interest of the Tanzanian’s nation and welfare of the people of the United Republic of Tanzania to whom the natural wealth and resources belongs, and will promote integrity values, and good Governance. I/We will abide with ethical business practice and support National campaign against corruptions by not initiate, submit, solicit, receive or accept bribes or any other form of corruption in acquiring rights in lawful dealings with the natural wealth and resources I/We will ensure fair competitive practices are an integral part of the way we conduct our business including transparency in all business transactions and good corporate governance; I/We will promote transparency and efficiency at all levels within our organization and implement internal systems and controls to ensure good governance and institutionalize the values of ethics, integrity, accountability and transparency; I/We will refrain from engaging in business with parties who have demonstrated unethical business practices; I/We will have general objectives to establish and maintain a compliance programme throughout the terms of dealings in Natural Wealth and Resources that includes the following principles, Written Code of Conduct, Policies and Procedures Training and awareness in natural wealth and resources and any notification of investigation and legal proceedings; In any dealings, I/we will opt for the most environmentally-friendly technology to protect the natural environment, ecosystem water, flora and fauna so as to minimize environment impact such as destruction of the livelihood, displacement into rural household, farming activity and any irreparable distortion; I/We will ensure proper insurance cover against losses, injuries or damages to environment and to the individuals, house hold, farming activity and properties and any irreparable distortion that may be occasioned in the course of carrying natural wealth activities; 35 Wildlife Conservation (Special Wildlife Investment Concession Areas) GN. NO. 397 (Contd.) I/We will support the development of an audit and certification program against corruption and participate in the implementation of tools and measures created in order to ensure transparency, efficiency, and ethical business practice; I/We agree and recognize that the clauses contained in this document are legal and ethical matters which I/We are obliged to abide by; I am/We are also aware that violation of the clauses laid down is in breach of the Natural Wealth and Resources (Permanent Sovereignty) Act, 2017 and The Natural Wealth (Review and Renegotiation of Unconscionable Terms) Act, 2017, The Prevention and Combating of Corruption Act, 2007 the Public Procurement Act, 2011the Economic and Organized Crime Control Act, (cap.200) or any other written laws and legal action may be taken for violating the stated clauses, thus; We desist from engaging in any arrangement or agreement that undermines or is in any manner prejudicial to the Nations financial and monetary systems, in particular, all earnings payments or receivables derived from or in respect of mining operations or activities shall be received in and accounted for in Tanzania; I/We will disengage in arrangement that is inconsistence with the country economic objectives Policies and Strategies; I/We will disengage in an arrangement that undermine or is otherwise prejudicial to Tanzania’s national security; I/We will disengage in any malpractices including tax evasion, double taxation, under or overpricing, transfer pricing and corruption; All that is stated hereinabove, I/We shall conscientiously ensure that my/our employees and agents comply with this Integrity Pledge and in any event of non-compliance, I/We commit ourselves to be responsible and accountable for any misconduct (s). SWORN/ AFFIRMED at………………….this………..day of…………………..20……………….. . by………………………………………………………who is the Director(s) of M/S……………….. ……………………………………………………(name of a Company/individual(s)) a holder of Natural Resources right SIGNATURE and/or SEAL OF THE COMPANY Signature: …………………………………………... Name: …………………………………………… Designation: ………………………...…………………. BEFORE ME: Signature: ……………………………………………………………... Name: ……………………………………………………………... Designation: COMMISSIONER FOR OATHS AND NOTARY PUBLIC Date: ……………………………………………………………... Dodoma 36 Wildlife Conservation (Special Wildlife Investment Concession Areas) GN. NO. 397 (Contd.) I acknowledge that I have read and understand the clauses within the Integrity Pledge before signing. NAME OF THE CEO COMPANY NAME SIGNATURE DATE ……………………….. ………….....……… ......…………… ……………… COMPANY NAME SIGNATURE DATE ……………………… …………………… ………………………………… COMPANY STAMP/SEAL ……………………. ……… ……………… …………… OFFICE SIGNATURE/SEAL ………………………….. ……………………………. Dodoma, DAMAS DANIEL NDUMBARO, 12th May, 2021 Minister for Natural Resources and Tourism 37