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Green Procurement Policy (PDF) - Ricoh

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Form 1<br />

Attestation to the nonuse of banned substances<br />

in products of <strong>Ricoh</strong> Group<br />

20050715 Edition<br />

Our company hereby declares that banned substance, specified by the latest edition<br />

of <strong>Ricoh</strong> Group <strong>Green</strong> <strong>Procurement</strong> Standard, in the raw materials, parts, units,<br />

packing / packing materials that are currently delivered to <strong>Ricoh</strong> Group, and in the raw<br />

materials, parts, units, packing / packing materials that will be delivered to <strong>Ricoh</strong> Group,<br />

are not contained or are fulfilling the requirements mentioned in the same document.<br />

(Note) The goods subject to deliver, but not for <strong>Ricoh</strong> Group brand products, are exempts.<br />

Date of entry <br />

Name of company :<br />

Address<br />

Position or post<br />

<br />

<br />

Signature of the head of section in charge<br />

Comment<br />

Name of person in charge<br />

Department<br />

Telephone no. E-mail address <br />

#The "personal information" of yours entered in this document will be used only for duties related to <strong>Green</strong><br />

<strong>Procurement</strong>. Provide the information with your agreement.<br />

19

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