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[
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{
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"id": "b8f10b10-221c-495d-b99b-6a8094892549",
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"titleEn": "Do you (or any of your Relatives) have a relationship or an interest (direct or indirect) with any vendor, contractor, or business entity with which Dr. Sulaiman Al Habib Medical Services Group Company, its affiliates and business (the “Company”) does business or is likely to do business, for which you have an opportunity to influence a related business decision?",
|
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"titleAr": "Do you (or any of your Relatives) have a relationship or an interest (direct or indirect) with any vendor, contractor, or business entity with which Dr. Sulaiman Al Habib Medical Services Group Company, its affiliates and business (the “Company”) does business or is likely to do business, for which you have an opportunity to influence a related business decision?",
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"marathonId": "979813be-eafa-4d3e-d27e-08dae8a08a3b",
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"questionTypeId": 1,
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"questionTime": 10,
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"nextQuestGap": 5,
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"gapType": 0,
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"gapText": null,
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"gapImage": "Questions/51b598b6-c837-45be-8734-1374978bd426_congratulations-gif.gif",
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"questOptionsLimit": 0,
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"remainingParticipantCount": 1,
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"desEn": "If Yes, please provide all related information with required documentation",
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"desAr": "If Yes, please provide all related information with required documentation",
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"questionOptions": [
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{
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"id": "772e6062-543c-4ddc-e516-08dae8b36b35",
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"titleEn": "Yes",
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"titleAr": "Yes",
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"questionId": "b8f10b10-221c-495d-b99b-6a8094892549",
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"sequence": 1,
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"image": "null",
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"isCorrectOption": false
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},
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{
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"id": "ea3c673e-78c7-41dd-e517-08dae8b36b35",
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"titleEn": "No",
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"titleAr": "No",
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"questionId": "b8f10b10-221c-495d-b99b-6a8094892549",
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"sequence": 3,
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"image": "null",
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"isCorrectOption": true
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}
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]
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},
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{
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"id": "0d60d55f-4067-48f9-9ace-b6309c6a7cf0",
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"titleEn": "Do you (or any of your Relatives) have an outside job (employment, position on a board of directors or committee, or other position) that may create a conflict of interest with your employment at the Company inside or outside of the Kingdom of Saudi Arabia?",
|
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"titleAr": "Do you (or any of your Relatives) have an outside job (employment, position on a board of directors or committee, or other position) that may create a conflict of interest with your employment at the Company inside or outside of the Kingdom of Saudi Arabia?",
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"marathonId": "979813be-eafa-4d3e-d27e-08dae8a08a3b",
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"questionTypeId": 1,
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"questionTime": 10,
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"nextQuestGap": 5,
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"gapType": 0,
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"gapImage": "Questions/24dddc50-7583-48b4-9fec-8a490d246191_great-thumbs.gif",
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"questOptionsLimit": 0,
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"remainingParticipantCount": 0,
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"desEn": "If Yes, please provide all related information with required documentation",
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"desAr": "If Yes, please provide all related information with required documentation",
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"questionOptions": [
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{
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"id": "dd0ba127-26ed-4308-e50e-08dae8b36b35",
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"titleEn": "Yes",
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"titleAr": "Yes",
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"questionId": "0d60d55f-4067-48f9-9ace-b6309c6a7cf0",
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"sequence": 1,
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"image": "null",
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"isCorrectOption": false
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},
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{
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"id": "4748df31-95f0-4fee-e50f-08dae8b36b35",
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"titleEn": "No",
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"titleAr": "No",
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"questionId": "0d60d55f-4067-48f9-9ace-b6309c6a7cf0",
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"sequence": 4,
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"image": "null",
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"isCorrectOption": true
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}
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]
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},
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{
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"id": "489659b0-0400-4b64-8ce2-e6fe48db61db",
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"titleEn": "Do you engage in a business that would compete with the Company? Or do you conduct businesses in any of the Company’s activities? Or do you have an interest (ownership, affiliation, employment or position) with an entity that competes with the Company?",
|
|
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"titleAr": "Do you engage in a business that would compete with the Company? Or do you conduct businesses in any of the Company’s activities? Or do you have an interest (ownership, affiliation, employment or position) with an entity that competes with the Company?",
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"marathonId": "979813be-eafa-4d3e-d27e-08dae8a08a3b",
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"questionTypeId": 1,
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"questionTime": 10,
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"nextQuestGap": 5,
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"gapType": 0,
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"gapText": null,
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"gapImage": "Questions/a9ffa364-231c-4877-824f-84febac51086_thumbs-up-simon-cowell.gif",
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"questOptionsLimit": 0,
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"remainingParticipantCount": 0,
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"desEn": "If Yes, please provide all related information with required documentation",
|
|
|
"desAr": "If Yes, please provide all related information with required documentation",
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"questionOptions": [
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{
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"id": "7f63cd45-ce2c-417f-e502-08dae8b36b35",
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"titleEn": "Yes",
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"titleAr": "Yes",
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"questionId": "489659b0-0400-4b64-8ce2-e6fe48db61db",
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"sequence": 1,
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"image": "null",
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"isCorrectOption": true
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},
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{
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"id": "34690bfa-0ffd-453f-e503-08dae8b36b35",
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"titleEn": "No",
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"titleAr": "No",
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|
"questionId": "489659b0-0400-4b64-8ce2-e6fe48db61db",
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"sequence": 2,
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"image": "null",
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"isCorrectOption": false
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}
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]
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},
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{
|
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|
"id": "253fc396-dab9-41ca-82bd-511f98c5dee8",
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"titleEn": "Do you have any direct or indirect interest in the businesses and contracts executed for the Company’s account?",
|
|
|
"titleAr": "Do you have any direct or indirect interest in the businesses and contracts executed for the Company’s account?",
|
|
|
"marathonId": "979813be-eafa-4d3e-d27e-08dae8a08a3b",
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"questionTypeId": 1,
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"questionTime": 10,
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"nextQuestGap": 5,
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"gapType": 0,
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"gapText": null,
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"gapImage": "Questions/012d6493-3612-42c9-8f6f-84417d4736d4_good-job-well-done.gif",
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"questOptionsLimit": 0,
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|
|
"remainingParticipantCount": 0,
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|
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"desEn": "If Yes, please provide all related information with required documentation",
|
|
|
"desAr": "If Yes, please provide all related information with required documentation",
|
|
|
"questionOptions": [
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|
|
{
|
|
|
"id": "dce4999c-5629-45f4-e4f6-08dae8b36b35",
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"titleEn": "Yes",
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|
|
"titleAr": "Yes",
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|
|
"questionId": "253fc396-dab9-41ca-82bd-511f98c5dee8",
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|
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"sequence": 1,
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"image": "null",
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"isCorrectOption": false
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},
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|
{
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|
"id": "00913ba1-5ccc-4d7c-e4f7-08dae8b36b35",
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"titleEn": "No",
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|
"titleAr": "No",
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|
"questionId": "253fc396-dab9-41ca-82bd-511f98c5dee8",
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|
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"sequence": 2,
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"image": "null",
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"isCorrectOption": false
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}
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]
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},
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{
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|
"id": "669c4fe2-a3e6-4e29-8c56-ae09efa9ba6c",
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|
|
"titleEn": "Do you hold 5% or more of the shares of the Company or any other company within its group? Or are you a Relative of who owns such percentage?",
|
|
|
"titleAr": "Do you hold 5% or more of the shares of the Company or any other company within its group? Or are you a Relative of who owns such percentage?",
|
|
|
"marathonId": "979813be-eafa-4d3e-d27e-08dae8a08a3b",
|
|
|
"questionTypeId": 1,
|
|
|
"questionTime": 10,
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|
"nextQuestGap": 5,
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"gapType": 0,
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"gapText": null,
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"gapImage": "Questions/ca3f32a1-ed9f-45df-b2fb-3d1df78d5651_congrats-14.gif",
|
|
|
"questOptionsLimit": 0,
|
|
|
"remainingParticipantCount": 0,
|
|
|
"desEn": "If Yes, please provide all related information with required documentation",
|
|
|
"desAr": "If Yes, please provide all related information with required documentation",
|
|
|
"questionOptions": [
|
|
|
{
|
|
|
"id": "597c308e-3f09-4a05-e506-08dae8b36b35",
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"titleEn": "Yes",
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|
|
"titleAr": "Yes",
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|
|
"questionId": "669c4fe2-a3e6-4e29-8c56-ae09efa9ba6c",
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|
"sequence": 1,
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"image": "null",
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"isCorrectOption": true
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},
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{
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"id": "2face927-7c8e-4945-e507-08dae8b36b35",
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"titleEn": "No",
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|
|
"titleAr": "No",
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|
|
"questionId": "669c4fe2-a3e6-4e29-8c56-ae09efa9ba6c",
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"sequence": 2,
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"image": "null",
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"isCorrectOption": false
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}
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]
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},
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{
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|
"id": "f91774ce-14f0-4af0-9a77-e649bc013b44",
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|
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"titleEn": "Are you a Relative of any of the Board members, or a Relative of any Senior Executive of the Company or any other company within its group?",
|
|
|
"titleAr": "Are you a Relative of any of the Board members, or a Relative of any Senior Executive of the Company or any other company within its group?",
|
|
|
"marathonId": "979813be-eafa-4d3e-d27e-08dae8a08a3b",
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"questionTypeId": 1,
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"questionTime": 10,
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"nextQuestGap": 5,
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"gapType": 0,
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"gapText": null,
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"gapImage": "Questions/6484c5bc-09fd-4586-8036-67868afbe27b_good-job-well-done.gif",
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"questOptionsLimit": 0,
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|
|
"remainingParticipantCount": 0,
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|
|
"desEn": "If Yes, please provide all related information with required documentation",
|
|
|
"desAr": "If Yes, please provide all related information with required documentation",
|
|
|
"questionOptions": [
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|
|
{
|
|
|
"id": "2f968964-ce91-4478-e512-08dae8b36b35",
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"titleEn": "Yes",
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|
|
"titleAr": "Yes",
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|
"questionId": "f91774ce-14f0-4af0-9a77-e649bc013b44",
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"sequence": 1,
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"isCorrectOption": true
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},
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{
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"id": "4fed9355-2c9f-458d-e513-08dae8b36b35",
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"titleEn": "No",
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"titleAr": "No",
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|
"questionId": "f91774ce-14f0-4af0-9a77-e649bc013b44",
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"sequence": 2,
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"image": "null",
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"isCorrectOption": false
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}
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]
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},
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{
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|
"id": "fd3a90e6-5b35-4035-bc1c-4483facaf6d3",
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|
|
"titleEn": "Do you have any other conflict of interests with your employment in the Company?",
|
|
|
"titleAr": "Do you have any other conflict of interests with your employment in the Company?",
|
|
|
"marathonId": "979813be-eafa-4d3e-d27e-08dae8a08a3b",
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"questionTypeId": 1,
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"questionTime": 10,
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"nextQuestGap": 5,
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"gapType": 0,
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"gapText": null,
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"gapImage": "Questions/24dddc50-7583-48b4-9fec-8a490d246191_great-thumbs.gif",
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"questOptionsLimit": 0,
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"remainingParticipantCount": 0,
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"desEn": "If Yes, please provide all related information with required documentation",
|
|
|
"desAr": "If Yes, please provide all related information with required documentation",
|
|
|
"questionOptions": [
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|
{
|
|
|
"id": "9d0743e0-9f3f-48d0-e4fa-08dae8b36b35",
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"titleEn": "Yes",
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|
"titleAr": "Yes",
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|
"questionId": "fd3a90e6-5b35-4035-bc1c-4483facaf6d3",
|
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"sequence": 1,
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"image": "null",
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"isCorrectOption": false
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},
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{
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"id": "a81eda99-d9ad-49e0-e4fb-08dae8b36b35",
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"titleEn": "No",
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|
|
"titleAr": "No",
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|
|
"questionId": "fd3a90e6-5b35-4035-bc1c-4483facaf6d3",
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"sequence": 2,
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"image": "null",
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"isCorrectOption": true
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}
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]
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},
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{
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|
"id": "3a35855d-3ed7-4d45-8864-9135d71378de",
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|
|
"titleEn": "I have completed the above Conflict of Interests Disclosure Form truthfully and as required by the Company policy.",
|
|
|
"titleAr": "I have completed the above Conflict of Interests Disclosure Form truthfully and as required by the Company policy.",
|
|
|
"marathonId": "979813be-eafa-4d3e-d27e-08dae8a08a3b",
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|
|
"questionTypeId": 1,
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"questionTime": 10,
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|
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"nextQuestGap": 5,
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"gapType": 0,
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"gapText": null,
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"gapImage": "Questions/24dddc50-7583-48b4-9fec-8a490d246191_great-thumbs.gif",
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"questOptionsLimit": 0,
|
|
|
"remainingParticipantCount": 0,
|
|
|
"desEn": "If Yes, please provide all related information with required documentation",
|
|
|
"desAr": "If Yes, please provide all related information with required documentation",
|
|
|
"questionOptions": [
|
|
|
{
|
|
|
"id": "f0766816-837f-47e6-e51a-08dae8b36b35",
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|
|
"titleEn": "Agree",
|
|
|
"titleAr": "Agree",
|
|
|
"questionId": "3a35855d-3ed7-4d45-8864-9135d71378de",
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|
|
"sequence": 1,
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|
|
"image": "null",
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"isCorrectOption": false
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},
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{
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|
|
"id": "dc9c68de-afa4-4b63-e51b-08dae8b36b35",
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|
|
"titleEn": "Disagree",
|
|
|
"titleAr": "Disagree",
|
|
|
"questionId": "3a35855d-3ed7-4d45-8864-9135d71378de",
|
|
|
"sequence": 2,
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"image": "null",
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"isCorrectOption": false
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}
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]
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}
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] |