The Standards (Compounding of Offences) Regulations, 2021

1. (Particulars of the offence) That on the …..………..day of …………….………year…………………………… At (place)………………………………………………. You (brief facts of the offence): …………………………………………………………………………………….. ........……………………………………………………………………………….. If you voluntarily admit to commit an offence(s) without undue influence, in liue

2. of criminal proceedings thereof, complete Part B of this form. 5 GN. NO. 679 (Contd.) Standards (Compounding of Offences) PART B ADMISSION OF COMPOUNDED OFFENCE business I……………………………of address)………………………………….. voluntarily plea guilty to the offence of ……………………………………………………………… section ………………….. of the Standards Act, Cap. 130 in lieu of criminal proceedings thereof. (residential contrary or to Without undue influence I request the offence(s) be compounded as per section 30 of the Standards Act, Cap. 130 and the regulations made thereunder. I …………………………………………. hereby accept the liability to pay a fine as may be prescribed by the Bureau from the date of notification being the statutory penalty for the offence(s) which I have plead guilty. Name of defaulter Signature Dated at …………………..…. this …………… day of …………………, 20………… :……………………………… :…………………………………….… Executed by …………………………….……………… (Name) Title …………………..…………..……………………. Signature ……………………………………………….. Date :……………………………………………………. Dodoma, KITILA A. MKUMBO 1st September, 2021 Minister for Industries and Trade 6