Full name and Role Date of completion
Do you have any interests to declare? Please select... YES NO A) All directorships registered under the Companies Act, whether or not they are remunerated.
Please include: Name of organisation, Charity/Company number, Nature of Relationship and Start date.
B) Remunerated employment, office or profession or other activity.
Please include: Name of organisation, Charity/Company number, Nature of Relationship and Start date.
C) other interests, for example: business relationships and/or clients known to have business relationships with the 5XÉçÇøÊÓƵ or its associated Companies or which might affect their business; any significant shareholdings in organisations which have business with the 5XÉçÇøÊÓƵ or its associated companies; unremunerated posts, honorary positions and other connections which may give rise to a conflict of interest or of trust.
Please include: Name of organisation, Charity/Company number, Nature of Relationship and Start date.
D) Interests where known and material held by spouse, partner, parents, children and siblings as categorised in (a), (b) and (c) above.
Please include: Name of organisation, Charity/Company number, Nature of Relationship, Start date and to whom the declaration relates (Spouse, child, sibling etc)