Part C: Conflict of Interest and Integrity Form Please tick the statement which applies. Either: I declare that to the best of my knowledge and belief neither I nor my spouse / partner / immediate family have any business or financial interests, share holdings, positions of authority, retainers, consultancy arrangements or other connections with commercial, public or voluntary bodies which might conflict, or be perceived to conflict, with my official duties for this role. I declare private interests below for consideration and have also set out the action I am taking to minimise the risk of these interests coming into conflict or perceived conflict with my official duties for this role. I certify that the information included within this register is, to the best of my knowledge and belief, true and accurate and complete. Signed: Date: In the box below, please provide details of: In the box below, please provide details of: in the last two years), including relevant dates and the company, •Any Directorships (held possible links to the role, the Department for Transport, or other Government Departments (directly or indirectly). Please include any partnerships. significant shareholdings in companies, which may have a relationship with the role or •Any the Department for Transport, through Directorships, Trading arrangements or links (directly or indirectly) to any other Government Departments.
Part C: Conflict of Interest and Integrity Form Please tick the statement which applies. Either: I declare that to the best of my knowledge and belief neither I nor my spouse / partner / immediate family have any business or financial interests, share holdings, positions of authority, retainers, consultancy arrangements or other connections with commercial, public or voluntary bodies which might conflict, or be perceived to conflict, with my official duties for this role. I declare private interests below for consideration and have also set out the action I am taking to minimise the risk of these interests coming into conflict or perceived conflict with my official duties for this role. I certify that the information included within this register is, to the best of my knowledge and belief, true and accurate and complete. Signed: Date: In the box below, please provide details of: In the box below, please provide details of: •Any Directorships (held in the last two years), including relevant dates and the company, possible links to the role, the Department for Transport, or other Government Departments (directly or indirectly). Please include any partnerships. •Any significant shareholdings in companies, which may have a relationship with the role or the Department for Transport, through Directorships, Trading arrangements or links (directly or indirectly) to any other Government Departments.