DECLARATION OF CONFLICT OF INTERESTS Name of the Official:- Name of work:- Date: Financial Interest: Close Personal Relationship: Other Potential Conflicts of Interest/Enmity: I hereby declare that the above details are correct to the best of my knowledge and I make this conflict of interest declaration in good faith. Signature (Employee) Date: (To be filled by Chairperson of the Committee) I hereby declare that I have received and appropriately noted this conflict of interest to be: Actual Perceived Potential Pecuniary Non-pecuniary Signature (Chairperson) Date:
DECLARATION OF CONFLICT OF INTERESTS Name of the Official:- Name of work:- Date: Financial Interest: Close Personal Relationship: Other Potential Conflicts of Interest/Enmity: I hereby declare that the above details are correct to the best of my knowledge and I make this conflict of interest declaration in good faith. Signature (Employee) Date: (To be filled by Chairperson of the Committee) I hereby declare that I have received and appropriately noted this conflict of interest to be: Actual Perceived Potential Pecuniary Non-pecuniary Signature (Chairperson) Date: