Appendix G3 - Director Declaration Of Interests Form Template printable pdf download

Appendix G3 - Director Declaration Of Interests Form Template

RESPONSIBLE FINANCE PROVIDER HANDBOOK – TEMPLATE

Appendix G3 – Director Declaration of Interests Form Template

<Company> Logo

I, ____________________________________________________________________, as

Director of _____________________________________ <Company> have set out below

my interests in accordance with the organisation’s conflicts of interest policy.

I am a new Director.

I am an existing Director.

Category

Please give details of the interest and

whether it applies to yourself or, where

appropriate, a member of your

immediate family, connected persons or

some other close personal connection.

Current employment and any previous

employment in which you continue to have

a financial interest.

Appointments (voluntary or otherwise), e.g.

trusteeships, directorships, local authority

membership, tribunals, etc.

Membership of any professional bodies,

special interest groups or mutual support

organisations.

Investments in unlisted companies,

partnerships and other forms of business,

major shareholdings and beneficial

interests.

Gifts of hospitality offered to you by external

bodies and whether this was declined or

accepted in the last twelve months.

Any contractual relationship with the

company or its subsidiary.

Any other interests not covered by the

above which could give rise to a conflict of

interest.

Appendix G3 Responsible finance provider Handbook - Governance

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Appendix G3 - Director Declaration Of Interests Form Template