n Bridges cadem ion of
Member Trustee (] Radbrook LGB] Greenfields LGB (7
Qa
Jan
Brett:
and Personal Interest (Update: Nov 2018):
e , '
Mount Pleasant LGB
| declare as a Governor/Trustee of that | hold the following personal and/or pecuniary interest(s):
Pecuniary interests
Please provide details of the interest
Current employment
NIA
Businesses (of which | am a partner or sole proprietor)
aléA
Company directorships — details of all companies of which | ama
director
alA
Charity trusteeships — details of all companies of which | am a
trustee
BOAT
Membership of professional bodies, membership organisations,
public bodies or special interest groups of which | am a member and
have a position of general control or management
NIA
Gifts or hospitality offered to you by external bodies while acting in
your position as a governor/trustee and whether this was declined
or accepted in the last 12 months
nlA
Contracts offered by you for the supply of goods and/or services to
the trust/school
a) A
Any other conflict
directorships or
trusteeships of
family/close Al ve nla
connections to
governor/trustee
N/A
Immediate
family/close
mess alk | aA ala | mA
aA
Ifyou are a governor or trustee of any other schools and/or academies, please provide details below:
Name of schoo/academy NI
Poston el an Aik
Date appointed elected to post: ae A.
Date of emiation pos anna A
To the best of my knowledge the information supplied above is correct and complete. | understand that itis my responsibilty ta
declare any conflict of interest/loyalty, business or personal that relates directly or indirectly, to myself or any relation in any
contract, proposed contract or other matter when present at a meeting at the school where such contract or matter comes
Under consideration. | understand that | must withdraw from any meeting during the discussion of such contract or matter and
‘must not vote in respect of it
| agree to review and update this declaration annually and give consent for the information provided to be used
inaccordance with the trust/school's conflicts of interest policy.ADunn
Severn Bri ulti Academy laration of
rsonal Interest
Please ensure that all boxes are completed. If box is not applicable please indicate this with n/a
Oo
Member Trustee [] Radbrook LGB] Greenfields og
Mount Pleasant LGB
| declare as a Governor/Trustee of that | hold the following personal and/or pecuniary interest(s):
Pecuniary interests
Please provide details of the interest
director
Current employment We leon
Businesses (of which | am a partner or sole proprietor) ee
Company directorships ~ details of all companies of which lam a He
Charity trusteeships ~ details of all companies of which |am a
trustee
Membership of professional bodies, membership organisations,
Public bodies or special interest groups of which | am a member and
have a position of general control or management
Gifts or hospitality offered to you by external bodies while acting in
your position as @ governor/trustee and whether this was declined
or accepted in the last 12 months
Contracts offered by you for the supply of goods and/or services to
the trust/school
Any other conflict
Personal interests | Name Relationship tome
‘Organisation
‘Nature of the interest
Immediate
family/close nla ~la
connections to
| governor/trustee
“fe
cu
Company
directorships or
trusteeships of
family/close
connections to
governor/trustee,
ale
mle
otra
I you are a governor or trustee of any other schools and/or academies, please provide details below:
Name of school/academy: uso Cn
Postion lene
Date appointed/elected to post:
Date of termination to post
To the best of my knowledge the information supplied above is correct and complete. | understand that itis my r
sponsibility to
declare any confiict of interest/loyalty, business or personal that relates directly or indirectly, to myself or any relation in any
contract, proposed contract or other matter when present at a meeting at the school where such contract or matter comes
under consideration. | understand that | must withdraw from any meeting during the discussion of such contract or matter and
‘must not vote in respect of It
| agree to review and update this declaration annually and give consent for the information provided to be used
in accordance with the trust/schoo's conflicts of interest policy.
Fa
peoN . Peters.
Severn. Multi Acac ‘ust Declaration iniary and Person 2
Member Trustee [) Radbrook 18 C] Greenfields 18 Q~ Mount Pleasant LGB
Qo
I declare as a Governor/Trustee of that | hold the following personal and/or pecuniary interest(s):
Pecuniary
terest,
Please provide details of the interest
Current employment
AS BtLew
Businesses (of which | am a partner or sole proprietor)
w/A
Company directorships ~ details of all companies of which | am a
director
NIPeENSOCTANCY EXD
Lsi2enSBRY DELI CO ETD
Charity trusteeships ~ details of all companies of which | am a
trustee
GREENTIELRS SeHeor Asse (ANEW
Membership of professional bodies, membership organisations,
Public bodies or special interest groups of which | am a member and
have a position of general control or management
nia
Gifts or hospitality offered to you by external bodies while acting in
your position as a governor/trustee and whether this was declined
of accepted in the last 12 months
N/A
Contracts offered by you for the supply of goods and/or services to
the trust/school
Nik
Any other conflict,
NIA
Personal interests | Name Relationship to me
Organisation Nature of the interest
immediate
family/close
ee NIA N/A
| governor/trustee
n/p nA
Company
directorships or |
trusteeships of N/A N/A
family/close
connections to
| governor/trustee
NIA | N/A
Ifyou are a governor or trustee of any other schools and/or academies, please provide details below:
Name of school/academy: 2.1.
Position held: NIA
Date appointed/etected to post...
Date of termination to post: .../..,.AS.
To the best of my knowledge the information supplied above is correct and complete. | understand that itis my responsiblity to
deciare any conflict of interest/loyalty, business or personal that relates directly or indirectly, to myself ar any relation in any
‘contract, proposed contract or other matter when present at a meeting at the school where such contract or matter comes
lunder consideration. | understand that | must withdraw from any meeting during the discussion of such contract or matter and
must not vote in respect of it
| agree to review and update this declaration annuelly and give consent for the information provided to be used
in accordance with the trust/schoo!’s conflicts of interest policy.
nn
pi
pes