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  • Conflict of Interest Disclosure Form

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    John Zapanta
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    This conflict of interest disclosure form requires an employee to disclose any organizational relationships where a conflict of interest may exist, such as with a contractor, subcontractor, or supplier for projects the employee works on. The employee must list the name, designation, and relationship for any relevant individuals. Both the employee and an executive director must sign and date the completed form.

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    5. Conflict of Interest Disclosure Form

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    This conflict of interest disclosure form requires an employee to disclose any organizational relationships where a conflict of interest may exist, such as with a contractor, subcontractor, or supplier for projects the employee works on. The employee must list the name, designation, and relationship for any relevant individuals. Both the employee and an executive director must sign and date the completed form.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    13 views1 page

    Conflict of Interest Disclosure Form

    Uploaded by

    John Zapanta
    This conflict of interest disclosure form requires an employee to disclose any organizational relationships where a conflict of interest may exist, such as with a contractor, subcontractor, or supplier for projects the employee works on. The employee must list the name, designation, and relationship for any relevant individuals. Both the employee and an executive director must sign and date the completed form.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    CONFLICT OF INTEREST DISCLOSURE FORM

    ▪ Name: ▪ Employee No:


    _____________________________ ___________________
    ▪ Team: ▪ Status as of:
    _____________________________ ___________________

    ORGANISATION* NAME DESIGNATION RELATIONSHIP


    1

    10

    * Contractor, subcontractor or supplier organisation included in tender list or tendering for or working on L&S project.
    Relationship (eg: family member - brother, relative or close personal friend).

    ▪ Signature: _____________________________________ ▪ Date: __________________


    (Employee)

    ▪ Signature: _____________________________________ ▪ Date: __________________


    (Executive Director or Joint Managing Director)

    https://arcadiso365-my.sharepoint.com/personal/marielle_basa_arcadis_com/Documents/Documents/Singapore/Onboarding Forms/5. Conflict of Interest Disclosure Form.doc

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