Administration Conflict of Interest Declaration Form

Personal Information:

Conflict of Interest Declaration:

I, [Your Name], hereby declare that I have read and understand the conflict of interest policy of [Your Company Name]. I certify that I do not have any financial or personal interests that conflict or could potentially conflict with the interests of [Your Company Name] in the performance of my duties.

If I become aware of any potential conflicts of interest during my tenure at [Your Company Name], I agree to promptly disclose such conflicts to the appropriate supervisor or department head.

Declaration:

I hereby declare that the information provided above is true and accurate to the best of my knowledge.

Signature: _______________________________

Date:

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