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L Ent: Emp!o',fee Conf!ict of Interest Decjaratiorl Foi-ITI (Coi)

The document is a conflict of interest declaration form for employees of Kent to disclose any conflicts or potential conflicts. It notes that employees must avoid conflicts of interest and that failing to disclose a known conflict could result in disciplinary action. It requests information about the employee and any companies or individuals involved in the actual or potential conflict.
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0% found this document useful (0 votes)
44 views2 pages

L Ent: Emp!o',fee Conf!ict of Interest Decjaratiorl Foi-ITI (Coi)

The document is a conflict of interest declaration form for employees of Kent to disclose any conflicts or potential conflicts. It notes that employees must avoid conflicts of interest and that failing to disclose a known conflict could result in disciplinary action. It requests information about the employee and any companies or individuals involved in the actual or potential conflict.
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Emp!o`,fee Conf!

ict of Interest l<ent


Decjaratiorl Foi-ITI (Coi)
Kent Employees must avoid conflicts of interest or situations where their personal interests could conflict or appear
to conflict with their employment duties or responsibilities.

If an employee finds him/herself in a situation or potential situation of conflict of interest he/she must complete
this declaration form. Guidance can be sought from their Manager or HR, if needed. Failing to disclose a known
conflict of interest may result in disciplinary action.

--_------------------..----------------.-------------------------------------.-.------------------..--------------------..--

I hereby declare that the disclosed information is correct and that no other situation of real, potential, or apparent
conflict of interest is known to me. I undertake to inform Kent of any change in these circumstances, at any time
over the course of my employment.

EmDlovee Name: P`lRF_N k\jmflfl` SflHU


Position Title: L\hL\T\tJ\G` TE_C,Hu\ C\0+\
Work Location: Q`AC LflfbN , @J]TflR.
Supervisor / line Manager:

Name of company(s) or individu(Completeonadditionalpages al(s) involved with the actual or potential conflict of interest?ifnecessary):
Employee Conflict of Interest E€,tent
Declaration Form (Col)
Tobeco".p/cteddymandManogemontonly-AnyfollowupandmitigationactionsasaresultofCol:

HR Name & Signature: Date:

Reviewing Manager Name &Signature: Date:

Employee Name & Signature:


B\PJT=N\ \`uynAR SflHi) Date: '6/oq'„1\
8;-` V\- allL-
The undersigned hereby acknowledge the above noted actual or potential conflict of interest.

Completed form must be submitted to the local Kent HR department for administration.

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