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The authors whose names are listed immediately below certify that they have NO affiliations with or involvement in any organization or entity with any financial interest (such as honoraria; educational grants; participation in speakers' bureaus; membership, employment, consultancies, stock ownership, or other equity ...
Because of the perception of a conflict of interest and in the interest of full transparency, I am disclosing my relationship with [insert company name and/or nature of IP] to my research team members and collaborators.
To the best of my knowledge and belief any actual, perceived or potential conflicts between my duties as an employee and my private and/or business interests have been fully disclosed in this form in ance with the requirements of the [insert School name] Conflict of Interest Policy.
I confirm that neither I nor any of my relatives nor any business with which I am associated have any personal or business interest in or potential for personal gain from any of the organizations or projects linked to XYZ AIS.
State the reasons why you think these interests could, or could be seen to, influence your decisions, actions or advice. Finally, set out the steps you intend to take, or which you may require others in the department to take, to mitigate any conflict arising. Attach supporting documentation if required.