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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.
Some examples of a conflict of interest could be: Representing a family member in court. Starting a business that competes with your full-time employer. Advising a client to invest in a company owned by your spouse.
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.
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 declare that: I am aware that my information has been collected for the purpose of identifying material personal interests that could influence, or could be seen to influence, the decisions that the employee covered by the declarations policy takes or the advice he/she gives.