The Conflict of Interest Declaration Form serves as a crucial governance tool in New Zealand organizations, designed to promote transparency and ethical conduct across all organizational levels. This document is typically required upon initial employment or appointment, and periodically thereafter, to ensure ongoing compliance with New Zealand legislation, including the Companies Act 1993, Public Service Act 2020, and relevant industry-specific regulations. The form captures detailed information about personal, financial, and professional interests that could influence or appear to influence an individual's professional duties. It supports organizations in maintaining proper governance, managing risks, and upholding their fiduciary duties while protecting both the organization and the declarant.
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1. Personal Information: Declarant's full name, position/role, department/organization, and employee ID/reference number
2. Purpose and Scope: Brief explanation of what constitutes a conflict of interest and why disclosure is necessary
3. Guidance Notes: Instructions on how to complete the form and examples of potential conflicts
4. Current Interests Declaration: Section for declaring existing financial, professional, or personal interests that could create conflicts
5. Related Party Interests: Declaration of interests held by family members, close associates, or related entities
6. Declaration Statement: Formal statement confirming the truth and completeness of the disclosure
7. Signature Block: Space for signature, date, and witness details if required
1. Specific Project/Transaction Declaration: Additional section for declaring interests specific to a particular project or transaction - used when the form relates to a specific business activity
2. Previous Interests: Section for declaring past interests that may still be relevant - used in high-scrutiny environments or for senior positions
3. Mitigation Measures: Space to describe how any declared conflicts will be managed or mitigated - used in complex situations where conflicts cannot be avoided
4. Confidentiality Statement: Additional privacy and confidentiality provisions - used when sensitive information is likely to be disclosed
5. Regular Review Declaration: Section for recording periodic reviews of the declaration - used when ongoing monitoring is required
1. Examples of Conflicts: Appendix providing detailed examples of various types of conflicts of interest
2. Relevant Policies: Schedule listing applicable organizational policies and procedures relating to conflicts of interest
3. Disclosure Categories: Detailed breakdown of different types of interests that need to be disclosed (financial, personal, professional)
4. Review History: Log for recording updates and periodic reviews of the declaration
Relevant legal definitions
Conflict of Interest
Actual Conflict
Potential Conflict
Perceived Conflict
Material Interest
Pecuniary Interest
Non-Pecuniary Interest
Related Party
Associated Person
Close Family Member
Business Associate
Financial Interest
Professional Interest
Personal Interest
Declarant
Organization
Position of Influence
Official Duties
Beneficial Ownership
Commercial Relationship
Gift
Hospitality
Outside Employment
Competing Interest
Confidential Information
Material Benefit
Significant Shareholding
Direct Interest
Indirect Interest
Disclosure Period
Actual Conflict
Potential Conflict
Perceived Conflict
Material Interest
Pecuniary Interest
Non-Pecuniary Interest
Related Party
Associated Person
Close Family Member
Business Associate
Financial Interest
Professional Interest
Personal Interest
Declarant
Organization
Position of Influence
Official Duties
Beneficial Ownership
Commercial Relationship
Gift
Hospitality
Outside Employment
Competing Interest
Confidential Information
Material Benefit
Significant Shareholding
Direct Interest
Indirect Interest
Disclosure Period
Clauses
Personal Information and Role
Privacy Notice
Purpose Statement
Confidentiality
Declaration Requirements
Types of Interests
Related Party Disclosures
Financial Interests
Professional Associations
Outside Employment
Gift and Hospitality Disclosures
Board Memberships
Shareholdings
Family Connections
Business Relationships
Compliance Obligations
Ongoing Disclosure Requirements
Review and Update Procedures
Acknowledgment and Certification
Witness Requirements
Declaration of Truth
Management Approval
Record Keeping
Breach Consequences
Privacy Notice
Purpose Statement
Confidentiality
Declaration Requirements
Types of Interests
Related Party Disclosures
Financial Interests
Professional Associations
Outside Employment
Gift and Hospitality Disclosures
Board Memberships
Shareholdings
Family Connections
Business Relationships
Compliance Obligations
Ongoing Disclosure Requirements
Review and Update Procedures
Acknowledgment and Certification
Witness Requirements
Declaration of Truth
Management Approval
Record Keeping
Breach Consequences
Relevant Industries
Public Sector
Financial Services
Healthcare
Education
Local Government
Professional Services
Construction
Technology
Not-for-Profit
Legal Services
Manufacturing
Research and Development
Energy
Transportation
Telecommunications
Relevant Teams
Human Resources
Legal
Compliance
Finance
Procurement
Executive Leadership
Board of Directors
Research & Development
Project Management Office
Investment
Clinical Operations
Academic Affairs
Government Relations
Risk Management
Ethics Committee
Relevant Roles
Chief Executive Officer
Board Director
Department Manager
Project Manager
Procurement Officer
Financial Controller
Human Resources Director
Research Scientist
Investment Manager
Public Service Manager
Policy Advisor
Contract Administrator
Clinical Director
Academic Staff
Grant Administrator
Compliance Manager
Risk Officer
Senior Consultant
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