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1. Employee Information: Basic identifying information including name, position, department, and employee ID
2. Purpose and Scope: Brief explanation of why the declaration is necessary and what constitutes a conflict of interest
3. Definitions: Clear definitions of key terms including 'conflict of interest', 'related parties', 'financial interest', and 'outside employment'
4. Declaration of Current Interests: Section for declaring existing financial interests, business relationships, board positions, and family connections that might create conflicts
5. Outside Employment Activities: Declaration of any current or planned secondary employment, consulting, or advisory roles
6. Family and Personal Relationships: Disclosure of any family members or close personal relationships within the organization or with business partners
7. Confidentiality Statement: Acknowledgment of obligation to maintain confidentiality of information obtained through employment
8. Duty to Update: Statement of obligation to update the declaration when circumstances change
9. Acknowledgment and Signature: Formal declaration of truthfulness and completeness of information, with date and signature
1. Specific Industry Disclosures: Additional disclosures required for specific industries (e.g., financial services, healthcare, public sector)
2. Political Activities: Declaration of political affiliations or activities, particularly relevant for public sector employees
3. Research Interests: For academic or research institutions, declaration of research projects and funding sources
4. Gift and Hospitality Declaration: Section for declaring received or given gifts and hospitality, if not covered in a separate policy
5. Investment Declarations: Detailed section for financial sector employees to declare personal investment activities
1. Schedule A: Examples of Conflicts of Interest: List of common scenarios that constitute conflicts of interest with practical examples
2. Schedule B: Related Party Definition Guide: Detailed explanation of who qualifies as a related party for disclosure purposes
3. Schedule C: Conflict Resolution Procedures: Guidelines on how declared conflicts will be evaluated and managed
4. Schedule D: Annual Review Form: Template for annual review and update of the conflict of interest declaration
5. Appendix 1: Relevant Policy References: List of related company policies and procedures regarding conflicts of interest
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