ࡱ> utyw objbjnn 46ffa ##N1N1N1N1N1b1b1b181$1|b12w:2:2:2:2:2n3n3n3vvvvvvv$z}ZvN1n3n3n3n3n3vN1N1:2:24vt7t7t7n3FN1:2N1:2vt7n3vt7t7l {q:2@'b3n:vw02wn}3}t{q{q}N1et8n3n3t7n3n3n3n3n3vv5n3n3n32wn3n3n3n3}n3n3n3n3n3n3n3n3n3#X 0: CONFLICT OF INTEREST DISCLOSURE TEMPLATE Conflict of interest disclosure for XYZ sports organisationOrganisational affiliationI, the undersigned, have the following areas of interest which may have a bearing on my activities as a governing group member serving XYZ sports organisation:I am a member of the following club(s) or sports organisation(s):I am an office bearer at club(s) or sports organisation(s) (state position held): I am involved in a voluntary capacity with other organisations that may have areas of joint interest with the XYZ sports organisation (i.e. other sporting bodies, referees organisation, trust boards, etc):Business and financial interestsCurrent employment:My company has/I have a financial interest associated with [sport] in New Zealand in the following capacities:Family interestsMembers of my immediate family have an involvement in or are associated with [sport] in New Zealand in the following capacities:OtherI have or my family have other interests that could be perceived as being in conflict with my role with the XYZ sports organisation (include service on other boards here and financial interest in any organisations): StatementI have listed above all areas which could be defined as a conflict of interest in my role with XYZ sports organisation at the current date. 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