SANC DECLARATION OF INTEREST FORM Name * Name First Name First Name Last Name Last Name Position/Capacity * Committee Name * CouncilExecutive CommitteeProfessional Conduct CommitteeImpairment CommitteeLaws, Practice, and Standards CommitteeEducation CommitteeICT Governance CommitteeHuman Resources and Remuneration Committee:Communication and Marketing CommitteeFinance CommitteeAudit and Risk CommitteePreliminary Investigating CommitteeResearch CommitteeCPDOther Committee Name Conflict of Interest Declaration * That I have perused the agenda of the meeting and that I do have a conflict of interest in /some of the item/s on the agenda. That I have perused the agenda of the meeting and that I do not have any conflict of interest in /or some of the item/s on the agenda. Specify the Items with a Conflict of Interest * Acknowledgment * However, should I during the meeting or at any stage before or thereafter realise that I do have any such conflict, I shall immediately declare same to the Chairperson of the Committee and will recuse myself from the discussion of that/those item/s. To avoid at all cost putting myself in a position that is in conflict or could be observed to be in conflict with what the Council stands for. To honour all undertakings given in the course of my duties and mandate, until the duties and mandate are performed, released, or executed. Date * Signature * signature keyboard Clear Submit If you are human, leave this field blank.