Sustainable Development Foundation - Suppliers’ Disclosure of Conflict-of-Interest Template
The suppliers must
disclose to the Foundation any situation of conflict of interest or suspected
conflict of interest that may arise. He shall disclose to the Foundation
whether any officer of the Foundation or contracted technical staff with the
Foundation has an interest of any kind in the work done by the supplier or
whether it has any economic ties with the supplier of whatsoever kind.
The
conflict-of-interest disclosure form must be approved to complete the contract,
and with this acknowledgment, the suppliers acknowledge what is shown below:
Suppliers’
information:
Commercial
Name:
...........................................................
Suppliers Telephone
Number:
.........................................
Acknowledgement of
Conflict of Interest: |
In case of no
conflict of interest: I hereby declare that there is no conflict of interest
with any employee of the Sustainable Development Foundation.
In the event of a
(conflict of interest) between employees, officers of the Sustainable
Development Foundation, or their relatives with whom they have a relationship
With the supplier,
it could lead to a conflict of interest. Please mention them below:
1.
Name:
Kinship: ( )
2.
Name:
Kinship: ( )
1.
The
supplier acknowledges that there is no ownership interest or the possibility of
obtaining a personal financial gain between any employee within the staff of
the suppliers' company and any of the employees of the Sustainable Development
Foundation.
2.
The
supplier acknowledges that no employee of the Sustainable Development
Foundation or former employee (for less than one year) has an ownership
interest in the supplier’s company.
I declare that the given
information is correct: -
The Person authorized to sign
(supplier):
Name: Date:
Signature:
Stamp: