CONFLICT OF INTEREST DECLARATION TEMPLATE

SAFE-CHAIN™

Conflict of Interest Declaration

Version 1.0
United Kingdom

1. Purpose

This declaration ensures transparency, independence, and integrity within SAFE-CHAIN™ governance and decision-making processes.

2. Declaration of Interests

I, ____________________________________________,
in my capacity as:

☐ Director
☐ Trustee
☐ Advisory Board Member
☐ Consultant
☐ Officer
☐ Other: _______________________________

Declare the following interests:

A. Financial Interests

(Shareholdings, directorships, contracts, consultancy arrangements, funding relationships)

B. Professional Interests

(Employment, advisory roles, institutional affiliations)

C. Personal Interests

(Relationships or affiliations that may create perceived conflict)

3. Ongoing Disclosure Obligation

I agree to:

• Update this declaration annually

• Disclose new conflicts immediately upon arising

• Recuse myself from discussions or decisions where a material conflict exists

4. Certification

I confirm that the above declaration is complete and accurate to the best of my knowledge.

Signature: ___________________________
Date: ________________________________

Reviewed by Board Chair: ___________________________
Date: ________________________________