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Register of Interest Template
Register of Interest Template
Register of Interests Declared as at: Name: Title: 1. Company Interest Any relationship with a named company with
which XXXX Group might do business including ownership or partownership, major shareholdings or other beneficial interests such as warrants and options; Directorship, paid employment, consultancy and close family connection. Company Employment Type
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I confirm that the above declaration is complete and correct to the best of my knowledge and belief.
Signature:
Date:
Note: XXXXCompany Limited will not use information provided on this form for any other purpose than the Register. Any form obtained electronically must be signed and returned in hard copy.
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