Staff Tendering Declaration of Interest Form - Grimsby Institute of ...

Staff Tendering Declaration of Interest FormThis form should be completed by all staff members present to open tenders on the In-Tend system,OJEU system and also for all contracts awarded above £10,000I………………………………………………………as a Staff Member of the Grimsby Institute of Further & HigherEducation have set out below my interests in accordance with the organisation’s Bribery Policy.Name of Tender/Quote:Date of Tender Opening (if applicable):Names of Companies submitting a completed & correct tender/quote:CategoryDo you have any previous employment with any of thecompanies listed?Do you have a financial interest in any of the companieslisted?Are you a member of any professional bodies, specialinterest groups or mutual support organisations thatare linked to any of these companies?Do you have any investments in unlisted companies,partnerships and other forms of business, majorshareholdings and beneficial interests with anycompanies listed?Have any gifts or hospitality been offered to you by anyof the companies listed in the last twelve months andwas it declined or accepted?Are you aware of any other conflicts that are notcovered by the above?Please give details of the interest andwhether it applies to yourself or, whereappropriate, a member of your immediatefamily or some other close personalconnection.Page 1 of 2Rev:001

Staff Tendering Declaration of Interest FormTo the best of my knowledge, the above information is complete and correct. I undertake to updateas necessary the information provided, and to review the accuracy of the information on any changein supplier or sub-contractor for the duration of this tender. I give my consent for it to be used forthe purposes described in the Bribery Policy and for no other purpose.Signed:…………………………………………Position:………………………………………Date:……………………………………………Original copies of this document to be kept with tender returns or quotes by the Purchasing Teamand made available for audit by request to the Purchasing Manager.Page 2 of 2Rev:001