FACULTY/DIVISIONAL CONFLICT OF INTEREST DECLARATION Tender number Date 1 July 2016 Tender name Faculty/Division As a member/attendee of this Assessment Panel and/or Tender Board, I hereby confirm that I am aware of my obligations as detailed under UTAS’ Probity In Tendering Guidelines to avoid and/or declare all conflicts of interest in carrying out my duties, and to disclose any potential conflict of interest if they emerge in the course of my duties. I currently have no such conflict of interest. [The names of each member/attendee of this Tender Committee are to be included in the following table and each member is to sign accordingly. Members unable to meet the requirements of UTAS’ policy” must stand down from the committee.] Tender committee members name Signature This form must be attached to the Assessment Panel and Tender Board minutes.