Conflict of Interest Declaration Form
利益冲突声明表
To ensure business integrity and avoid conflicts of interest, all employees are required to declare any personal interest that might affect their duties. 为确保商业诚信并避免利益冲突,所有员工需申报任何可能影响其职责的个人利益关系。
Employee Information 员工信息
Name (姓名): ______
Position (职位): ______
Department (部门): ______
Date (日期): ______
Conflict of Interest Declaration 利益冲突声明
I hereby declare the following (please tick the appropriate box):
本人声明如下(请勾选相应选项):
☐ I have no conflicts of interest to declare.
☐ 本人无任何需申报的利益冲突。
☐ I have the following potential or actual conflicts of interest to declare:
☐ 本人存在以下潜在或实际利益冲突,说明如下:
Examples of potential or actual conflicts of interest include but are not limited to:
常见的潜在或实际利益冲突包括但不限于:
• Having a close relative (e.g., spouse, sibling, parent) employed by a supplier or customer
与供应商或客户有亲属关系(如配偶、兄弟姐妹、父母)
• Holding shares or ownership in a company that does business with our company
在与本公司有业务往来的企业中持有股份或拥有所有权
• Working part-time for a competitor or business partner
为竞争对手或业务合作方兼职工作
• Accepting gifts or favors from suppliers or customers
接受供应商或客户的礼物或好处
• Making decisions that may benefit oneself or close associates
做出的决策可能使自己或亲密关系人获益
I confirm that the above information is true and correct. I undertake to notify the company immediately of any change in this information.
本人确认上述信息真实、准确。如有任何变更,将立即告知公司。
Employee Signature (员工签名): ____
Date (日期): ____
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