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Conflict of Interest Form

Remember, a conflict of interest is an interest which is sufficient to influence, or appear to influence, the impartial exercise of your official duties or professional judgments and can be:

Actual: you already have a conflict

Potential: a conflict of interest is about to happen or could happen

Perceived: where other people might reasonably think you may not be or are not being objective

When declaring a conflict of interest, please provide as much information as possible. If you have more than one potential conflict of interest, please report each one on a separate line.

Personal Details

Contact Details

Confirmation of Understanding

Privacy and Opt Out Statement

Any personal information provided to Ara is covered by our policy which complies with the Privacy Act 2020 and incorporates the thirteen Information Privacy Principles. If you have any concerns about privacy, please contact the Privacy Officer.

Your contact details will only be used by Ara to send you relevant information, they will not be forwarded to other organisations. If you no longer wish to receive messages from Ara, you may opt out from receiving further messages from us. Please send us a message to info@ara.ac.nz with "Opt Out" as the subject or telephone 0800 24 24 76.