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FORM B
REGISTER OF INTERESTS
STOCKTON-ON-TEES BOROUGH COUNCIL
OTHER INTERESTS
Notification by a Councillor or Co-opted Member of
Stockton-on-Tees Borough Council of
Personal Interests under the Members’ Code of Conduct (paragraph 11)
Please read the attached notes when completing this form.
Councillor’s/Member’s Name (in full): ………………….………………………………………………..
I hereby give notice of the following personal interests (please state “none” where appropriate)
under paragraph 11 of the Council’s new code of conduct for members:-
1. Any body of which you are a member or in a
position of general control or management and
to which you are appointed or nominated by the
Council.
2. Any body -
(aa) exercising functions of a public nature;
(bb) directed to charitable purposes; or
(cc) one of whose principal purposes includes
the influence of public opinion or policy
(including any political party or trade union),
of which you are a member or in a position of
general control or management.
Please also provide details of any gift or hospitality you have received, as follows:-
Any person from whom you have received a gift
or hospitality with an estimated value of at least
£25.
Date:………………………………………………….
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Signed: ……………………………………………………….
Councillor/Co-opted Member
Dated: ……………………………………………………….
Signed: ………………………………………………………..
Monitoring Officer/Deputy Monitoring Officer/Other Officer
Dated: ………………………………………………………..