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Members' Interests
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Members' Interests declaration form
Name of member
Type of member
-- Select --
Elected
Co-opted
Employment, office, trade, profession or vocation
State any employment, office, trade, profession or vocation that you carry out for profit or gain.
Sponsorship
State any payment or provision of any other financial benefit (other than from the relevant authority) made or provided within the relevant period in respect of any expenses incurred by you in carrying out duties as a member or towards your election expenses. This includes any payment or financial benefit within the meaning of the Trade Union and Labour Relations Act 1992.
Contracts
State any contract which is made between the relevant person (or body in which the relevant person has a beneficial interest) and the relevant authority under which goods and services are to be provided or works are to be executed; and which have not been fully discharged.
Land
State any beneficial interest in land which is within the area of the relevant authority.
Licenses
State any licence you hold (alone or jointly with others) to occupy land in the area of the relevant local authority for a month or longer.
Corporate tenancies
State any tenancy where – to your knowledge – the landlord is the relevant authority and the tenant is the body in which the relevant person has the beneficial interest.
Securities
State any beneficial interest in securities of a body where that body – to your knowledge – has a place of business or land in the area of the relevant local authority and either: the total nominal value of the securities exceeds £25,000 or one hundredth of the total issued share capital of that body,
or
if the share capital of that body is of more than one class, the total nominal value of the shares of any class in which the relevant person has a beneficial interest exceeds one hundredth of the total issued share capital of that class.
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Your personal data
The information you provide on this form will be processed by our Digital Team and stored in a PDF document on the North Somerset Council website on the
Members' Interests
page.
For full details on how we use your personal information, please
read our full privacy notice
. If you have any concerns about how your personal data is handled, please contact the Data Protection Officer at
DPO@n-somerset.gov.uk
.