ACER DECLARATION OF INTERESTS FORM FOR THE YEAR 2018
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1 is sugste(l that [he Dechuatiui covcr citrretu inircst as well as those held over at least the last 5 years. : It in the activities ofthe Agency. th it t1i \LLnL I h prou%sn Ilhs. d it i ihotit thlln md h it tot thi in tot ii ihon U iik a thl b tl (SptsitSe. pnrtit intf or dependent children). In case you add intiwniation m your close flimil me:nhcrs. I11UIIII theni Close fiflhil r inmliu s irs. on,dud tc l,t th pttsns tot niiiii.. i lmti liold uk th puson n kin_ th dltj i I on IlL b(ath i mlmbu ol Lht. [in n ii ot Rtl fltn s i tl in \ii V¼ 01 kin_ (icttip P1L itidit. itt. both I tti.t tsn recent past3) Name: Britta Thomsen specify the interest that you or your close family members2 currently have or have had in the I hereby declare the following interests that could be prejudicial to my independence (please Alternate member Position I Involvement in the Board or Agency : interest held by, or entrusted to, an individual working for the Agency. However, having an interest does not recommendation of the Agency and/or its bodies, is ot might in the public perception be compromised by an necessarily mean having a conflict of Interest. In particular, high quality ofexpertise is by nature based on prior Directive 2009/73/EC and Regulation (EC) No 713/2009). Broadly speaking, there is a conflict of interest where the impartiatity and objectivity of a decision, opinion or experience. Declaring an interest does therefore not automatically disqualifv someone or limit their participation elements that mightjeopardise the independence ofthose involved when working in or with the Agency should AB Decision 02/2015 ) and, where relevant, reflecting the legislative background (Directive 20t)9172/EC. The Declaration of Interests form is not intended to provide an exhaustive list of potential interests: other also be indicated in the Declaration. uana&ernent of con 11 icts of interest. Board ofthe Agency forthe Cooperation ofenergy Regulators AB n 02/2015 of3l January 2015 (hereinafter This Form should be used fot the Declaration of interests, as referred to n the Decision of the AdminIstrative The completed Declarations will be reviewed in accordance with the Agency s Policy for the prevention and DECLARATION OF INTERESTS FORM FOR THE YEAR 2018 of Energy Regulators Agency for the Cooperation
![Ernp]oyrncnt, CO1)Stlltaflcy, legal representation or advice of Energy Regulators Agency für the Cooperation U I declare the following interests: ACEP 1 See](/docs-images/95/123635617/images/2-3.jpg "footnote 3. offices, consultancies or similar.")
2 (from... until commercial 1 have nothing to declare in this respect iith a natu,ut eir fgr/ t!iti!v6 ci! Ot/Ii! (flgafiivi(/c,n with an interest in the/leld ofacuvity ofthe Agency e!il OthLt / i& SIeflhiI I hitt i htp iir; e ci iiitt in i/u t ecnt pat by yott oi you, ctot fetni!y tn ml, In (at til Ie J (I % Ilk ft) un/ui tf, tii/1,! if tnt ; st plea5 e pi ovide details of any mplii tnuit t Id oi 1. Ernp]oyrncnt, CO1)Stlltaflcy, legal representation or advice of Energy Regulators Agency für the Cooperation U I declare the following interests: ACEP 1 See footnote 3. offices, consultancies or similar. I have nothing to declare in this respect 7 This includes governmental, international or non-profit organisations. 8 See footnote 2. funding is significantly derived horn commercial sources. It also includes lndqicrident mvn commercial businesses, law 4 See footnote 3. 5 Sec footnote 2. 6 This includes aiy cnmn;ercial husifless. industry association, consultancy, rtieilrch institution or other enterprise whose wga n isa Lion from. until ommercial - meperiod U I declare the following interests: entity, when there may be an interest in thefleld ofactivity ofthe Agency. or VOlt! ctosefainiiy,ne,i,beis In the I CCCfit pas? in the internal decision tnaking ofa commercial entity or other organisation or in the works of an Advisory Body with voting rights on the outputs qf such an Iii order to assess the pssibi/iii ofa cni/iic! ofintetest, please provide details ofany participation by you IL Membership of Managing Body, Advisory Body or equivalent structure
3 organisaon In oi jt i to as ih p; situ/ui tif i c On/Itt t 0! (Oh I S( fl/c ae pi ni id dctails ofany suppo I tntllncltng past 3, from a cornrnercic;1 entity or other organisation with an interest in thefield ofactivity ofthe Agency above, ii hich can be perceived c s creating a potential conflict 0/interest. any research entity to which you or your close fain ily members belong(ed) has received in the recent gi anti 1 ent s,onrn /1tuii ships non liulill I ii i!1i,rt) thut nit 0Uf close family tnembl i Iv. Research funding (from... until commercial - ( 0 f declare the following interests: 1 have nothin to declare in this respect Icase ci/so provide details of any other cirrcingernents, oti?er thati those declared in Sections 1 rind II a!f j, I Ofl e I th. r / i i) UI S If Of o/ (Jlfl t 1o Ion i/v membei U? thc t c iii pm J, coinpkt nc. s III. Other membership or affiliation hi order to asscss thc pssibi/ity fa ci/1ict / ill/erest, please provide details of any inembei ship or Agency of Eftergy RuIator Foi dw Cooptrion ACEI (from... until commercial w See footnote declare the following interests: t have nothing to declare in this respect I See footnote 3. 2 See footnote See footnote 3.
4 seen as jeopardising your independence when workingfor the Agency they entitle to a voting right of5% or more in a commercial entity. I In order to assess the possibility of a corflict qf interest, please indicate any other eletnents that could be VI. Other relevant information 0 1 declare the following interests: I;ivestment Name ofcommcrcial entity or Investment should generally be declared only f they exceed 1 0, EU!? per commercial entity or 1 have nothing to declare in this respect V. Investments 01 Energy Regut4Wr! Agency [or the financial management. trusts or similar arrangements, provided that these investments arc broadly diversified and you have no influence on their 15 You may exclude financial interests held thrtiugh an investment fund, pension fund and/or interests in non- nominal Unit 4 See footnote 2. bonds, partnership interest in the capital of such undertaking) or in one of its subsidiaries the field of activity of the Agency (including holding of stocks and shares, stock options, equity, investment that you or your close family members 4 have in a commercial entity with an interest in In order to assess the possibility of a conflict of interest, please provide detaits of any current
5 7 lilti tiin.i it iii tjtnn tjy. S ign a t u re: DoneitL2& On t c%q and management of conflicts of interest and that the above Declaration of Interests is to my best The Declaralion of interest ofagency s boarti members, of Agency s Working Group s Chairs and Vice- published on the Agency s website. For security and data protection reasons the signatures provided on Chairs, of Task Force s Conveners, of the Agency s I)irector and Senior Management will also be I understand that the Dectaratious of Interest wilt be processed according to the Policy for the prevention background. knowledge complete and in compliance with such AU Decision 02/2015 and, where relevant, the legislative and management of conflicts of interest and entered in a register held by the Agency the Declaration of Interest wilt not be visible when it is published on the Agency s website. If you include information on close family members, please inform them that the Agency will be processing data related to them. on the processing ofyour personal data, see the privacy statement applicable to your situation. 7 data by the Community institutions and bodies and on the free movement ofsuch data 6. For more details Regulation (EC) No 45/2001 on the protection of individuals with regard to (he processing of personal Please note that the Agency wilt ensure that your personal data hereby stibmitted is processed in tine with I, hereby, declare that 1 have read AB Decision 02/2015 containing the Agency s Policy for the prevention of Energy i4ifators Agency Eot Cooperation 16 ()j L%, I 2.t] I.2:)() I, p I SIGNED
Annex 1 Declaration of Interests Form
Annex 1 Declaration of Interests Form This Form should be used for the Declaration of Interests, as referred to in the Decision of the Administrative Board of the Agency for the Cooperation of Energy Regulators
Annex 1 Declaration of Interests Form
Annex 1 Declaration of Interests Form This Form should be used for the Declaration of Interests, as referred to in the Decision of the Administrative Board of the Agency for the Cooperation of Energy Regulators
ACER. Annex 1 - Name: Position I Involvement in the Board or Agency 1:
M Annex 1 - Declaration of Interests Form This Form should be used for the Declaration of Interests, as referred to in the Decision of the Administrative Board of the AB n 02/2015 of 31 January 2015 (hereinafter
Annex 1 Declaration of Interests Form
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ACER. N a. of Interests form. Declaration. Annex hereby declare the following interests that could be prejudicial to my. Name: Romana Jordan
Romana Jordan Name: This Form should be used for the Declaration of Interests, as referred to in the Decision of reflecting the legislative background (Directive 2009/72/EC, Directive 2009/73/EC and Regulation
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CIECHA ECHA DECLARATION OF INTERESTS1
CIECHA EUROPEAN CHEMICALSAGENCY ECHA DECLARATION OF INTERESTS1 There is a conflict of interest where the impartiality and objectivity of a decision, opinion or recommendation of the Agency and/or its bodies,
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iecha ECHA DECLARATION OF INTEREST
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5ECHA EUROPEAN CHEMICALS AGENCy
5ECHA EUROPEAN CHEMICALS AGENCy ECHA DECLARATION OF INTEREST There is a conflict of interest where the impartiality and objectivity of a decision, opinion or recommendation of the Agency and/or its bodies,
ECHA DECLARATION OF INTEREST
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ECHA DECLARATION OF INTEREST
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ECHA DECLARATION OF INTEREST
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ECHA DECLARATION OF INTEREST
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ECHA DECLARATION OF INTEREST
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