Register of Interests - Notification of Disclosable Interests

Section A

I, (insert full name) in respect of the following Relevant Body or Bodies: (name of relevant GLA Group Bodies)

GIVE NOTICE that I have the following Disclosable Interests being of a description specified in the Relevant Authorities (Disclosable Pecuniary Interests) Regulations 2012/1464 and others considered appropriate to be declared.

[Note: Please state “None” where appropriate rather than leaving boxes blank.]

Sensitive Interests

Where you consider any of the information requested from you in this form could, if disclosed or published, lead to you or a person connected to you being subject to violence or intimidation, you should not include the information in Part B of the form but should instead complete Section C: Sensitive Interests (at the end of the form) to seek the Monitoring/ Authorised Officer’s agreement that it is a “sensitive interest” and should not be published. Where this is the case the relevant details that are required to be registered in Part B should instead be recorded in Section C.

Section B

Employment

1. Details of any employment, office, trade, profession or vocation carried on for profit or gain by me or my partner (where you are aware your partner has the interest).

[Note: You do not need to include your membership of /employment by the Relevant Body specified at section A.

In relation to any employment, office, trade, profession or vocation carried out by you or your partner, the details should include the nature and title of the role, and name of any organisation for which the role is performed / which pays you or your partner for performing the role. Those who are also London borough councillors or, for example, members of another Functional Body, will need to include these details in this section of the form, because these are ‘offices’ and because some will receive allowances for performing these roles.]

Sponsorship

(This section on sponsorship is for the Mayor and Assembly members only).

2. Details of any payment or provision of any other financial benefit (other than from a Relevant Body/bodies specified at Section A of this form) made or provided within the last 12 months in respect of any expenses incurred by me in carrying out my duties as an elected member, or towards my election expenses. (This includes any payment or financial benefit from a trade union).

[Note: The following details need to be entered in the form: the amounts of any payments made / the nature of any financial benefit received; the dates on which they were made / provided; and the name of the person or organisation that made the payment / provided the financial benefit. These details only need to be provided in respect of any payment made or financial benefit provided to you as a member, or towards your election expenses. They do not need to be provided in respect of any such payments made, or financial benefits provided, to your partner.]

Contracts with Relevant Bodies

[Note: In sections 3(a) to 3(e) below the following details need to be entered for each category:

• the names of the parties to the contracts – so the relevant authority, and either (i) your or your partner’s or close family member’s name, or (ii) the name of the firm or body corporate (of which you or your partner or close family member is a director, including details of the directorship, or in the securities of which you or your partner or close family member has a beneficial interest including;
• the date on which the contract was entered into, and the duration of the contract;
• a brief description of the contract: the goods or services to be provided, or works to be executed.

In addition, for each section – 3(a) to (e) you are asked to include details where it is proposed that that company or body enters into a contract with the Relevant Body within the following 28 days.

For members of the London Enterprise Panel, the contracting body that this section relates to will be the Greater London Authority.

Please note, if you consider this to be a Sensitive Interest, you should declare the full details in Section C below.]

3(a). Details of any contract which is made between a Relevant Body and EITHER (i) myself (or my partner) OR (ii) a member of my close family under which (a) goods or services are to be provided or works are to be executed and (b) where that contract has not been fully discharged.

3(b). Details of any contract which is made between a Relevant Body and a firm in which EITHER (i) I am (or my partner is) * a partner OR (ii) a member of my close family is a partner under which (a) goods or services are to be provided or works are to be executed and (b) which has not been fully discharged.

3(c). Details of any contract which is made between a Relevant Body and a body corporate of which EITHER (i) I am (or my partner is) a director OR (ii) a member of my close family is a director under which (a) goods or services are to be provided or works are to be executed and (b) which has not been fully discharged.

3(d). Details of any contract which is made between a Relevant Body and a firm or a body corporate in the securities of which EITHER I have (or my partner has) a beneficial interest OR (ii) a member of my close family has a beneficial interest under which (a) goods or services are to be provided or works are to be executed and (b) which has not been fully discharged.

3(e). Details of any contract which is made between a Relevant Body and a firm in which EITHER (i) I am (or my partner is) an employee OR (ii) a member of my close family is an employee under which (a) goods or services are to be provided or works are to be executed and (b) which has not been fully discharged.

Land: freeholds, leaseholds and tenancies

4. Details of any beneficial interest that I have or my partner has in land within Greater London that entitles me or my partner to occupy (alone or jointly with another) that land, or to receive income from it.

[Note: by way of guidance, this includes where:

• you or your partner own(s), or own(s) a percentage of the freehold or longterm leasehold of a property (whether or not subject to a mortgage),
• you or your partner lease(s) land or property, on shorthold tenancies (for example, an assured shorthold tenancy), or
• land or property is owned by a trust in which you have or your partner has an interest.

The following details should to be entered here: what the interest is, whether it is your or your partner’s interest, the full address and postcode of the land and the London borough in which it is situated. Please note, if you consider this to be a Sensitive Interest, you should declare the full details in Section C below.).]

Licences of land

5. Details of any licence that entitles me or my partner (alone or jointly with others) to occupy land within Greater London for a month or longer.

[Note: Details of the nature and length of the licence should be entered in this section, along with the full address and postcode of the land, and the London borough in which it is situated.

If you consider this to be a Sensitive Interest, you should declare those details in Section C below.]

Corporate tenancies where a Relevant Body is the landlord

6. Details of any tenancy where, to my knowledge, (a) a Relevant Body is the landlord; and (b) the tenant is (i) a firm in which I am (or my partner is) a partner, (ii) a body corporate of which I am (or my partner is) a director, or (iii) a firm or a body corporate in the securities of which I have (or my partner has) a beneficial interest.

[Note: Details of the nature of and parties to the tenancy should be entered in this section, along with the full address of the property that is subject to the tenancy, its postcode and the London borough in which it is situated and details of any relevant company directorship.

Please note, if you consider this to be a Sensitive Interest, you should declare the full details in Section C below.]

Securities

7. Details of beneficial interest that I have or my partner has in the securities of a body where (a) that body (to my knowledge) has a place of business or land in Greater London and (b) EITHER (i) the total nominal value of the securities that I or my partner has exceeds £25,000 or one hundredth of the total issued share capital of that body; or (ii) if the share capital of that body is of more than one class, the total nominal value of the shares of any one class in which I or my partner has a beneficial interest exceeds one hundredth of the total issued share capital of that class.

[Note: Details of the nature of the interest that you have or your partner has should be entered in this section, along with the name and full address of the body in whose securities that interest is held and details of any directorship etc on that body.

Please note, if you consider this to be a Sensitive Interest, you should declare the full details in Section C below.]

Other Interests

8. Names and positions in non-profit making organisations with which a Relevant Body has dealings where I am or my partner is a trustee or participate(s) in management of that body and where not disclosed elsewhere in this form.
9. Any other office or position which I hold (including companies, trade associations and industry forums) and where not already disclosed elsewhere in this form.
10. Any other directorships of companies which I hold, whether paid or not, and where not already disclosed elsewhere on this form.
11. Any other Interest which I or my Partner holds which might reasonably be likely to be perceived as affecting my conduct or influencing my actions in relation to my role on the Relevant Body, where not already disclosed elsewhere on this form.

Declaration

1. I confirm that the information given above is a true and accurate record of my relevant interests, given in good faith and to the best of my knowledge.

2. I recognise that (where applicable) it may be a breach of the Localism Act 2011 and/or other relevant legislation and may be a criminal offence, to:

a) Omit information that ought to be given in this notice.

b) Provide information that it materially false or misleading.

c) Fail to give further notice to the Monitoring Officer/ Authorised Officer, within 28 days of becoming aware of:

• any change to the interests specified in this form above, or
• acquiring any new interest required to be declared by this form,

in order to bring up to date the information given in this notice.

Section C: Sensitive Pecuniary Interests

To: Monitoring Officer or relevant Appropriate Officer

From: [Name]

I consider that the following Disclosable Pecuniary Interest/s is/are sensitive and should not be published.

NOTE - If a registered sensitive interest ceases to be sensitive you must add this information to the published form above within 28 days of becoming aware of this.

Disclosable Pecuniary Interest (specify relevant section of the form)

Details of Interest (insert the same details about the interest that are required to be declared in section B above)

Reason why the interest is considered sensitive (ie. why you consider that disclosure of details of the interest could lead to your or a person connected to you to being subjected to violence of intimidation).

Signed

Date

Name

Authorised Officer Decision

Yes, I agree/ No I disagree [Delete as appropriate] that disclosure of the details of the interest(s) identified in this form above could lead to the Member, or a person connected with the Member, being subjected to violence or intimidation, and that the interest(s) should therefore be treated (as applicable) as “sensitive interests” under section 32 of the Localism Act 2011.

The reason for my decision is

To return a copy to the submitter of the form.

If the authorised officer agrees, to be filed on Sensitive Interests file. If the authorised officer does not agree to file in the publicly available register.

[Notes:

Section 29 of the Localism Act 2011 requires the Monitoring Officer of a relevant authority to establish and maintain a register of interests of members and co-opted members of the authority. Under Section 30 of the Act, a member or co-opted member of a relevant authority must, before the end of 28 days beginning with the day on which the person becomes a member or co-opted member of the authority, notify the authority’s Monitoring Officer of any disclosable pecuniary interests which the person has at the time when the notification is given. Within 28 days of becoming aware of any changes to disclosable pecuniary interests, or of acquiring any new disclosable pecuniary interest, embers and co-opted embers must write to the Monitoring Officer notifying him or her accordingly. Failure to do so, without reasonable excuse, is a criminal offence; as is to knowingly or recklessly provide information about relevant interests that is false or misleading.

The Relevant Authorities (Disclosable Pecuniary Interests) Regulations 2012/1464 (as amended) specify what interests constitute disclosable pecuniary interests. These categories of interests are marked with an asterisk in this form. In addition to those categories and in the interests of transparency, those asked to complete this form are also recommended to provide the additional information requested.

These provisions of the Act apply to elected members and co-opted members of the Greater London Authority. However, in the interests of consistency, Board and committee members, mayoral appointees and senior staff across the GLA Group are all recommended to use this form.]