Declarations - Pecuniary and Business

Please complete all fields marked (*)

Your first name *

Your last name *

Your email *

Position in Trust *

(LGB Governor, Staff Governor, Trustee etc)

Nature of Interest *

(office, membership, position, connection with staff/colleagues, shareholding, transaction or arrangement)

Organisation in which the interest is held *

Extent of pecuniary or non-pecuniary interest (including direct and indirect) *

Date interest arose (if any, if not please leave blank)

Date interest ceased (if relevant, if not please leave blank)

Please add professional bodies memberships, including unions if relevant

Please add details of any external committee memberships *

Please add details of any public office/community involvement/charities and voluntary organisations *

Please provide a signature.

Tennyson Primary School