Register of Interests

Register of Interests
Register of interests for Lewisham school governors, senior school staff and staff involved in procurement.

To be completed annually (or sooner if circumstances change) by all governors, senior school staff and staff involved in procurement
Staff Full Name*
Print School Name OR Governing Body*
Staff email address*
example@example.com
1. Employment, office, trade, profession or vocation.
Please complete this section if you are in any type of paid employment, have your own company, or are self-employed.

If you do not work in any capacity, please state ‘No’ or ‘None’ where appropriate.
Are you employed?*

YesNo
If yes, please state the Name of the organization *
Nature of the organization *
Address of the organization*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Your role within the organization*
Start date*
e.g. 02-09-2016 or September 2016
Are you self-employed or do you own a company?*

YesNo
Type of business?*
Name of company?*
Date of inception*

DayMonthYear
Date
2. Contracts
If you or your 1) relatives[1], 2) an organization, society, or club of which you are a member 3) spouse (or someone living with you as if they were your spouse), or 4) your employer has a contract either existing or proposed, between the school where you are a governor or an employee, please detail these below.

[1] The definition of a relative includes spouse, partner, parent, parent-in-law, son, daughter, stepson, stepdaughter, child of a partner, brother, sister, grandparent, grandchild, uncle, aunt, nephew, and niece
Do you have a contract (existing or proposed) in place?*

YesNo
Name of the business/organization?*
Goods or services provided?*
Start and duration of the contract?*
Who is the contract between?*
3. Interest in Securities
If you hold any substantial[2] securities in any company or body corporate, please detail them below.

[2] You have a substantial interest if you own shares or other securities in the company with a nominal value of more than £25,000 or more than 1/100th of the issued shares or securities. The notional value is normally the face value on the share certificate and is not the market value. If in doubt contact your broker. If there are several classes of shares or securities, the fraction of 1/100th applies to any of those classes. These limits also apply to deposits with industrial and provident societies, and cooperative societies.
Are you a partner or director in a company, body corporate, or do you hold any substantial securities?*

YesNo
Name of the business/organization?*
Nature of the business/organization?*
Date the interest began?*
4. Membership of governing bodies or academy trusts
If you are a governor or a trustee with any other schools or any educational institutions, please provide details below.
Are you governor or trustee with any other schools or educational institutions?*

YesNo
Name of the school/educational institution?*
Position held?*
Date membership began?*
5. Relationships between governors, members of the school staff or consultants
If you have any relationship with or are a relative[3] of any member of the school staff, governor, or consultant, please declare this below.

[3] The definition of a relative includes spouse, partner, parent, parent-in-law, son, daughter, stepson, stepdaughter, child of a partner, brother, sister, grandparent, grandchild, uncle, aunt, nephew, and niece
Are you a relative or in a relationship with any member of the school, governor, or consultant?*

YesNo
Their full name?*
Their position?*
Relationship with them?*
6. Any other remuneration
If you have any other interests for which you personally receive remuneration, please detail these interests below.
Do you have any additional remuneration?*

YesNo
Your role?*
Name of organization?*
When you started to receive this remuneration*
Declaration
I declare that to the best of my knowledge, the above is accurate, and I am aware that the above information is open to inspection. If my circumstances change, I will immediately inform the governing body and make an appropriate declaration.
Staff Signature*

Clear
Date*

DayMonthYear
Date
The governing body is obliged to maintain a register of the pecuniary interests of its members and of those members of staff with significant financial responsibilities. A summary of this information will be published on the school website under national statutory guidance found at the link below https://www.gov.uk/government/publications/constitution-of-governing-bodies-of-maintained-schools

All items the school needs to publish on its website can be found here https://www.gov.uk/guidance/what-maintained-schools-must-publish-online
Should be Empty:

Register of Interests

1. Employment, office, trade, profession or vocation.

2. Contracts

3. Interest in Securities

4. Membership of governing bodies or academy trusts

5. Relationships between governors, members of the school staff or consultants

6. Any other remuneration

Declaration