Notify register of interests Notification by a district/parish member of the Breckland District of Disclosable Pecuniary Interests and other registrable interests Localism Act 2011 - Part 1, Chapter 7, Sections 28 - 34 Regulations 2012 – No.1464 Fields marked with * are required In what capacity are you completing this form as a?* Breckland Councillor Parish Councillor Members details Name of member Parish I hereby give notice that I have the following disclosable pecuniary interests (DPI’s) and other interests, and those of my spouse / civil partner (or with someone whom you are living with as a spouse/civil partner) which are required to be registered under the Relevant Authorities (Disclosable Pecuniary Interests) Regulations 2012, as are required by the Parish Council’s Code of Conduct and Regulations. Councillor details Name of member Ward I hereby give notice that I have the following disclosable pecuniary interests (DPI’s) and other interests, and those of my spouse / civil partner (or with someone whom you are living with as a spouse/civil partner) which are required to be registered under the Relevant Authorities (Disclosable Pecuniary Interests) Regulations 2012, as are required by the Parish Council’s Code of Conduct and Regulations,and in accordance with the Members Code of Conduct adopted by Breckland District Council. DPI info Subject Employment, office, trade, profession or vocation Prescribed description Any employment, office, trade, profession or vocation carried on for profit or gain. Do you or your spouse/civil partner have interests in the above subject?* Yes No Employment DPI info Members interests Spouse/civil partner's interests Subject Sponsorship Prescribed description 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 the election expenses of you. This includes any payment or financial benefit from a trade union within the meaning of the Trade Union and Labour Relations (Consolidation) Act 1992. Do you or your spouse/civil partner have interests in the above subject?* Yes No Sponsorship DPI info Members interests Spouse/civil partner's interests Subject Contracts Prescribed description Any contract which is made between the relevant person (or a body in which the relevant person has a beneficial interest) and the relevant authority— (a) under which goods or services are to be provided or works are to be executed; and (b) which has not been fully discharged. Do you or your spouse/civil partner have interests in the above subject?* Yes No Contracts DPI info Members interests Spouse/civil partner's interests Subject Land Prescribed description Any beneficial interest in land which is within the area of the relevant authority. (This includes your home, any land or buildings relating to any property you own or rent, including garages, allotments (etc…), that is within the Parish). Do you or your spouse/civil partner have interests in the above subject?* Yes No Land DPI info Members interests Spouse/civil partner's interests Subject Licences Prescribed description Any licence (alone or jointly with others) to occupy land in the area of the relevant authority for a month or longer. Do you or your spouse/civil partner have interests in the above subject?* Yes No Licences DPI info Members interests Spouse/civil partner's interests Subject Corporate tenancies Prescribed description Any tenancy where (to your knowledge)— (a) the landlord is the relevant authority; and (b) the tenant is a body in which the relevant person has a beneficial interest. Do you or your spouse/civil partner have interests in the above subject?* Yes No Corporate Tenancies DPI info Members interests Spouse/civil partner's interests Subject Securities Prescribed description Any beneficial interest in securities of a body where— (a) that body (to your knowledge) has a place of business or land in the area of the relevant authority; and (b) either— (i) the total nominal value of the securities 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 the relevant person has a beneficial interest exceeds one hundredth of the total issued share capital of that class. Do you or your spouse/civil partner have interests in the above subject?* Yes No Securities DPI info Members interests Spouse/civil partner's interests Next Page Last updated: 31/01/2024 17:18:58
