To be completed by professionally registered BAPEN contributors
BAPEN requires that all Council members must declare all interests and membership of other committees retrospectively on an annual basis.
Declaration is required at the time of joining Council and annually thereafter. Declaration is required retrospectively for the preceding 12 months from the beginning of membership of the Council then annually thereafter until the conclusion of tenure.
The details given in this form will be retained on a register by the Secretariat and will be made available for publication, if required.
Please tick all sections and provide details below.