Folkestone & Hythe District Council - Town and Parish Councils Notification of disclosable pecuniary interests

Important notes - please read before you complete this form

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The requirement to notify the Monitoring Officer of a disclosable pecuniary interest applies not only to your own interests but also those of your husband/wife/civil partner, or a person with whom you are living as husband/wife or as if you are civil partners, where you are aware that the other person has the interest.

The term ‘relevant person’ therefore means you and any other person referred to above.

Details of your notified interests will appear in the Members’ Register of Interests and will be published on Folkestone & Hythe District Council's website, and if the town/parish has its own website, on this website, and open to public inspection.

'Sensitive Interest' - If you consider that the disclosure of the details of any of your interests could lead to you, or a person connected with you, being subject to violence or intimidation, and you would like to withhold these details from the register of interests, please provide this information to the Monitoring Officer and explain your concerns regarding the disclosure of the sensitive information, including why it is likely to create such a risk. If the Monitoring Officer agrees, the information will not be included in copies of the register made available for inspection, or any published version of the register.

Further explanatory notes are included on the intranet

Your details

First name(s)

Surname

Address

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Reason for completing the form

Select from the options below

I was elected as a member of Town/Parish CouncilI was co-opted as a member of a committee or sub-committee of the Town/Parish CouncilThe Council adopted a new code of conductThere was a change in my interests and this form supersedes and replaces the form completed previously

Name of the council

Date elected/co-opted

Date of the new code of conduct

Date this form supersedes my previous form

Part A: Employment

Any employment, office, trade, profession or vocation carried out for profit or gain

You:

Husband/wife/civil partner or a person with whom you are living as husband/wife or as if you are civil partners:

Are any of the above interests sensitive?

YesNo

Please provide us with more information in relation to the sensitive interest (refer to the important notes for more details on sensitive interest):

Part B: Sponsorship

Any payment or provision of any other financial benefit (other that from the Council) 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 yourself. This includes any payment or financial benefit from a trade union within the meaning of the Trade Union and Labour Relations (Consolidation) Act 1992.

*'relevant period' means the period of 12 months ending with the day on which you gave a notification for the purposes of section 30(1) or section 31(7), as the case may be, of the Localism Act 2011.

You:

Husband/wife/civil partner or a person with whom you are living as husband/wife or as if you are civil partners:

Are any of the above interests sensitive?

YesNo

Please provide us with more information in relation to the sensitive interest (refer to the important notes for more details on sensitive interest):

Part C: Contracts

Any contract which is made between the relevant person (or a body in which the relevant person has a beneficial interest*) and the Council

(a) under which goods or services are to be provided or works are to be executed; and

(b) which has not been fully discharged

*'body in which the relevant person has a beneficial interest' means a firm in which the relevant person is a partner or a body corporate of which the relevant person is a director, or in the securities of which the relevant person has a beneficial interest;

“director” includes a member of the committee of management of an industrial and provident society;

You:

Husband/wife/civil partner or a person with whom you are living as husband/wife or as if you are civil partners:

Are any of the above interests sensitive?

YesNo

Please provide us with more information in relation to the sensitive interest (refer to the important notes for more details on sensitive interest):

Part D: Land

Any beneficial interest in land* which is within the area of the Council.

*'land' excludes an easement, servitude, interest or right in or over land which does not carry with it a right for the relevant person (alone or jointly with another) to occupy the land or to receive income.

Please include your home address.

You:

Husband/wife/civil partner or a person with whom you are living as husband/wife or as if you are civil partners:

Are any of the above interests sensitive?

YesNo

Please provide us with more information in relation to the sensitive interest (refer to the important notes for more details on sensitive interest):

Part E: Licences

Any licence (alone or jointly with others) to occupy land* in the area of the relevant authority for a month or longer.

*'land' excludes an easement, servitude, interest or right in or over land which does not carry with it a right for the relevant person (alone or jointly with another) to occupy the land or to receive income.

You:

Husband/wife/civil partner or a person with whom you are living as husband/wife or as if you are civil partners:

Are any of the above interests sensitive?

YesNo

Please provide us with more information in relation to the sensitive interest (refer to the important notes for more details on sensitive interest):

Part F: Corporate tenancies

Any tenancy where (to your knowledge)—

(a) the landlord is the Council; and

(b) the tenant is a body in which the relevant person has a beneficial interest

*'body in which the relevant person has a beneficial interest' means a firm in which the relevant person is a partner or a body corporate of which the relevant person is a director, or in the securities of which the relevant person has a beneficial interest

“director” includes a member of the committee of management of an industrial and provident society.

“securities” means shares, debentures, debenture stock, loan stock, bonds, units of a collective investment scheme within the meaning of the Financial Services and Markets Act 2000 and other securities of any description, other than money deposited with a building society.

You:

Husband/wife/civil partner or a person with whom you are living as husband/wife or as if you are civil partners:

Are any of the above interests sensitive?

YesNo

Please provide us with more information in relation to the sensitive interest (refer to the important notes for more details on sensitive interest):

Part G: Securities

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 Council; and

(b) either —

(i) the total nominal value of the securities exceeds £25,000 (face value) or one hundredth (1/100th ) 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.

*'securities' means shares, debentures, debenture stock, loan stock, bonds, units of a collective investment scheme within the meaning of the Financial Services and Markets Act 2000 and other securities of any description, other than money deposited with a building society.

You:

Husband/wife/civil partner or a person with whom you are living as husband/wife or as if you are civil partners:

Are any of the above interests sensitive?

YesNo

Please provide us with more information in relation to the sensitive interest (refer to the important notes for more details on sensitive interest):

Part H: Declarations

It is a criminal offence to fail to notify the monitoring officer of any disclosable pecuniary interests (DPIs). This requirement arises in each of the following circumstances:

(a) before the end of 28 days beginning with the day on which you become a member or co-opted member of the authority (s30(1) Localism Act 2011));

(b) where the DPI is not entered in the authority’s register and is not the subject of a pending notification, but is disclosed at a meeting of the authority (or any committee, sub-committee, joint committee or joint sub-committee) as required by s31(2) of the Localism Act, within 28 days beginning with the date of the disclosure (s31(3) Localism Act 2011));

(c) where the DPI is not entered in the authority’s register and is not the subject of a pending notification, within 28 days beginning with the date when you become aware that you have a DPI in any matter to be dealt with, or being dealt with, by you acting alone in the course of discharging a function of the authority (s31(7) Localism Act 2011)).

It is also a criminal offence to knowingly provide information that is false or misleading (or being reckless as to whether the information is true and not misleading)

To the best of my knowledge, the information given in this form is complete and correct

Signatory

Full name

Date