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Transparency in Conflict of Interest Disclosures for Responsible Governance

This disclosure outlines the various conflicts of interest, including consulting activities, financial interests, and associations with individuals or companies, to ensure ethical practices in governance and reporting.

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Transparency in Conflict of Interest Disclosures for Responsible Governance

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  1. Disclosure of conflictof interest from: ……………………………………….. • Consulting activities, governancefunctions, writing of reports: • No / Yes* Company(ies): …………………………………… • Clinical test, otherworks, communication about promotion: • No / Yes * Company(ies): …………………………………… • Financial interest (shareholder): • No / Yes * Company(ies): …………………………………… • Link withpersonshavingfinancialinterest or involved in the governance: • No / Yes * Company(ies): …………………………………… • Reception of donations by an association that I amin charge of: • No / Yes * Company(ies): …………………………………… • Reception of fundsfrom an association I am in charge of and which has received a donation: • No / Yes * Company(ies): …………………………………… •  Holder of a patent, editor of a workused by the industry: • No / Yes * Company(ies): …………………………………… • * Delete the non applicable option

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