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:

W[uropean Agencyfor Safety and HealttratWofi

lnformationEU-OSHA:

Name:

Position

DECLARATION OF INTEREST

on direct or indirect interests of relevance in the fields of work conducted by

Aleksandar Petrov Zagorov

I X I Member of the Governing Board

[ ] Alternate of the Governing Board

[ ] Member of the Bureau

1. Direct interest (financial benefits arising from, for example, employment, contracted work,investments, fees etc.):

I don't have direct financial benefits from my membership in the Governing board

2. Indirect financial interests (grants, sponsorships, or other kind of benefits):

Either, I don't have financial interests.

3. lnterests deriving from the professional activities of the member's close family members:

I have not any family members of mine, to be included within EU-OSHA activities

4. Any Me.mbership role or affiliation that you have in organisations/bodies/clubs with aninteres! in the work of EU-OSHA:

No. I have not such engagements.

5. Other interests or facts that the undersigned considers pertinent:

They are any other remarks I may provide.

I declare on my word of honor that the information provided above is true and complete.

Yes,

Done at Sofia, Bulgaria on 20th January 2015

Signature:

Gran Via 33 .48009 BilbaoTel. +34 94 479 4360 . Fax +34 94 479 [email protected]' http:l/osha.europa.eu

uribeus
Stamp
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