Declaration of Conflict of Interest
Dear Supplier :
Please complete this Supplier/Vendor Questionnaire. The questions posed below are to be answered by you, in order for us to determine if there is an actual or potential Conflict of Interest that we should be aware of between you, as on of our Suppliers/Vendors, on the one hand, and any one or several of our employees, on the other. In particular, we expect you and our employees to avoid Conflicts of Interest This means our employees are not compete with us, not adversely interfere with our business interest for their own personal gain, and not let their personal interests or those of their family members’ conflict with our business objectives. In this regard, our employees are not allowed to accept money, (or any like kind consideration), for themselves, personally, based upon the services that you provide to us. They cannot have a material ownership interest in you, (as our Supplier/Vendor), and/or conduct any “outside business” that interferes with the proper performance of their job. Therefore, if you know about (or strongly suspect) any one of these situations exists, then you must fully disclose this to us, and permit us to fully investigate, and, thereafter, make a full and informed decision as to what we would like the parties to do.
Thus, by signing this questionnaire as a Western Digital Supplier, and unless otherwise disclosed and approved and/or accepted by Western Digital, you declare and confirm that:
1. I, as an individual, or we, as a business entity, have no family connection to any Western Digital employee;
2. I, as an individual, or we, as a business entity, have no undisclosed connection to any Western Digital employee;
3. I, as an individual, or we, as a business entity, have no ongoing, past, or intent in the future, to engage in any venture, arrangement, deal, transaction, and/or scheme which, if entered into, would adversely affect the work or services that I/we have been, are, and/or continue to, provide to Western Digital under the terms of this Contract, (or validly issued Western Digital Purchase Order), or would otherwise be a conflict of interest with the work or services that I/we are providing to Western Digital under the terms of this Contract (or validly issued Western Digital Purchase Order);
4. I, as an individual, or we, as a business entity, do not own any interest in, am not a shareholder in, nor do I/we receive compensation from, any other entity (third party) that would place me/us in a conflict of interest situation with Western Digital; and
I, as an individual, or, we, as a business entity, certify, agree and represent that shall not create, participate in, or engage in, any conduct which will result in a conflict of interest with Western Digital, unless I have fully disclosed and/or reported the potential conflict of interest to Western Digital, and Western Digital, in its sole discretion, determines either that the potential conflict of interest must be avoided, and/or is permitted
Signed by Supplier: ______________________ (Name:__________________________)
Title: ________________________________
Company Name and Stamp: __________________________________________
Date: _____________________
***Required the authorized person for signature
Declaration of Conflict of Interest
Dear Supplier :
Please complete this Supplier/Vendor Questionnaire. The questions posed below are to be answered by you, in order for us to determine if there is an actual or potential Conflict of Interest that we should be aware of between you, as on of our Suppliers/Vendors, on the one hand, and any one or several of our employees, on the other. In particular, we expect you and our employees to avoid Conflicts of Interest This means our employees are not compete with us, not adversely interfere with our business interest for their own personal gain, and not let their personal interests or those of their family members’ conflict with our business objectives. In this regard, our employees are not allowed to accept money, (or any like kind consideration), for themselves, personally, based upon the services that you provide to us. They cannot have a material ownership interest in you, (as our Supplier/Vendor), and/or conduct any “outside business” that interferes with the proper performance of their job. Therefore, if you know about (or strongly suspect) any one of these situations exists, then you must fully disclose this to us, and permit us to fully investigate, and, thereafter, make a full and informed decision as to what we would like the parties to do.
Thus, by signing this questionnaire as a Western Digital Supplier, and unless otherwise disclosed and approved and/or accepted by Western Digital, you declare and confirm that:
1. I, as an individual, or we, as a business entity, have no family connection to any Western Digital employee;
2. I, as an individual, or we, as a business entity, have no undisclosed connection to any Western Digital employee;
3. I, as an individual, or we, as a business entity, have no ongoing, past, or intent in the future, to engage in any venture, arrangement, deal, transaction, and/or scheme which, if entered into, would adversely affect the work or services that I/we have been, are, and/or continue to, provide to Western Digital under the terms of this Contract, (or validly issued Western Digital Purchase Order), or would otherwise be a conflict of interest with the work or services that I/we are providing to Western Digital under the terms of this Contract (or validly issued Western Digital Purchase Order);
4. I, as an individual, or we, as a business entity, do not own any interest in, am not a shareholder in, nor do I/we receive compensation from, any other entity (third party) that would place me/us in a conflict of interest situation with Western Digital; and
I, as an individual, or, we, as a business entity, certify, agree and represent that shall not create, participate in, or engage in, any conduct which will result in a conflict of interest with Western Digital, unless I have fully disclosed and/or reported the potential conflict of interest to Western Digital, and Western Digital, in its sole discretion, determines either that the potential conflict of interest must be avoided, and/or is permitted
Signed by Supplier: ______________________ (Name:__________________________)
Title: ________________________________
Company Name and Stamp: __________________________________________
Date: _____________________
***Required the authorized person for signature
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