Declaration of Interest
By Submitting this form:
- I declare that I and/or the organization(s) which I am representing do/does not receive any direct or indirect financial assistance, funding, other than taxes, or other fiscal duties, court-mandated payments, or settlements from the tobacco industry, or any entity working to further its interests, nor have I/we within the past five years.
- I declare that I am not and have not been employed in the past five years by the tobacco industry or any entity working to further the interests of the tobacco industry.
- I declare that I am not affiliated with, or do not have a professional relationship with the tobacco industry, or any entity working to further its interests. (NOTE: the notion of “professional relationship” used in this paragraph is to be understood as not including a public office holder’s interactions with the tobacco industry required for setting and implementing public health policies with respect to tobacco control).
- I declare that the above information is true to the best of my knowledge.