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[null,null,null,null,"\nGifts and Benefits Received Declaration"]
[]
[null,"Year:"]
[]
[null,"Name of recipient:"]
[]
[null,"Faculty/Section:"]
[]
[null,"Date received:"]
[]
[null,"Description of gift/benefit:"]
[]
[null,"Value (AUD)"]
[]
[null,"Name of donor:"]
[]
[null,"Name of donor's organisation:"]
[]
[null,"Entity retaining the gift/benefit:"]
[]
[null,"Reason the gift/benefit was offered and reason for accepting:"]
[]
[null,"Asset ID No. (if applicable):"]
[]
[null,"Declaration:"]
[null,"I am satisfied that the information supplied complies with the requirements of the Gifts and Benefits Procedure and I am not aware of any undeclared/unmanaged conflicts of interest as defined within the UniSQ Code of Conduct Policy and Conflict of Interest Policy that may adversely impact on the operations or reputation of the University of Southern Queensland."]
[]
[null,"Acceptance of all gifts/benefits require approval by the Manager"]
[null,"Name of Manager:"]
[]
[null,"Signature of Manager:",null,null,null,null,null,"Date:"]
[]
[null,"Retention of gifts and benefits over $150 require approval by a member of the Vice-Chancellor's Executive"]
[null,"Name of VCE member:"]
[]
[null,"Signature of VCE Member:",null,null,null,null,null,"Date:"]
[]
[null,"Retention of gifts and benefits over $350 require approval by the Vice-Chancellor"]
[null,"Signature of Vice-Chancellor:",null,null,null,null,null,"Date:"]