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Report incident
تضاد منافع
date
MM slash DD slash YYYY
تاریخ پر کردن فرم
نام
First
Last
Are you or any member(s) of your immediate family, a director, officer, owner, partner, employee or agent of, or consultant to, any firm that confilct with or certified provides products or services ?
yes
no
آیا شما یا هر یک از اعضای خانواده نزدیک خود ، مدیر ، سرپرست ، مالک ، شریک ، کارمند یا نماینده یا مشاور شرکتی هستید که محصولات یا خدمات را ارائه می دهد یا دارای پروانه ساخت است؟
Are you involved in transactions that involve the sale or distribution of products?
yes
no
no But I have interst
آیا درگیر معاملاتی هستید که شامل فروش یا توزیع محصولات می شود؟
For the past two years, you have been involved in the design, construction, consulting and management of products that are covered by us
در دو سال گذشته ، شما در طراحی ، ساخت ، مشاوره و مدیریت محصولات تحت پوشش ما مشارکت داشته اید
Have you or any member(s) of your immediate family had a direct or indirect interest in any business that competes with or provides services to PSA
Are you interested in working with any capacity for the customer?
yes
No
آیا علاقه دارید با هر ظرفیتی برای مشتریان ما کار کنید؟
Do you have any common interests with the manufacturer of the products?
yes
No
آیا منافع مشترکی با سازنده محصولات دارید؟
Sign the form filler
امضا پر کننده فرم
Statement of Conflict of Interest
Please provide the name and code of the PSA Customer with whom you have a conflict of interest or whose impartiality has been compromised. Please check the last date of your activity that results in a conflict of interest
لطفاً نام و کد مشتری نظارت بر سلامت آسیایی را که با آنها منافع دارید یا بی طرفی آنها به خطر افتاده است ، ارائه دهید. لطفاً آخرین تاریخ فعالیت خود را که منجر به تضاد منافع می شود بررسی کنید
Commitment Signature
I know I should not inspect with a unit that conflicts with my interests. . Recognize to inspectors and other personnel the emphasis on friendly relations, disagreements, or other circumstances that may affect or conceive of impartiality. And report as soon as possible. من می دانم که نباید با واحدی که با علایق من در تعارض است بازرسی کنم. به تأکید بر روابط دوستانه ، اختلاف نظرها یا سایر شرایطی که ممکن است بی طرفی را تحت تأثیر قرار دهد یا تصور کند ، برای بازرسان و سایر پرسنل به رسمیت بشناسید. و در اسرع وقت گزارش دهید.
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