peter lakatos - european institute of innovation ... · surname lakatos position x appointed member...
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Annex ll
Annual Declaration of lnterests (ADol)
l hereby declare on my honour that, to the best of my know|edge:
X I have read the Decision of the Governing Board on conflict of interest 1 and
that this decIaration is truthful and compIete.
X l have no interest(s) which may create a Col as defined in Article 2 (d-f) of the
Decision in respect of my activities which fall under the ElT's scope of action
according to those interests Iisted in Annex lto the Annual Declaration of Interest.
Whenever l have a Conflict of lnterest l willaIert the EIT,
E The only interests that create a Conflict of Interest as defined in ArticIe 2(d-f) of
the Decision in respect of my activities which fall under the ElT's scope of action are
those listed in the Annex lto the Annua Declaration of lnterest.
Please sign and date this form:
Please send a signed copy of this form to the ElT Secretariat
First Name PETER
Surname LAKAToS
Position X Appointed Member of the ElT Governing Board
E Representative Member of the ElT Governing Board
Date: 01 February, 2017
t 00227 .E|f .2015. I. GB35
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Annex l to the Annual Declarations of lnterests
In a l cases, pIease provide as many details as possible (in the case of a body or employer, fuIl name,
location, private or public nature and your roIe). lf you have interests to declare, please specify the
interests. All questions in the table beIow must be answered. Your decIaration wi]| not be accepted if
any fieIds are left empty.
l hereby dec]are on my honour that, to the best of my knowledge, the only actual or potential interests
in the ElT's activities l currently have (at the time of completion of the form) or have had within thepast two years are those listed be]ow
2 Please indicate actiVities that are cUrrentIy ongoing. lndicate starting date (month/year).3 For activities that are no |onger ongo ng and that have been completed in the preceding two years, p ea5e indicate starting
and ending date (month/year),4 PleaSe ndicate name, ocation and nature of the organization,5 P]ease indicate the domaln in Which the actiVity Wa5 or is carried out6 As ludged by the ElT Governing Board member.
'- Only shares above 10,0OO Euro sha|| be c]ec ared.
Nature of the Activity2 CU rrent
(Please
0nsWer
Yes orNo)
Past period3
From/To(Month/Year)
Na me of,. l- ,., 1UrganlSatlon/tnt]tV,
Su b_ject matte15 Conf]ict of
l nte rest
(actual orpotentia l)6
|. Economic interest7 YES DEC, 1991 VIDEoToNHOLDING ZRT
No
l|. Member of a
managing body or
eq u iva Ie nt
st ru ctu re
|||. Member of an
Advisory Body
lV. Strategic Advisory
roIe
V. Consultancy/Advice
V|. Employment YES DEC, 1991 VIDEoToNHOLDNG ZRT
No
Vl|.lnte||ectuaL
property rights
Á
| Í]Llr,c,l::pe.r l"]g]:ii L]:]]{" _ ÍI
I llr.rc,, =l l, rn í" Te*\- ,lor;
VlIl. lnterests of
close family
mem bers
IX. Other membersh]p
or aff i liatio n
X. Other