Scribd
Upload
42 views1 page

Related Staff Declaration

This form is used to declare any potential conflicts of interest that may arise from employing relatives at Citi. It defines relatives as immediate family members such as spouses, parents, children, and siblings, as well as other extended family like aunts, uncles, cousins, and in-laws. Relatives generally may not hold roles where one would directly, indirectly, or matrix report to the other. The form is to be completed when relatives are hired, employees change positions, or there is a change in staff status.

Uploaded by

Rattanan Wanikorn
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
42 views1 page

Related Staff Declaration

This form is used to declare any potential conflicts of interest that may arise from employing relatives at Citi. It defines relatives as immediate family members such as spouses, parents, children, and siblings, as well as other extended family like aunts, uncles, cousins, and in-laws. Relatives generally may not hold roles where one would directly, indirectly, or matrix report to the other. The form is to be completed when relatives are hired, employees change positions, or there is a change in staff status.

Uploaded by

Rattanan Wanikorn
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 1

Form B

Date: / /

RELATED STAFF DECLARATION

Candidate Name : !"##"$ "$ %"$&'()$


__________________________________________________________________________________

Guidelines
This form should be completed whenever relatives of existing employees are hired, whenever related employees change
positions, or whenever current staff have an applicable change of status. This is to avoid actual or perceived conflicts of
interest created by the employment of Immediate Family Members or other Relatives of Citi employees. Generally,
Relatives may not work in roles where there is a direct, indirect or matrix reporting or supervisory relationship with each
other.
Definitions
Employment: includes regular or temporary full- or part-time employment with Citi. It also includes summer, seasonal or
other internships, whether paid or unpaid. Such internships are generally managed by Campus Recruiting and are available
to qualified applicants on a competitive basis.

Employee: includes any individual employed by Citi under such Employment arrangements.

Non-employee: all individual hired by a third party (Contractor and Outsourced staff) and assigned to work for Citi. This
also included Sales Agents.

Immediate Family Members: are spouses, domestic partners, civil union partners, parents, grandparents, great-
grandparents, children, grandchildren, great-grandchildren, siblings, wards, or equivalent relationships, and any person
(other than a tenant or domestic help or other dom
Members also includes in-laws and step-relatives in these same relationships.

Relatives: are Immediate Family Members as well as aunts, uncles, nieces, nephews, cousins, and in-laws, and step-

No relatives to declare

Yes, relatives to declare (please clarify in next page)

Related Staff Members: Employee Non-employee

Name : ___________________________________________ GEID :_________________ Hire Date : _______________

Department/Business Unit : ___________________________ Job Title/Level :__________________________________

: _____________________________ GEID :__________________________________________

Job Description : ____________________________________ Relationship :____________________________________

I further undertake to report promptly any changes, which might develop in the future.

* +
#,

-..
/ 12 3454674) 1819
____________________________________
0

_____________________________________
Candidate Signature Date (MM/DD/YYYY)

You might also like