INITIAL DISCLOSURE STATEMENT
AGREEMENT ON INTERNAL TRADE

IN THE MATTER OF
(title of Proceeding)

(Secretariat file number)

INITIAL DISCLOSURE STATEMENT

I have read the Code of Conduct for Presiding Body Members (Code of Conduct) and the Panel, Compliance Panel and Appellate Panel Rules of Procedure under Chapter Seventeen of the Agreement on Internal Trade and understand them. I am fully aware that Part 3 of the Code of Conduct requires that I disclose any interests, relationships and matters that are likely to affect my independence or impartiality or that might create a reasonable apprehension of bias or an appearance of impropriety in the matter cited above.

I have read the request for Presiding Body review filed in the matter cited above and have made all reasonable efforts to determine whether there are any such interests, relationships or matters. I make the following statement fully aware of my duties and obligations under the Code of Conduct.

1. I do not have any financial or personal interest in the matter cited above or in its outcome, except as follows:

2. I do not have any financial or personal interest in an administrative Proceeding, a domestic court Proceeding or another Presiding Body Proceeding that involves issues that may be decided in the matter cited above, except as follows:

3. Neither my employer, partner, business associate or family member has a financial interest in the matter cited above or in its outcome, except as follows:

4. Neither my employer, partner, business associate or family member has a financial interest in an administrative Proceeding, a domestic court Proceeding or another Presiding Body Proceeding that involves issues that may be decided in the matter cited above, except as follows:

5. I do not have any past or existing financial, business, professional, family or social relationship with any interested parties in the matter cited above, or their counsel, nor am I aware of any such relationship involving my employer, partner, business associate or family member, except as follows:

6. I have not publicly advocated, nor have I provided legal or other representation, concerning any issue in dispute in the matter cited above or involving the same goods or services, except as follows:

7. I do not have any interests or relationships, other than those described above, nor am I aware of any matters, that are likely to affect my independence or impartiality or that might create a reasonable apprehension of bias or an appearance of impropriety, except as follows:

I recognize that, once appointed, I have a continuing duty to make all reasonable efforts to become aware of any interest, relationship or matter within the scope of Part 3 of the Code of

Conduct that may arise during any stage of the matter cited above and to disclose it in writing to the Secretariat, as and when I become aware of it.

More Information