If you are unable to confirm any of the following please contact the Registrar to make a disclosure.
I hereby confirm, for the purposes of commencing or renewal of my membership as a Chartered Member/Chartered Fellow of the Institute of Directors in New Zealand (Inc) (the Institute), that:
1. I will uphold the principles of the Charter of the Institute.
2. I am of good character*. (Subject to the disclosures previously made in writing by me to the Council of the Institute), I
(a) have not been convicted of any crime in New Zealand or elsewhere;
(b) have not been found by a court of competent jurisdiction, whether in New Zealand or elsewhere, to have acted inconsistently with any of my duties as a director or any of my fiduciary duties in any other capacity;
(c)have not been found by a court of competent jurisdiction, whether in New Zealand or elsewhere, to have acted (or failed to act) in a manner constituting serious wrongdoing or to have aided, abetted, counseled, or procured any other person to do so;
(d) have not brought the Institute into disrepute or acted in a manner materially inconsistent with the Charter;
(e) have not previously been denied membership of any professional body;
(f) am not the subject of any current disciplinary action in respect of any profession or occupation or before any court martial or armed services disciplinary officer, or been the subject of any such action which has resulted in me being found to have failed to act in accordance with any applicable relevant standard;
(g) have not at any time, whether in New Zealand or elsewhere
(i) been prohibited from being a director of any entity or being concerned or taking part in the management of any entity, or
(ii) been party to or the subject of any enforceable undertaking or other arrangement with any regulatory body under which I may not be a director of any entity or concerned or take part in the management of any entity;
(h) accordingly am a fit and proper person to be a Chartered Member/Fellow of the Institute.
3. I [satisfy/will satisfy] the applicable CPD requirements (as defined in the By laws of the Council Schedule A) required for renewal of my membership as a Chartered Member/Chartered Fellow of the Institute.
* The Council of the Institute is conferred unfettered discretion over the definition of good character.