Annual Disclosure of Interests Return

Annual Disclosure of Interests Return - for the period since 30 June 2022 to 30 June 2023

An annual Disclosure of Interest Return (Return) is required to be submitted by Designated Persons in accordance with City of Newcastle (CN) Codes of Conduct available on our website.

Important information
  • This information is being collected for the purpose of complying with clause 4.21 of the Model Code of Conduct.
  • You must not lodge a return that you know or ought reasonably to know is false or misleading in a material particular (see clause 4.23 of the Model Code of Conduct). Complaints about breaches of these requirements are to be referred to the Office of Local Government and may result in disciplinary action by the council, the Chief Executive of the Office of Local Government or the NSW Civil and Administrative Tribunal.
  • The information collected on this form will be kept by the general manager in a register of returns. The general manager is required to table all returns at a council meeting.
  • Information contained in returns made and lodged under clause 4.21 is to be made publicly available in accordance with the requirements of the Government Information (Public Access) Act 2009, the Government Information (Public Access) Regulation 2009 and any guidelines issued by the Information Commissioner.
  • You have an obligation to keep the information contained in this return up to date. If you become aware of a new interest that must be disclosed in this return, or an interest that you have previously failed to disclose, you must submit an updated return within three months of becoming aware of the previously undisclosed interest.
  • For helpful tips on completing your Return, refer to the Office of Local Government Guide to completing Returns of interest.
YOUR DETAILS
A. REAL PROPERTY
Owner, Renter etc.
E.g. investment property
B. SOURCES OF INCOME
List position title, name and address of other employer / or description of office held / or name under which partnership conducted (please separate each new entry with / )
List name and address of settlor; and name and address of trustee (please separate each new entry with a / )
Include description sufficient to identify the person from whom, or the circumstances in which, that income was received.
C. GIFTS
Reminder to declare those >$10, whether accepted or declined, through our Gift Declaration Form. List the name of the donor, address and description of each gift (please separate each entry with a / )
D. CONTRIBUTIONS TO TRAVEL
List the name and address of donor, dates on which travel was undertaken and name of States, Territories of the Commonwealth and overseas countries in which the travel was undertaken (please separate each new entry with a / )
E. INTERESTS AND POSITIONS IN CORPORATIONS
List the name and address of each corporation, nature of interest (if any), description of interest (if any) and description of principal objects (if any) of corporation (except in case of listed company) (please separate each new entry with a / )
F. PROPERTY DEVELOPER
Please enter 'Yes' or 'No'
G. POSITIONS IN TRADE UNIONS AND PROFESSIONAL OR BUSINESS ASSOCIATIONS
List the name of the trade union or association and description of position (please separate each new entry with a / )
H. DEBTS
Name and address of each person to whom I was liable to pay any debts at the return date/at any time since 30 June
I. DISPOSITIONS OF PROPERTY
If nothing to disclose, please insert 'Nil'.
If nothing to disclose, please insert 'Nil'.
J. DISCRENTIONARY DISCLOSURES
If nothing to disclose, please insert 'Nil'.
ACKNOWLEDGEMENT
If you would like further information redacted from your Return (other than your residential address), please upload your ‘Request for Omission of information’ and ‘Statutory Declaration’