Conflict of interest and confidentiality declaration  
Brooke Disney, Interim Head of Government Relations 
Conflict of Interest 
I, Brooke Disney am assisting the Australian National University (the University) in the procurement process: 
Request for Quote/Tender for ANU25-277 CMAX Advisory Extension 
I understand the importance to the University of ensuring that the integrity of the procurement process is 
maintained and for the University to identify, and manage, all actual and potential Conflicts of Interest.  
➢  Check the box that applies below 
☐ Nothing to declare  
Having made all reasonable inquiries, I have not had, and do not have, any relationship with or interest 
(whether professional, commercial or personal) in any of the current or likely participants in the 
procurement process or the employees or advisers participating in the procurement process, such that, a 
member of my immediate family, or myself could benefit personally from the outcome of the procurement 
process or that my impartiality could be seen to be compromised.    
OR  
☒ Relationship/interest to declare  
Having made all reasonable inquiries, I have the following relationship/s or interest/s (whether professional, 
commercial or personal) which could result in a member of my immediate family or myself obtaining a 
personal benefit from the outcome of the procurement process, or in the perception that my impartiality is 
compromised:  
s.47F Personal privacy
 
 
 
I agree to take such reasonable steps as are or may be required of me by the Procurement Manager to 
ensure that my involvement in the procurement process does not compromise the integrity of the 
procurement process by reason of the relationship/s or interest/s declared above.  
If, during any time in which I am assisting the University in the conduct of the procurement process a conflict 
of interest, or a risk of conflict of interest arises, or if my circumstances change in such a manner as to affect 
the accuracy of the statements made above, I will notify the Procurement Manager immediately in writing.  I 
acknowledge that I may have to cease my participation in the performance of my duties in relation to the 
procurement process.  
Signature 
s.47F Personal privacy
Name 
 
Brooke Disney
Date 
 03/10/2025
ANU25-277 CMAX Advisory Extension 
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s.47F Personal privacy, s. 22 Irrelevant material
s.47F Personal privacy
Signature 
Name 
 
Brooke Disney
Date 
 
03/10/2025
 
s. 22 Irrelevant material
   
  
  
 
 
 
 
 
  
 
 
  
ANU25-277 CMAX Advisory Extension 
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s. 22 Irrelevant material
ANU25-277 CMAX Advisory Extension 
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