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1. Personal Information: Director's full legal name, date of birth, nationality, residential address, and contact details
2. Professional Details: Current occupation, professional qualifications, and relevant experience
3. Company Information: Details of the company for which the directorship is being declared, including company name, registration number, and registered address
4. Position Details: Nature of directorship (executive/non-executive), proposed role, and start date
5. Legal Eligibility Declaration: Confirmation of legal capacity to act as director under Belgian law, including absence of disqualifications
6. Conflict of Interest Declaration: Disclosure of any existing or potential conflicts of interest as required by the BCCA
7. Other Directorships: List of other current directorships and corporate positions held
8. Compliance Declarations: Declarations regarding compliance with anti-money laundering regulations and beneficial ownership disclosure requirements
9. Signature and Date: Space for director's signature, date, and witness details if required
1. Independence Declaration: Required only for independent directors, confirming compliance with independence criteria under the Belgian Corporate Governance Code
2. Securities Ownership: Declaration of any shares or securities held in the company or related entities, required for listed companies
3. Professional References: References from previous corporate positions, optional but recommended for new directors
4. Corporate Governance Training: Confirmation of completion of or commitment to complete required corporate governance training, if company policy requires
5. Special Powers Declaration: Required only if the director will have specific delegated powers or authority
1. Schedule 1 - Identity Documentation: Copies of identification documents, proof of address, and any required authentication documents
2. Schedule 2 - Professional Certificates: Copies of relevant professional qualifications and certifications
3. Schedule 3 - Criminal Record Check: Recent extract from criminal records or equivalent document
4. Schedule 4 - UBO Declaration: Ultimate Beneficial Owner declaration form if the director has significant shareholding
5. Appendix A - Code of Conduct: Company's code of conduct for directors that must be acknowledged
6. Appendix B - D&O Insurance Information: Details of Directors and Officers liability insurance coverage
Financial Services
Manufacturing
Technology
Healthcare
Retail
Energy
Telecommunications
Real Estate
Professional Services
Transportation
Construction
Agriculture
Mining
Education
Non-Profit Organizations
Media and Entertainment
Hospitality
Legal
Compliance
Corporate Governance
Company Secretariat
Board Administration
Risk Management
Human Resources
Corporate Affairs
Regulatory Affairs
Board Member
Director
Executive Director
Non-Executive Director
Independent Director
Managing Director
Company Secretary
Chief Executive Officer
Chief Financial Officer
Chief Legal Officer
Corporate Governance Officer
Compliance Officer
Legal Counsel
Board Chairman
Vice Chairman
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