World Health
Organization
Organisation mondiale
de la Santé
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October 2, 2000 |
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World Health
Organization |
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[G] Sponsoring Organization's Fitness DisclosureThe following disclosures are hereby made on behalf of the sponsoring organization. G1. Within the past ten
years, has any current director, officer, or employee of the sponsoring
organization (or, if the sponsoring organization is not yet formed, any person
intended to be a director, officer, or employee of the sponsoring organization)
(a) been convicted of any felony; (b) been convicted of any misdemeanor related
to financial activities; (c) been judged by a court to have committed fraud or
breach of fiduciary duty, or (d) been the subject of a judicial determination
that is similar or related to any of these? No, not to the personal knowledge of the signatory. G2. Within the past ten
years, has the sponsoring organization itself (a) been convicted of any felony;
(b) been convicted of any misdemeanor related to financial activities; (c) been
judged by a court to have committed fraud or breach of fiduciary duty, or (d) been
the subject of a judicial determination that is similar or related to any of
these? No. G3. Within the past ten
years, has any current director, officer, or employee of the sponsoring
organization (or, if the sponsoring organization is not yet formed, any person
intended to be a director, officer, or employee of the sponsoring organization)
been disciplined by any government or by any organization of which he or she
was a member for conduct involving dishonesty or misuse of funds of others? No, not to the personal knowledge of the signatory. G4. Within the past ten
years has the sponsoring organization itself been disciplined by any government
or by any organization of which it was a member for conduct involving
dishonesty or misuse of funds of others? No. G5. Is any director,
officer, or employee of the sponsoring organization (or, if the sponsoring
organization is not yet formed, any person intended to be a director, officer,
or employee of the sponsoring organization) currently involved in any judicial
or regulatory proceeding that could result in a conviction, judgment,
determination, or discipline of the type specified in items G1 or G3? No, not to the personal knowledge of the signatory. G6. Is the sponsoring
organization itself currently involved in any judicial or regulatory proceeding
that could result in a conviction, judgment, determination, or discipline of
the type specified in items G2 or G4? No. G7. Within the past
three years, has any current director, officer, or employee of the sponsoring
organization (or, if the sponsoring organization is not yet formed, any person
intended to be a director, officer, or employee of the sponsoring organization)
been adjudged to be bankrupt or insolvent? No, not to the personal knowledge of the signatory. G8. Has the sponsoring
organization itself ever been adjudged to be bankrupt or insolvent? No. G9. If the response to
any of G1 through G8 is affirmative, please provide complete
details on separate sheets of paper attached to this disclosure.
By signing this fitness disclosure, the undersigned certifies that he or she has authority to do so on behalf of the applicant(s). On his or her own behalf and on behalf of the applicant(s), the undersigned certifies that all information contained in this fitness disclosure, and all documents attached to this disclosure, is true and accurate to the best of his/her/its knowledge and information. The undersigned and the applicant(s) understand that any material misstatement or misrepresentation will reflect negatively on any application of which this disclosure is a part and may cause cancellation of any delegation of a top-level domain based on such an application. _________________________________ Dr Julio Frenk Name (please print) Executive Director, Evidence and Information for Policy Title World Health Organization Name of Applicant 29 September, 2000 Date |