Community Pharmacy Surrey & SussexOn behalf of East Sussex, West Sussex and Surrey LPCs Surrey Local Pharmaceutical CommitteeDeclarations of Interest

Name of Member / Officer: Dalveer Singh Johal

1 Remunerated Directorship of company(s)

(public or private) and businesses ownedpersonally or in partnership

N/A

2 Remunerated employment oroffices

Lloyds Pharmacy

3 Remunerated Consultancy(s)

N/A

4 Remunerated work performedunder contract

N/A

5 Names of companies or other bodies in which Ihave an interest, either on my own account, myspouse or children, for a beneficial interest inshareholdings greater than the 10% of the sharecapital

N/A

6 Remunerated contributions to professional andscientificPublications

N/A

7 Other sources of income orpecuniary support relevant to mymembership of the LPC

N/A

8 Membership of other pharmaceutical bodies

RPS

I confirm that the information provided above is complete and correct. I acknowledge that any changes inthese declarations during the course of my work with the LPC, must be notified to Chief ExecutiveOfficer, as soon as practicable and no later than 28 days after the interest arises.

I do give my consent for this information to be published in the LPC governance register and online. Ifconsent is not given, please state reasons: (please note this will be agreed in exceptional cases only).

Signed:

Dated: 11/06/2020

The White House, 18 Church Road, Leatherhead, Surrey, KT22 8BBwww.communitypharmacyss.co.uk

AN