Schedule 1 FORM OF DECLARATION

I, [FULL NAME] do solemnly declare:

(1) that I will faithfully and impartially, according to the best of my skill and judgement, execute all the powers and authorities vested in me as a member by virtue of the Port of Tyne Acts, Scheme and Order 1886 to 2026;

(2) that I will comply with the requirements as to disclosure of such interests, laid down by paragraph 14 of Schedule 2 to the Port of Tyne Harbour Revision Order 2026, and in particular that:

(a) I have disclosed to the Chief Executive details of every financial and other interest falling within the scope of said paragraph 14;

(b) I will in future notify the Chief Executive as soon as reasonably practicable of any alteration in those interests, or any new interest such as mentioned in said paragraph 14, which I may acquire.

Made and signed at the Port of Tyne on the

…………………………………………………..day of………………………………………..

signature:…………………………………………………

Witnessed

…………………………………………………………..

signature:………………………………………………..

as a member.