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Дата индексирования: Sun Apr 10 23:52:34 2016
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Hubble Space Telescope Cycle 23 - Peer Review
CONFLICT OF INTEREST DISCLOSURE FORM Name __________________________________________________(please type or print) Institution: ______________________________________________ Panel: __________________________________________________ I certify* that I am not the Principal Investigator (PI) of any proposal in the above mentioned Panel. If a member of the TAC, I also certify that I am not a PI on any Large, Treasury or AR Legacy Cycle 23 proposal before the TAC. I understand that for any proposal under discussion the following situations will constitute a conflict of interest: · · · · · Personal involvement as PI or CoI; Being in the same department of the same institution as the PI or a CoI; Being a close collaborator, or recent former advisor/student of the PI or a CoI; Being a PI or a CoI on a Cycle 23 proposal for directly competing science and/or targets, independent of whether that proposal is being judged by this or another Panel. Any other relation to a PI, CoI, or the proposal as a whole that is (or could be considered) a conflict (e.g., family ties). on any proposal on which I have a conflict of notify the Chair of any conflicts of interest, and such condition will occur. In the case of a the panel Chair may, upon consideration with panelist to participate in the discussion of the

I understand that I cannot grade or comment interest. I agree that during the meeting I will that I will leave the room whenever any departmental/institutional conflict of interest members of the panel, allow the conflicted proposal.

I understand that all panel discussions are to be kept in the strictest confidence, and that the identity of the Peer Review Panel shall remain in confidence until after the Panel Membership has been published in the STScI Newsletter. Signature: _______________________________________ Date: ___________________

* Exceptions must be noted in writing on this form and approved explicitly by the SPG Head.