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Code of Conduct Acknowledgement

The code of conduct acknowledgement is a short declaration where an employee confirms they have read the company’s code of conduct and will follow it, including rules on integrity, conflicts of interest, gifts, anti-bribery and respectful behaviour. It also includes a disclosure section for any existing conflict of interest.

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[Company Logo][Company Name]

CODE OF CONDUCT ACKNOWLEDGEMENT AND DECLARATION

Employee Name:
[Employee Name]
Employee ID:
[Employee ID]
Designation:
[Designation]
Department:
[Department]
Code Version:
[Version]
Date:
[Date]

I have received and read the [Company Name] Code of Conduct, version [Version]. I understand it applies to me in all my work for the company, inside and outside the workplace.

My Commitments

  1. I will act honestly and with integrity in all dealings.
  2. I will not offer, give or accept bribes or improper payments.
  3. I will follow the gifts and hospitality rules and declare gifts as required.
  4. I will avoid situations where my personal interests conflict with the company’s interests, and disclose any that arise.
  5. I will treat colleagues, customers and vendors with respect and will not harass or discriminate against anyone.
  6. I will protect company assets and confidential information.
  7. I will report any breach I become aware of through the channels provided, and I understand the company does not permit retaliation for good-faith reports.

Conflict of Interest Disclosure

Do you or a close relative hold an interest in any vendor, customer or competitor? (Yes / No – details)
Do you hold any outside employment, directorship or business? (Yes / No – details)
Is any close relative employed with the company? (Yes / No – name and department)

I understand that a breach of the Code may lead to action under the company’s disciplinary procedure.

Employee
[Employee Name]
Date: [Date]
HR / Compliance
[HR Name]
Date: [Date]

What this template includes

  • Code version and date
  • Commitments on integrity and anti-bribery
  • Conflict-of-interest disclosure fields
  • Duty to report violations
  • Consequence statement linked to the disciplinary process
  • Signature and date

When to use it

  • At joining, alongside the code of conduct training
  • For annual ethics re-certification
  • When the code is revised
  • For senior roles with vendor or financial authority

How to customise this template

  1. 1Name your actual code and its version
  2. 2Set a gift value threshold in the code
  3. 3Add industry rules (for example pharma interactions with doctors)
  4. 4Use as an annual e-declaration

HR tips

  • Ask for conflict disclosures every year, not just at joining
  • Keep disclosures confidential within HR/compliance
  • Pair the form with a short ethics session

This template is a starting point. Review it against applicable labour laws, state rules, your standing orders and company policies, and with a legal adviser where needed.

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Frequently asked questions

What is a code of conduct acknowledgement?+

A signed statement that an employee has read and will follow the company’s code of conduct.

Should employees re-sign the code every year?+

Many companies ask for annual re-certification with a fresh conflict-of-interest disclosure.

What happens if someone breaches the code after signing?+

The matter is handled through the company’s disciplinary process, which must give the employee a fair chance to respond.