Mrs ANNA MARTI I MONROS

1. Do you have, or have you had during the past 2 years, any formal association with a company or other interested party?
Board of company

Date

2016- 2016

Company or interest group

Arbor Research DOPPS Steering Committee

Value

Less than EUR 1,000

Payment made to

Personal account
Consultant for company

Date

2016- 2016

Company or interest group

BAXTER

Value

Less than EUR 1,000

Payment made to

Personal account

2. Do you have, or have you had during the past 2 years, any of the following types of association with a company or other interested party?
Lecturing, chairing lectures or participation in symposia/panel discussions

Date

2016- 2016

Company or interest group

NIPRO

Value

Less than EUR 1,000

Payment made to

Personal account

Date

2016- 2016

Company or interest group

Arbor Research

Value

EUR 1,000-10,000

Payment made to

Personal account
Travel or accommodation provided or reimbursed

Date

2016- 2016

Company or interest group

NIPRO

Value

Less than EUR 1,000

Payment made to

Other, Conference Department

3. Do you have, or have you had during the past 2 years, any job, position, research grant, or other grant that involved a company or other interested party?
Other type of grant

Date

2016- 2016

Company or interest group

EDTNA/ERCA DOPPS European Product Manager

Value

EUR 1,000-10,000

Payment made to

Personal account

Nature of interest

Coordinating data collection in DOPPS European countries

Nature of restriction

Unrestricted

4. Other potential conflicts of interest?
No

5. Is there anything else that might influence your judgement, or might be perceived to do so?
No

6. Member (current) of any kind of committee, board, WG, etc. of another scientific association with similar aims as ERA-EDTA
Yes. EDTNA/ERCA