Employment Application Form...We will treat your application as confidential. The contents of the application will only be circulated to members of our staff who are involved in the

EMPLOYMENT APPLICATION FORM PRIVATE AND CONFIDENTIAL

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Please return this form when complete by email to the Personnel department [email protected] We will treat your application as confidential. The contents of the application will only be circulated to members of our staff who are involved in the recruitment process. The information contained on the application form may be stored electronically or in an-other medium. We will not disclose information to a third party but we may use it to make you aware of vacancies which occur within Nedbank Private Wealth or any other directly associated company. You have the right to obtain access to and request a correction of any information we are holding about you. Requests can be made to the Data Privacy Officer, Nedbank Private Wealth, by emailing [email protected]. Please also see the Privacy Notice on our website in the Tools and Guidance / Client Documents area.

NAME

POSITION APPLIED FOR

PERSONAL INFORMATION

SURNAME

OTHER NAME(S)

ADDRESS

POSTCODE

HOME TELEPHONE NUMBER +

WORK TELEPHONE NUMBER +

MOBILE TELEPHONE NUMBER +

EMAIL ADDRESS

DO YOU HAVE THE NECESSARY VISA? YES NO

DO YOU HAVE ANY UNSPENT CRIMINAL CONVICTIONS OR PROCEEDINGS PENDING AGAINST YOU (OTHER THAN MINOR MOTORING OFFENCES)

YES NO

IF SO PLEASE GIVE DETAILS

HAVE ANY COURT JUDGEMENTS BEEN ISSUED OR ARE ANY PENDING AGAINST YOU?

YES NO


HAVE YOU EVER BEEN SUBJECT TO DISCIPLINARY ACTION BY A REGULATOR?

YES NO


WHAT ARE YOUR MINIMUM SALARY REQUIREMENTS (INCLUDING BENEFITS)?

WHAT IS YOUR NOTICE PERIOD


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EMPLOYMENT

Please give below your employment history (if any), starting with your current employment.

PRESENT EMPLOYER PREVIOUS EMPLOYER (If applicable)

DATE FROM (DD/MM/YYYY)

DATE TO (DD/MM/YYYY)

NAME OF EMPLOYER

ADDRESS OF EMPLOYER

POSTCODE

NATURE OF EMPLOYER

POSITION HELD AND RESPONSIBILITIES

CURRENT SALARY INCLUDING BENEFITS

REASON FOR LEAVING THIS POSITION

If more positions have been held please detail on a separate sheet.

QUALIFICATIONS

Academic Qualifications (most recent first)

YEAR COMPLETED

DESCRITPION OF QUALIFICATION/COURSE GRADE/MARK


PAGE 3Nedgroup Trust is a registered trade name of Nedgroup Trust Limited and Nedgroup Trust (Jersey) Limited.

Nedgroup Trust (Jersey) Limited is regulated by the Jersey Financial Services Commission. Nedgroup Trust Limited is licensed by the Guernsey Financial Services Commission under the Regulation of Fiduciaries Administration Businesses and Company Directors, etc (Bailiwick of Guernsey) Law 2000 to carry out Fiduciary Duties, and Company Administration. Company Registration No. 23460.

Nedbank Private Wealth is a registered trade name of Nedbank Private Wealth Limited.

Nedbank Private Wealth Limited is licensed by the Isle of Man Financial Supervision Commission. Registered office: St Mary’s Court 20 Hill Street Douglas Isle of Man.

The Jersey branch is regulated by the Jersey Financial Services Commission.

The London branch is authorised by the Prudential Regulation Authority and regulated by the Financial Conduct Authority and the Prudential Regulation Authority. Registration No: 313189.

The UAE representative office in Dubai is licensed by the Central Bank of UAE. Licence No: 13/191/2013.

Representation in South Africa is through Nedbank Limited. Registered in South Africa with Registration No 1951/000009/06, an authorised financial services and registered credit provider (NCRCP16).

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Professional Qualifications (most recent first)

YEAR COMPLETED

DESCRITPION OF QUALIFICATION/COURSE GRADE/MARK

COPIES OF CERTIFICATES ATTACHED (If no, please bring to any interview you may be asked to attend)

YES NO

REFERENCES

Please give details of two referees, one of which must be from your current employer (if any). References will not be taken up without your prior permission.

REFERENCE 1 REFERENCE 2

NAME

ADDRESS

POSTCODE

OCCUPATION

DECLARATION

By ticking this box I declare that the facts in this application for employment are to the best of my knowledge, true and complete and that any material falsehoods in the application may constitute misconduct and could result in the termination of the contract of employment. I understand that background checks may be carried out and give my consent to these being undertaken.

SIGNATURE (only if submitting by post)

DATE (DD/MM/YYYY)Please insert today’s date