AXA

This is a sample, application will not be forwarded anywhere!
Application Form for employment 
 
 Position Applied For
 Personal Details
Title:      
Surname:   First Names:
Email Address:   (You must supply a personal Email address)
Home Address:
 
 
 
Postcode:
Telephone:
Contact Address:
 
 
 
Postcode:
Telephone:
Please also quote your previous address if you have moved within the last five years.
Previous Address:  
   
   
   
Postcode:  
Date of Birth:   Nationality:
Do you require a work permit to take up employment in the UK?
Do you hold a current full driving licence?
If applicable, please complete the following:
Date of Marriage:   Maiden Name:
Spouse's Date of Birth:   Spouse's First Name(s):
 
Names, Sexes and Dates of Birth of Children:
 
Next of Kin:
Name:   Relationship:
Address:  
   
   
   
Postcode:  
Telephone:  
 
National Insurance Number:
 
 Equal Opportunities Monitoring
 
The AXA Group is committed to developing its policies to promote equal opportunities in employment. All applicants will be treated on their merits regardless of sex, age, marital status, disability, sexuality, race, colour, religion, ethic or national origin. To monitor the effectiveness of our equal opportunities policy in the UK, we would be grateful if you would provide the information requested below.
 
What is your Sex?
Marital Status?
Are you Disabled?
If "Yes", are you Registered?
Nature of Disability:
 
Please indicate your ethnic origin.
This is not necessarily the same as
your nationality or citizenship.
 
 
 Languages
 
Knowledge of foreign languages:
(please indicate level of ability, i.e. proficient/fluent/bilingual)
 
 
 Other Skills
 
(e.g. keyboard skills, computer literacy. Give details of computer packages)
 
 
 Education and Qualifications
Examinations taken at O level/CSE/GCSE or equivalent
School/College:
From: To:
 
Subject Level Grade Year
 
Examinations taken at A or S level or equivalent
School/College:
From: To:
 
Subject Level Grade Year
 
University/College
Place of Study:
From: To:
 
Degree Type:
Classification:
Degree Subject
Graduation Year:
 
 
 Postgraduate
Place of Study:
From: To:
 
Title and Subject of Course and/or Thesis
Qualification:
Year:
 
Professional Qualifications 
Year Year Year
AAT CCAM FIA
ACA CI FIIA
ACCA CIB FIPD
ACII CIM GIPD
ACIS CIP IAMC
ACMA CIPM ICMA
AFPC CIPS LLB
AIA CPP MIPD
AIIA FCCA MIPR
AIPD FCCA MIRS
AMILE FCII MLIA
ATII FCIS MSTI
CA FFA

Other qualifications - please specify:

 
 Current Or Last Employment
 
From:
(day/month/year)		 To:
(day/month/year)
Your Job Title:
 
Name & Address of Employer:
Telephone Number:
Nature of Business:
Reporting Directly To:
 
Please describe your job, including details of your responsibilities and activities,
with reference to any special achievements.
 
Reason for leaving and salary (include details of any bonuses and all benefits).
 
Period of notice required in your present employment:
 
 Other Work Experience
(1)
From: To:
Name & Address of Employer:
Nature of Business:
Position Held:
 
Main Responsibilities:
Reason For Leaving
and Salary:
 
(2)
From: To:
Name & Address of Employer:
Nature of Business:
Position Held:
 
Main Responsibilities:
Reason For Leaving
and Salary:
 
(3)
From: To:
Name & Address of Employer:
Nature of Business:
Position Held:
 
Main Responsibilities:
Reason For Leaving
and Salary:
 
 
 Interests And Activities
 
Indicate briefly your spare time interests and activities.
 
 
 References
 
Please provide details of at least two referees. Ideally these should be business referees, preferably from your last two jobs, the third can be a person not related to you who can provide a character reference. Please note that it is our policy to obtain, where appropriate, references from employers covering the previous five years.
 
1. Business
Name & Address:
Telephone (day):
 
2. Business
Name & Address:
Telephone (day):
 
3. Personal
Name & Address:
Telephone (day):
 
 
 As far as I know, the information I have given given on this application form is correct and complete. I understand that any deliberate mis-statement would mean I would be dismissed if you employ me.

Completed by:

Date:

By Pressing the "Submit Application" button below, you are making the following declaration:

I confirm that the information I have given on this form is true and complete.

Attention! This is a sample, application will not be forwarded anywhere!

 

Group Human Resources Department, Sun Life and Provincial Holdings plc.
Fourth Floor, 107 Cheapside, London EC2V 6DU

Registered in England number 3424940. Registered office: 107 Cheapside, London, EC2V 6DU.
The members of the AXA Sun Life Marketing Group are regulated by the Personal Investment Authority and/or IMRO for life assurance, pensions, unit trust and investment business.
The phone number of the Sun Life Administrative headquarters is 0117 989 9000. Member of the Global AXA Group.
To help improve our service we may monitor phone calls.