Employment Application Form

Position Qualified/ Expertise:

Investment/Equit ies Accounts/Aud it HR/Admi n I.T. Othe r

Please state

Personal Information
Full Name: (As per Passport)
Last

First

Middle

Address:

Street & Apartment/House #

City/Emirate

Country

Postcode/P.O. Box #

Telephone Number: E-mail Address: Date of Birth: Place of Birth: Marital Status:

()
City & Country Single Married Divorced

Nationality: Passport Number: Passport Expiry Date:

Widow

Name of Spouse in Full: Nationality of Spouse: Name & Age of Dependant Children: Available to join ADIA with effect from: Previously Applied to / Employed by ADIA?

YES NO From: To:

Please attach a recent Passport size colour photograph here

Emergency Contacts
Full Name: E-mail: Address: Full Name: E-mail: Address:

(List two references we can contact in case of emergency; preferably in the U.A.E.)

(Start with your current/most recent)

Relationship : Telephone: Relationship : Telephone:

()

()

Education & Skills

1. University/College/School: From:
DD/MM/YYYY

To:
DD/MM/YYYY

Location: Degree & Major: GPA/ Grade: Location: Degree & Major: GPA/ Grade: Location: Degree & Major: GPA/ Grade:

2. University/College/School: From:
DD/MM/YYYY

To:
DD/MM/YYYY

3. University/College/School: From:
DD/MM/YYYY

To:
DD/MM/YYYY

Professional Certifications
Name of Designation 1. 2. 3.
YES NO

Issue Date

Awarding Body Telephone : Department:

State/Country () () () ()

Previous Employment
Company: Address: Job Title: From: Company: Address: Job Title: From: Company: Address: Job Title: From:

(Start with your current/most recent employer)

To:

Reason for Leaving: Telephone : Department:

To:

Reason for Leaving: Telephone : Department:

To:

Reason for Leaving:

References
Full Name: Company: Address: Full Name: Company: Address:

(List two professional references)

Job Title: Telephone:

Job Title: Telephone:

()

Other Details:
Have you ever plead guilty, no contest or been convicted of any crime? If yes, please give full details:

Declaration and Signature

I understand that nothing in this application nor in the granting/attendance of interviews, applicant evaluation exercises, or training opportunities create or guarantee a contract of employment with ADIA, now or in the future, nor does it give rise to any benefit. I authorize ADIA, to investigate thoroughly my scholastic and personal history and verify all data provided herein. In return for being considered for employment, I release ADIA from any liability, legal or otherwise, which may arise from such an investigation. I authorize all individuals, schools, firms, companies and entities named herein, to provide any information requested about me and I hold them harmless from any responsibility and/or liability for any disclosure of information given to ADIA concerning me. I further understand that certain information may be derived about me by means of psychometric testing, assessment centers, interviews, and other evaluative means and I authorize that this information and other evaluative material be released to ADIA by the service providers involved. I DECLARE THAT I HAVE ANSWERED ALL REQUIRED STATEMENTS IN THIS APPLICATION FORM FULLY AND TRUTHFULLY. I UNDERSTAND THAT ANY FALSE/ MISREPRESENTED INFORMATION PROVIDED HEREIN, OR WILLFULL OMISSION OF ANY INFORMATION MAY RESULT IN MY DISMISSAL OR A REFUSAL OF EMPLOYMENT.

Signature:

Date :