Employment Application FormPosition Qualified/ Expertise: Investment/

EquitiesAccounts/

AuditHR/

AdminI.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:       Nationality:      

Place of Birth:       Passport Number:      City & Country Passport Expiry Date:      

Marital Status: Single Married Divorced 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:      

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

Full Name:      Relationship

:      

E-mail:       Telephone: (     )      

Address:      

Full Name:      Relationship

:      

E-mail:       Telephone: (     )      

Address:      

Education & Skills (Start with your current/most recent)

1. University/College/School:       Location:      

From:       To:       Degree & Major:      DD/MM/YYYY DD/MM/YYYY GPA/ Grade:      

2. University/College/School:       Location:      

From:       To:       Degree & Major:      DD/MM/YYYY DD/MM/YYYY GPA/ Grade:      

3. University/College/School:       Location:      

From:       To:       Degree & Major:      DD/MM/YYYY DD/MM/YYYY GPA/ Grade:      

Please attach a recent

Passport size colour

photograph here

Professional Certifications

Name of Designation Issue Date Awarding Body State/Country

1.                        

2.                        

3.                        Previous Employment (Start with your current/most recent employer)

Company:      Telephone

: (     )      

Address:      

Job Title:       Department:      

From:       To:       Reason for Leaving:      

Company:      Telephone

:(     )      

Address:

Job Title:       Department:      

From:       To:       Reason for Leaving:      

Company:      Telephone

:(     )      

Address:

Job Title:       Department:      

From:       To:       Reason for Leaving:      References (List two professional references)

Full Name:       Job Title:      

Company:       Telephone: (     )      

Address:      

Full Name:       Job Title:      

Company:       Telephone: (     )      

Address:      Other Details:

Have you ever plead guilty, no contest or been convicted of any crime?YES

NO

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: