Please read the questions carefully. If more space is needed the answers should be written in the space provided at the back of this questionnaire headed “Additional Information.” Clearly state to which question the details relate. Answers should be written in ink in BLOCK CAPITALS or typed. When you return this form please ensure you enclose a full CV.
The areas covered in this questionnaire are not exhaustive of the matters that the Pension Commission will consider in assessing whether a person is “Fit and Proper.”
III. Details of any educational and professional qualifications and the year in which they were obtained.
IV. Details of current membership of any relevant professional bodies, their address(es) and the year of admission.
V. Present occupation or employment and occupations and employment during the last 10 years including the full name and address of the employer, the nature of the business, the position held and the relevant dates (a full CV should be attached).
VI. Name any companies of which you are (or have been in the last 10 years) a director, significant shareholder (10% ownership or above), manager or officer and the countries in which they are registered. If your relationship with the company has ceased, please give the date on which it terminated.
VII. Please answer Yes or No to the following questions. If any of the answers to the questions below are yes, please give full particulars in the space provided at the back of this questionnaire clearly stating to which question the details relate.
I certify that the above information is complete and correct to the best of my knowledge and belief.
(Please state clearly to which questions the details relate)