Employer 1 name
Your full name
Date of birth
If you have been known by a different name in the last 3 years, please enter it here:
Role applied for
Your email address
Telephone number
Adress line 1
Town
County
Postcode
If applicable, please provide details of all addresses you have lived at within the last 3 years. If you have more than 2 previous addresses, please complete the additional details section at the end of this form:
How did you hear about this role?
If you were referred by someone who works at Newbury Building Society, please enter their name:
Please share any relevant skills using the essential/desirable criteria and competencies for this role:
Previous employment
Please cover the last 6 years, starting with the most recent. If you have had more than 4 previous employers in this time, please complete the additional details section of this form.
Role
Salary
Dates employed
Reason for leaving
Employer 2 name
Your role
Salary
Dates employed
Reason for leaving
Employer 3 name
Role
Salary
Dates employed
Reason for leaving
Qualifications and education
Additional details
I confirm I can provide proof of eligibility to work in the UK I can confirm I cannot confirm
I can confirm I have a full, valid driving license to drive in the UK (if required for this role) No selection I confirm I have a full, valid UK driving license I do not have a full, valid UK driving license
I declare that I am not currently or have ever been subject to disciplinary action during any period of employment I can declare that I am not currently or have ever been subject to disciplinary action during any period of employment I cannot declare
I declare that I have not resigned or been dismissed from any previous employment for any reason connected with any actual or alleged breach of the rules of any regulatory body (e.g.: FCA) or a conviction for any offence involving fraud, dishonesty or violence I can declare I cannot declare
I declare that I have not been convicted by a court (civil or military) for offences (other than motoring offences, unless resulting in disqualification from driving) which are not spent under the Rehabilitation of Offenders Act of 1974 or have been subject to penalties for tax evasion. For information on what constitutes a spent conviction, visit www.gov.uk/guidance/rehabiliation-periods I can declare I cannot declare
I declare that I have not been a defendant in any civil proceedings or a party to any arbitration, in relation to investment business or other financial business or the subject of any criminal proceedings I have I have not
Additional declaration
Please only complete this section if you have previously worked in a regulated environment.
If you have worked within a regulated environment as an Authorised Financial Adviser in the past 10 years, please state the name of the employer below.
If you have performed a control function, a certification role or a notified Non-Executive Director role in the past 6 years, please provide details below.
I declare that if I have worked as an authorised introducer, I have not been disciplined, suspended or dismissed in connection with regulated activities No selection I have not been I have been
I declare that I have never been refused or had revoked or withdrawn any authorisation to carry out insurance investment or banking business No selection I have not been I have been
Confirming your application
Should my application be successful, and I am verbally offered a role at the Society, the offer will be subject to satisfactory personal vetting searches, which I agree to. I agree I do not agree
We comply with the General Data Protection Regulation (GDPR) and any other applicable data protection legislation. Our Privacy Notice, sets out the basis on which any personal data we collect from you, or that you provide to us, will be treated. By signing this declaration, you are confirming that you have received a copy of our Privacy Notice. The notice may be updated from time to time. If we are going to use your personal data for any new purposes, we will bring any changes to the Privacy Notice to your attention. The latest version is available via our website at www.newbury.co.uk/privacy-notice/