Application Form Please complete this form as fully as possible and e-mail it to: mt-recruit@mt.pwc.com saving it in the following format: “yournameandsurname.doc”, or print and return it to: The Human Resources Partner, PricewaterhouseCoopers, 78 Mill Street, Qormi. QRM3101, Malta Attach photo here A. Personal Details Surname: First name: Home address: Known As: Title:Mr./Mrs./Ms./Dr. Sex: Postcode: E-mail address: Date of birth: Place of birth: Marital status: ID/Passport No: Tel. No.: (home) Mobile No: Do/did you suffer from any significant health problems? Yes No Do you hold a current driving licence? Yes No (Delete as appropriate) Do you have any family connections in accountancy and/or financial services? Kindly specify B. Education Secondary school from (year) to (year) O-Levels (or equivalent) Year achieved Grade (List as appropriate) Mathematics English College / Sixth form / MCAST from (year) to (year) A-Levels (or equivalent) Year achieved Grade (List as appropriate) Intermediates University: Faculty: Degree course followed: from (year): to (year): Year of studies: Classification obtained (if applicable): Final examinations taken Kindly attach latest eSIMS results (or equivalent) to this application C. Other Professional Qualifications/Certifications/Professional Associations/Institute Membership Professional Certification Year awarded or expected D. Interests and Experience Major activities at university/college (societies, teams, office held, with dates): Other interests/hobbies/skills: Give details of any international travel (holidays, study or work experience abroad): Work experience, including vacation jobs From To (Indicate position held) E. Additional Information Which service line would you be interested in working in? Insert an “x” against your choice Assurance Services (Audit) Advisory Services Tax and Legal Services Systems and Process Assurance (I.T Audits) Company Administration Services Other service line (please specify) Please provide us with your understanding of the services offered by the firm and in particular, the work undertaken in your chosen line of service (maximum 150 words). Delivering work of quality through working as part of successful teams is key to our work. Please describe a group activity (work/studies) that you have been involved in where you have contributed to the team's success (maximum 150 words). Your example should include the following information: details of the activity; the group's key objectives; your individual contribution; challenges faced and overall outcome. By completing and sending this form, I confirm that the information contained in this document accurately represents my personal background and experience. I also agree that PricewaterhouseCoopers may hold and process the information pertaining to or provided by me on this application form in accordance with data protection legislation. Signature …………………………………………………. Date……………………