Application for EmploymentA.General information (Please complete in block capitals) Surname:First name(s):Chinese name on Chinese ID, if applicable(中文名, 请与身份证信息保持一致):Nationality: Mobile: Email: Permanent Residence(PR) holder: yes (issued country): no B.Your application detailsDate Applied: Position applied :From which channel you learn about this position?Internal Referral, please specify staff name: Recruitment Agency, please specify:Other job website, please specify: PwC websiteOthers, please specify:Please number (in order of preference) your preferred work location:ChengduIf others, please specify:Please number (in order of preference)your preferred Line of Service:Assurance, please specify:Internal Firm ServicesBusiness unit/Industry group preference:Have you applied for any PwC position before? If yes, please provide: (1) the detailed channel:Internal Referral, please specify staff name: Recruitment Agency, please specify:Other job website, please specify: PwC websiteOthers, please specify:(2) details of the position applied:Date (mm/yyyy): Applied Line of Service:Position: Outcome of the Application:Possible commencement date: Restrictions to travel: Yes No Current Salary: x months + bonus: + others: currency: Expected Salary : x months + bonus: + others: currency: Do you know anyone working at PwC? If yes, please provide the name(s), position(s) and office(s):C.Employment history (start with the most recent one in chronological order)From and to (dd/mm/yyyy) Employer Industry Category(Please markthe No.*)Location(City,Country)Position EmploymentType(Perm, Tempetc.)Reason(s) forLeaving* Please mark the working category: 1- Big 4; 2- Firms with similar business to PwC (except Big 4); 3- Firms without similar business to PwC; 4- Government; 5- Others* If you need more rows to include all your employment history, please put them on an additional page and attach with the application form.D.Professional qualificationsPlease provide details of any additional professional qualificationsProfessional QualificationsPass(Yes /No)DetailsYes Pass date / Country:NoPlease specify the subjects you have passed with the score:Subject 1 Score Exam dateSubject 2 Score Exam dateSubject 3 Score Exam dateSubject 4 Score Exam dateSubject 5 Score Exam dateSubject 6 Score Exam dateSubject 7 Score Exam date Yes Pass date / Country:NoPlease specify the subjects you have passed with the score:Subject 1 Score Exam dateSubject 2 Score Exam dateSubject 3 Score Exam dateSubject 4 Score Exam dateSubject 5 Score Exam date Nocational history (start with the most recent one in chronological order)From and to (dd/mm/yyyy)Institution(Please mark City and Country)Degree/study Major(s) Completed(Yes or No)If “No” to any of the above, when will you be completing your degree/study?Month: Year:F. Language skillsPlease state your proficiency as Native/Fluent/FairLanguage:English Chinese Others (please specify): Native Language Yes No Yes No Yes NoAble to Translate YesInto what language:YesInto what language:YesInto what language:Proficiency in speaking:Proficiency in writing:Proficiency in reading:G.More about youAny additional information you would like to provide in order to support your application to PwC China and Hong Kong (e.g. hobbies, other interests, articles published etc)?H.Professional experience (For Assurance / Advisory / Tax client-facing applicant only)Practical experience in the last 12 months at accounting / consulting firm(s)Name of Client Type ofBusiness Nature of Work(e.g. Audit, IPO, FAS109etc, Tax provision)Approximate size(e.g. Gross turnover,total assets etc.)Your level ofresponsibilityNumber ofweeks on theassignmentI.Special test / Interview arrangement (optional)If you are a candidate with disability and need special arrangement for taking the assessment test or attending the interview, please indicate the nature and degree of disability and specify the special assistance required.(Note: Candidates with a disability are considered on equal terms with other. Candidates may be required to produce medical proof of their disability)J.Independence and objectivityBy serving as auditors of financial statements and providing other types of professional services, the firm, its partners and staff commit themselves to professional standards of objectivity, integrity and independence. Partners and staff should conduct their business and personal affairs so as to avoid the impairment, or even the appearance of impairment, of the objectivity of PwC’s professional work. In this regard, the PwC Independence Policy sets out restrictions for partners and staff in the areas of individual financial interests as well as personal and business relationships. All partners and staff should take steps to ensure that their independence is maintained at all times (including disposing of restricted financial interests or exiting from conflicting relationships where necessary)K.Personal Information Collection Statement (PICS)The personal data collected in this application form will be used by PricewaterhouseCoopers China and Hong Kong to assess your suitability to assume the job duties of the position for which you have applied and to determine preliminary remuneration, bonus payment, and benefits package to be discussed with you subject to selection for the position. The data collected will also be used to process your application and facilitate employment procedures as well as incidental matters relating to your application. Personal data on the application form are regarded as mandatory for selection purposes. Failure to provide these data may influence the processing and outcome of your application. It is our policy to retain the personal data of unsuccessful applicants for future recruitment purposes for a period of two years. When there are vacancies in our associate firms during that period we may transfer your application to them for consideration of employment. Under the Personal Data (Privacy) Ordinance, you have a right to request access to, and to request correction of your personal data in relation to your application. If you wish to exercise these rights, please send email to assurance.hr.hk@.You may contact Human Resources Department or refer to for details of PricewaterhouseCoopers’ Recruitment Privacy Commitment.L.DeclarationI confirm that the information contained in this application and my resume, and any other document that I provide to PwC China and Hong Kong in connection with my application for employment, and my personal interviews, are accurate and complete.I confirm that I am providing permission for PwC China and Hong Kong and its representatives to contact the referees I have provided in order to undertake reference checking in association with this application. (Reference checking is usually completed after the interview process).I fully understand and accept that if any time after my employment, it is found that a false declaration has been made in this form; the firm has the right to terminate my employment immediately.I also understand that if I am offered a position, I will be required to provide more detailed personal information e.g. date of birth, emergency contact details, and proof of identity or legal authorisation to work.I, (name in full), (ID/passport number: ), hereby confirm my understanding and acceptance to the above arrangements.Signature: Date:。