ESMA RESTRICTED USE

APPLICATION FORM FOR THE POST OF

ADMINISTRATIVE ASSISTANT
REF: ESMA/2015/VAC12/FGIII
Please indicate the reference number in the subject of your e-mail
and in all future correspondence related to this application.
For more information on ESMA recruitment procedure, please refer to the Candidates
Guidelines1 published on ESMA website.

ALL THE REQUIRED FIELDS SHALL BE FILLED IN ENGLISH

DO NOT ATTACH ANY OTHER SUPPORTING DOCUMENTS AT THIS STAGE.

PERSONAL DATA:
Surname:

First name:

Gender2:
Nationality
:

Date of
birth:

Address:

Telephone
number:

E-mail:

Please indicate how you heard of the selection process (optional):

http://www.esma.europa.eu/system/files/2013-ext-1450-_rev1_-_candidates_guidelines.pdf

2 ESMA applies a policy of equal opportunities.

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PROFESSIONAL EXPERIENCE:
Start with your present or latest job (in chronological order). Copy sections if
necessary.
Dates (DD/MM/YYYY)

FROM
:

TO:

TOTAL:
(years,
months)

Name and address of

employer
Working Regime

Full time

Part time

(..% )

Type of business or
sector
(For example: public
administration, NGO,
consulting etc.)
Job title
Main activities and
responsibilities

Dates (DD/MM/YYYY)

FROM
:

TO:

TOTAL:
(years,
months)

Name and address of

employer
Working Regime

Full time

Part time

Type of business or
sector
(For example: public
administration, NGO,
consulting etc.)
Job title
Main activities and
responsibilities

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(..% )

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Dates (DD/MM/YYYY)

FROM
:

TO:

TOTAL:
(years,
months)

Name and address of

employer
Working Regime

Full time

Part time

(..% )

Type of business or
sector
(For example: public
administration, NGO,
consulting etc.)
Job title
Main activities and
responsibilities

Dates (DD/MM/YYYY)

FROM
:

TO:

TOTAL:
(years,
months)

Name and address of

employer
Working Regime

Full time

Part time

Type of business or
sector
(For example: public
administration, NGO,
consulting etc.)
Job title
Main activities and
responsibilities

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(..% )

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Dates (DD/MM/YYYY)

FROM
:

TO:

TOTAL:
(years,
months)

Name and address of

employer
Working Regime

Full time

Part time

(..% )

Type of business or
sector
(For example: public
administration, NGO,
consulting etc.)
Job title
Main activities and
responsibilities

Dates (DD/MM/YYYY)

FROM
:

TO:

TOTAL:
(years,
months)

Name and address of

employer
Working Regime

Full time

Part time

Type of business or
sector
(For example: public
administration, NGO,
consulting etc.)
Job title
Main activities and
responsibilities

Page 4 of 9 (ESMA/2015/VAC12/FGIII)

(..% )

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ADDITIONAL INFORMATION RELATED TO PROFESSIONAL EXPERIENCE:

Summarise your work experience relevant to the criteria specified under section B
(selection criteria) of the vacancy notice:

EDUCATION AND TRAINING3:

a. University education
Dates (MM/YYYY)

FROM
:

TO:

TOTAL:
(years,
months)

Name and type of

institution providing
education and
training
Principal
subjects/occupationa
l skills covered
Diplomas or
certificates obtained
b. Post-secondary education
3

Copy sections if necessary.

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Dates (MM/YYYY)

FROM
:

TO:

TOTAL:
(years,
months)

Name and type of

institution providing
education and
training
Principal
subjects/occupationa
l skills covered
Diplomas or
certificates obtained
c. Secondary education
Dates (MM/YYYY)

FROM
:

TO:

TOTAL:
(years,
months)

Name and type of

institution providing
education and
training
Principal
subjects/occupationa
l skills covered
Diplomas or
certificates obtained
d. Other education/training
Dates (MM/YYYY)

FROM
:

TO:

TOTAL:
(years,
months)

Name and type of

institution providing
education and
training
Principal
subjects/occupationa

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l skills covered
Diplomas or
certificates obtained
KNOWLEDGE OF LANGUAGES4:
Language

Mother
tongue

Excellent
(C1 or C2
level)

Very Good
(B2 level)

Good
(B1 level)

Basic
(A level)

English
Add
languages,
if necessary

SKILLS AND COMPETENCES:

IT skills

Organisational skills

Communication/interpersonal
skills
Other relevant skills

MOTIVATION LETTER: (Explain why you are a suitable candidate for this post):
Note: The Selection Panel will take the motivation letter into account to evaluate the
candidates motivation to join ESMA for the position advertised.

4 Please specify the level, according to the Common European Framework of Reference for
Languageshttp://europass.cedefop.europa.eu/en/resources/european-language-levels-cefr

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DECLARATION:
I, the undersigned, declare that the information provided above is, to the best of my
knowledge, true and complete.
I further declare that:

I am a national of a member state of the European Union or EEA5.

I have not been deprived of my civic rights.

I have complied with the provisions of all military recruitment laws applicable to me.

I undertake to submit, as soon as requested, any documents in support of the above

statements and declarations.

I realise that any false statement or omission, even if unintended on my part, may
lead to the cancellation of my application or may render my appointment liable to
termination.

I am willing to undergo the prescribed medical examination prior to appointment and

to provide a sworn affidavit to the effect that I have no criminal record.

Norway, Liechtenstein, Iceland

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Finally, I declare my commitment to act independently in the Authority's interest and I have
no interests that might be considered prejudicial to my independence.

Date

Name of applicant

This document is intended for ESMA RESTRICTED USE

The Marking is applied to operational documents in the context of ESMAs activities. Distribution of
the documents is based on a strictly need-to-know basis. Any person receiving documents and all
associated information marked ESMA RESTRICTED USE who is not the intended recipient must
destroy the documents. The documents may contain personal data as defined in Art. 2(a) of
Regulation (EC) No 2001/45 and they will be processed in compliance with the relevant rules laid
down in this Regulation.

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