Student application AH NGUYEN (PDF)

Application form for student
admission to the lnstitute and
Faculty of Actuaries

lnstitute
and Faculty
of Actuaries

"tH*%

K_WS

Please complete this form and return it to:
Admissions - Education Serylces Team, The lnstitute and Faculty of Actuaries, 1"t Floor, Park Central, 40/41 Park End Street,
Oxford OX1 1JD, UK
Tel: +44 (0)1 865 268207; email: education.services@actuaries.orq.uk

Notes

.
.
.
.

Applications can take up to five weeks to process.

.

All sections of this form must be completed in

This form can be emailed or posted to us, togetherwith the required supporting documents.
Please read the additiona I notes on the last page of this application form.
Correspondence with you will mainly be by email. Please ensure that your email address is
clearly legible.

full.

Failure to do so will result in your form being

returned to you.
Please TYPEallyour detalls in this form where possible, but note that all signatures must be handwritten.

Section

1

-

Applicant details

lf you have sat our CT1 exam as a non-member, please give your Actuarial Reference

Number

| 9352440

Personal details
Title

MrX

First name

ANH HOANG

Family name

NGUYEN

Gender

Male
D

Date of birth

1

Mrs

I

Miss

[]

Ms

I

Dr

tr

Other (please specify)

Middle name(s)

ffi Female I

DMM

Fli [ff

,

1

trlt

1-l

Your qualifications
Please qive the qualifications you wish to appear on your records (e.g. BA, BSc)

Deadlines for submission of this application
lf you wish to start the exams, we must receive this application together with the fee, by the dates below. You can not enter
for the exams until you have been admitted as a student member so it is important that you adhere to this timescaie.

For the exam

sittinq in
September

2015

Application must be received
From those in UK and Ireland

From other countries, including the rest of Europe

2+May-2+15

+a-May+Oas

Application for Student membership (August 2015)

Page

1

April 2016

30 November 2015

14 December 2015

Address details
lf you fail to provide a current correspondence address, telephone number and email address (in clear typing or handwriting)
this will result in the application being returned to you.
This may cause delay if you wish to undertake the forthcoming examinations.

Correspondence with you will mainly be by email" Please ensure that your email address is
clearly legible.

Which address you would like correspondence from
of Actuaries to be sent to?
the lnstitute and

Home

n

Office

X

Current residential address
Address

APPARTMENT 226, HOUSE COLLECTIVE NGANHANG, LANE 96, VO THI SAU STREET,
HAI BA TRUNG DISTRICT

Postal

citv/town

HANOI

County
Telephone

number
Mobile
number
Personal

Country code
Country code
A

N

H

H

00084

o A

POSTCODE

1

COUNTRY

VIETNAM

Area/City
code

Number

Area/City
code

Number

00000

i

N

G

F

T

U

@lc

M

A

962573259

c

L

o

M

email address
(please print

Current employment address

n

lf you are currently unemployed please tick here

Company
name

Position/Job

title
Company
address
Postal

citv/town

BAOVIET LIFE INSURANCE

37TH

number
Mobile

number

DEPARTMENT

FLOOR, KEANGNAM LANDMARK 72, PHAM HUNG STREET

NAM TU LIEM DISTRICT
HANOI

County
Telephone

CORPORATE ACTUARIAL

Department

ACTUARY EXECUTIVE

Country code

84

Country code

Application for Student membership (August 2015)

Area/City
code
Area/City
code

Postcode

I 00000

COUNTRY

VIETNAM

4

Number

62517777 (ext. 478)

Number

Page 2

Company
email address
(please print

N

G

U

Y

@

B

A

o V

E

N

A

N

I

E

T

H

H

o

A

c

o

M

N

G

V

N

verv clearlv)
The company address

will normally be published in the Aituarial Directory, the online membership list

which all members can consult.

Application for Student membership (August 2015)

Page 3

For those who are employed you must tick the appropriate box below to indicate
your Employer type, your Main work area and your Specialist work area
Please only tick one box per section
C Specialist work area

A Emplover tvpe
A01
A02
A03
A04
A05
A06
A07
A08
A09

X

n

tr

Consultino firm/business advisorv firm

C01 General Manaqemenl
C02 Client Advice/Consultancv

lnvestment Manager

D

C03 Marketino

n
n
n
n
n
n

n

C04
C05
C06
C07

Pricinq & Product Development

tr

ReservingA/aluation

X

Risk Manaqemenl

C08 lnvestment Manaoement

n
n
n

C09 lnvestment Tradino

tr

lnsurance or reinsurance companv

lnvestment bank
Retail bank or building society
Public service
Educaiion
Other financial company
Other company (non-financial)

lnvestment Analvsis

C10 Corporate Strategy

C11 Provision of Finance

B Main work area
801 Pensions and Emolovee

C12 Technical Support
Benefits

n

B02 Life lnsurance
B03 Health & Care lnsurance or advice
B04 General lnsurance

X

805
806

tr

lnvestment Management

n
n

B07 Education
B08 lnformation Technoloqv
809 Other Actuarial

n
n
n
n

810

tr

lnvestment Bankinq

Other non-actuarial

B11 Enterprise risk management

Application for Student membership (August 2015)

!

n

!

n

C13 Research
C14 Requlation
C15 Education

!
!
!

C16 Other Actuarial

D

C17 Other non-actuarial

n

u

Page 4

Section 2 - Education and qualifications
Please give your full education history with the qualifications awarded.

The admission criteria can be found on the website at http://www.actuaries.orq.uldstudentslpaqes/how-reqrster-student
You must provide proof of all qualifications with your application.To do so you must provideCertified copies of
education certificates for all examinations detailed below.

.

Youshouldtakephotocopiesofyourcertificates. Aprofessional person(notafamilymemberorfriend)must
certify them by

.
.
.

o
c

writing on each copy that'This is a true copy of the original certificate'

signing and dating the declaration
The signatures must be the handwritten signature of the certifier.
For a definition of a professional person, please refer to the "Referees' Declaration" section on page 9of this form
Certificates in any language other than English must be accompanied by certified English translations.

University education
DegreeI

Level

Honours

Grade

'1ttx

University attended

University Paris Ouest Nanterre La D6fense

Subject studied

Currency

Date of graduation

04 December 2014

Level

Doctorate

Ordinary Degree

2.2J

2.11f

-

Banking

n

-

I
3'dn

Finance

Masters

I

Postgraduate diploma

!

University attended
Subject studied
Date of graduation

School education
School attended
(qive full name and town)

A level (or High School equivalent):
Subiect name

Grade

Date

achieved

High school of Vinh University, Vinh,
NGHEAN

Application for Student membership (August 2015)

Page 5

Other examinations a nd professional qualificati ons
Please complete this section if you do not hold a degree, or appropriate A Level or high school
equivalent exam oasses

lnstitute and Faculty of Actuaries examinations

YesX Non

Have you sat the Financial Mathematics exam (CT1) as a non-member?

Result

Subject

Date

cT1

Have you, as a member of another actuarial professional organisation,sat any of the lnstitute and

Yesn NoX

Faculty of Actuaries examinations?

Actuarial organisation

Subject

Result

Date

Other professional qualifications
Please give details of any other professional qualifications that you have gained

Professional association
Qualification gained
Date of graduation

Professional association
Qualification gained
Date of graduation

Application for Student membership (August 2015)

Page 6

Section 3 - Work-based skills
A programme of work-based skills will form an important part of your study, and you will need a supervisor for your
programme.

.

lfyouarenotyetworking,orifyouareworkinganddonotyethaveasupervisor,

.

work-based skills programme.
Once you start working and you have a supervisor you will need to tell us who this is.

youcandeferthestartofyour

You will not be able to enter for any of our exams until you have notified us of which of these options you are

following.
The official start of yourwork-based skills programme will not begin until you have a supervisor appointed.

Please complete Part A and Part B of this form if you choose to defer starting your work- based

skills programme.
Please complete Part A and Part C of this form if you already have a supervisor and are
submitting their details.
More information about the work-based skills programme can be found at
http://www.actuaries. orq. uk/students/paqesiwork-based-skills-and-work-experience

Part A
Name (BLOGK CAPITALS)

ANH HOANG NGUYEN

ARN(if known)

9352440

I have read the work-based skills student notes and accompanying

information

I XYes

Part B

I confirm that I wish to defer

IYes

my work based skills.

Reason for deferral

nWorking in a non-actuarial environment I XStuOying at university
Iottrer
NB. lf you defer your work-based skills you will be eligible to enter for our examinations. However, the time
deferred will not count towards the three years minimum work-based skills work experience requirement needed
for Fellowship (or one year for As-sociateship).

Part C

I

confirm that my supervisor is:

Supervisor name (BLOCK CAPITALS) | JAMES RICHARDSON-HAY
ARN

7',1'18

Employer
Employer's

Bao Viet Life

address

Job

title

I Chief Actuary

Bao Viet Life

floor, Keangnam Hanoi Landmark Tower, Pham Hung Street, Nam Tu Liem District,
Hanoi. Vietnam

37th

JamesRichardson-hav@baoviet.com.vn I Telephone
Other professional qualifications
Email

Applicaiion for Student membership (August 2015)

Page 7

Section 4 - Method of payment
Please read these notes if you are resident in the UK, lreland or Europe
You must complete all information in the relevant section. We do not send invoices for student admission fees.
The lnstitute and Faculty of Actuaries accept no responsibility for any loss or interception of this information

during transmission by any medium.
You must ensure that any bank charges are paid at the time of transfer, otherwise we will not receive the full payment. lf
the correct payment is not received, your application will be delayed untilwe receive the outstanding balance.

The entrance fee and the annual subscription must accompany this application. Applications submitted without
the necessary fees will not be processed and will be returned.
Full rate

Reduced rate*

Entrance fee

t172 00

t130.00

This is a one-off payment payable on initial application. This
cannot be paid bv Direct Debit.

Annual subscription

t235.00

t70

This is due in full on entry regardless of date. Future

00

subscriptions are then due annuallv on 1 October each vear

Total fee payable

f407.00

€200.00

* if your annual income from all sources (excluding pensions) during the subscription year does not exceed thirty times the
current full rate subscription, you would be eligible for a reduced rate on the subscription. lf this is applicable, please
ensure that you complete and return the reduced rate application form below along with your student membership
application form.

Please read these notes if you are resident in the rest of the world
You must complete all information in the relevant section. We do not send invoices for student admission fees.
The lnstitute and Faculty of Actuaries accept no responsibility for any loss or interception of this

information .

during transmission by any medium.

Youmustensurethatanybankchargesarepaidatthetimeoftransfer,otherwisewewill notreceivethefull payment. lf
the correct payment is not received, your application will be delayed until we receive the outstanding balance.

The entrance fee and the annual subscription must accompany this application. Applications submitted without
the necessary fees will not be processed and will be returned.
Full rate

Reduced rate*

Entrance fee

f'1 30 00

1130.00

This is a one-off payment payable on initial application. This
cannot be paid by Direct Debit.

Annual subscription

t23s

t70.00

This is due in full on entry regardless of

00

date

Future

subscriptions are then due annually on 1 October eachyear

Total fee payable

€365.00

€200.00

* if your annual income from all sources (excluding pensions) during the subscription year does not exceed thirty times the
current full rate subscription, you would be eligible for a reduced rate on the subscription. If this is applicable, please
ensure that you complete and return the reduced rate application form below along with your student membership
application form.

Application for Student membership (August 2015)

Page 8

Application for a reduced subscription rate
Name
I

ANH HOANG NGUYEN

would like to apply for the reduced rate membership subscription of f70 00

I certify that my annual income, as defined by UK Government rules on taxable income, throughout the
subscription yearis not more than thirty times the current relevant subscription rate, as detailed below.

Earnings include income from all sources, including pension income.

Membership status
Student

Current full rate

Total earnings for 30 times rule
must not exceed

Tick to confirm

subscriotion
t235.00

e7,050.00

x

I agree to inform the Membership Team if my situation should change during the subscription yearwhich runs
from 1"t October to 30th September each year.

Please note: Evidence of your annual income may be requested by the lnstitute and Faculty of Actuaries.

Signature

Application for Student membership (August 2015)

?t6"$.z

Date

29th october 2015

Page

I