Student application AH NGUYEN.pdf


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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