Last Name
First Name
Middle Name
Date of Birth
Place of Birth*
Place of Birth* Afghanistan Aland Islands Albania Algeria American Samoa Andorra Angola Anguilla Anonymous Proxy Antarctica Antigua and Barbuda Argentina Armenia Barbados Aruba Asia/Pacific Region Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Colombia Comoros Democratic Republic of the Congo Cook Islands Costa Rica Cote D'Ivoire Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Europe Falkland Islands Faroe Islands Fiji Finland France French Guiana French Polynesia Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Holy See Honduras Hong Kong Hungary Iceland India Indonesia Islamic Republic of Iran Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Democratic People's Republic of Korea (DPRK) Republic of Korea (ROK)
Kuwait Kyrgyzstan Lao People's Democratic Republic Latvia Lebanon Lesotho Liberia Libyan Arab Jamahiriya Liechtenstein Lithuania Luxembourg Macau Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Federated States of Micronesia Republic of Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands Norway Oman Pakistan Palau Palestinian Territory, Occupied Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Puerto Rico Qatar Reunion Romania Russian Federation Rwanda Saint Helena Saint Kitts and Nevis Saint Lucia Saint Martin Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Satellite Provider Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syrian Arab Republic Taiwan Tajikistan United Republic of Tanzania Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Venezuela Vietnam Virgin Islands, British Virgin Islands, U.S. Wallis and Futuna Yemen Zambia Zimbabwe Other
Name of Spouse
Number of Dependents
Maiden Name
National Insurance Number*
House Number & Street Address
Previous addresses for the last five years (if different from above)
Home Phone No
Cell No
Work Phone No
Email Address
Facebook Name
Passport Number*
Country of Issue*
Country of Issue* Afghanistan Aland Islands Albania Algeria American Samoa Andorra Angola Anguilla Anonymous Proxy Antarctica Antigua and Barbuda Argentina Armenia Barbados Aruba Asia/Pacific Region Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Colombia Comoros Democratic Republic of the Congo Cook Islands Costa Rica Cote D'Ivoire Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Europe Falkland Islands Faroe Islands Fiji Finland France French Guiana French Polynesia Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Holy See Honduras Hong Kong Hungary Iceland India Indonesia Islamic Republic of Iran Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Democratic People's Republic of Korea (DPRK) Republic of Korea (ROK)
Kuwait Kyrgyzstan Lao People's Democratic Republic Latvia Lebanon Lesotho Liberia Libyan Arab Jamahiriya Liechtenstein Lithuania Luxembourg Macau Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Federated States of Micronesia Republic of Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands Norway Oman Pakistan Palau Palestinian Territory, Occupied Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Puerto Rico Qatar Reunion Romania Russian Federation Rwanda Saint Helena Saint Kitts and Nevis Saint Lucia Saint Martin Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Satellite Provider Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syrian Arab Republic Taiwan Tajikistan United Republic of Tanzania Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Venezuela Vietnam Virgin Islands, British Virgin Islands, U.S. Wallis and Futuna Yemen Zambia Zimbabwe Other
Expiration Date*
Citizenship*
Citizenship* Afghanistan Aland Islands Albania Algeria American Samoa Andorra Angola Anguilla Anonymous Proxy Antarctica Antigua and Barbuda Argentina Armenia Barbados Aruba Asia/Pacific Region Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Colombia Comoros Democratic Republic of the Congo Cook Islands Costa Rica Cote D'Ivoire Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Europe Falkland Islands Faroe Islands Fiji Finland France French Guiana French Polynesia Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Holy See Honduras Hong Kong Hungary Iceland India Indonesia Islamic Republic of Iran Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Democratic People's Republic of Korea (DPRK) Republic of Korea (ROK)
Kuwait Kyrgyzstan Lao People's Democratic Republic Latvia Lebanon Lesotho Liberia Libyan Arab Jamahiriya Liechtenstein Lithuania Luxembourg Macau Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Federated States of Micronesia Republic of Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands Norway Oman Pakistan Palau Palestinian Territory, Occupied Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Puerto Rico Qatar Reunion Romania Russian Federation Rwanda Saint Helena Saint Kitts and Nevis Saint Lucia Saint Martin Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Satellite Provider Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syrian Arab Republic Taiwan Tajikistan United Republic of Tanzania Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Venezuela Vietnam Virgin Islands, British Virgin Islands, U.S. Wallis and Futuna Yemen Zambia Zimbabwe Other
Are you legally eligible to work in The Bahamas*
Driver's Licence Number
Date of Issue
Place of Issue
Emergency Contact Information
How did you learn about us?
If Yes, Explain
Employment History
(Start with your present or last job. Include any job-related assignments and volunteer activities)
If Yes, Please Explain
If Yes, Please indicate when and how you plan to do so
Indicate any foreign languages you can speak, read and/or write and indicate ability level - fluent, good, fair
References
Give the name, address and telephone numbers of three references who reside in the Bahamas and are not related to you and are not previous employers
Code of Ethics
It is the policy of Fidelity that its employees, directors, and agents are held to the highest standards of honest and ethical conduct when conducting the affairs of the company. Because the equity shares of Fidelity are publicly traded, employees of the Company are held to an especially high set of ethical standards, which are further described in our Human Resources Manual.
As an employee of Fidelity, I will not commit acts contrary to these standards of ethical conduct nor shall I condone the commission of such acts by others within the Company.
Should my application be favourably considered by Fidelity, I agree to abide by the Company's Code of Ethics.
Attestation
I understand that any misrepresentation, falsification or omission of any material information or fact submitted or made in this application or in connection with any background investigation, will be sufficient grounds for rejection of this application, or if discovered after employment, for summary dismissal.
Applicants Signature*
Date
Background Research Release
Please read this section carefully and acknowledge your understanding and give your consent by signing your name in the space below.
I certify that all the statements made by me on this application for employment are true, correct and complete to the best of my knowledge.
As a condition of and in consideration for Fidelity Bank (Bahamas) Limited consideration of this application, I give permission to Fidelity Bank (Bahamas) Limited to investigate my personal and employment history to include:
Consent to conduct Background Investigation;
Consent to contact Past Employers;
Consent to contact Government Agencies;
I understand that this background investigation will include, but not be limited to, verification of all information on this application, as well as interviews with past employers. I further give permission to Fidelity Bank (Bahamas) Limited to conduct this investigation and to discuss the results of this investigation in connection with my application for employment.
I hereby release them from all liability and agree not to sue them for defamation or other claims based upon any statements they make to any representative of Fidelity Bank (Bahamas) Limited.
I agree to fully co-operate in Fidelity Bank (Bahamas) Limited background investigation, and to sign any waivers or releases that may be necessary to obtain access to relevant information.
I understand that any falsification or wilful omission of fact made in this application or in connection with any background investigation may be sufficient grounds for rejection of this application, or, if discovered after an offer of employment, for immediate dismissal.
In consideration of my employment, I agree to conform to the rules and regulations of Fidelity Bank (Bahamas) Limited, and my employment and compensation is subject to the Employment Act 2001 in that they can be terminated with or without cause, and with or without notice, at any time, at the option of either Fidelity Bank (Bahamas) Limited or myself, except as otherwise provided by law or as provided by separate contract.
Applicants Signature*
Applicant's Name
NIB#*
Application Date
Please select I'm not a robot.
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