PEOPLE IN PENSIONS

Entry Form
							
Please return as quickly as possible. New edition deadline is 28 January each year but new additions are posted on the www.pendragon.co.uk website soon after they are edited.

Please complete in print or clear script or, even better, type your answers below (or on a separate sheet using the question numbers), then email to simon.freeman@pendragon.co.uk fax to 020 7608 9009 or return to Pendragon, 19-20 Great Sutton St, London EC1V 0DR.  There is no financial obligation involved in returning this form.

If you have any questions or need assistance, please do not hesitate to contact Simon Freeman on (020) 7608 9000

1.  Title:
2.  Surname:
3.  Forenames (all -- eg Frederick Anthony Nigel):
4   Forename (preferred -- eg Tony):
5.  Degrees and qualifications:
6.  Honours and decorations: 
7.  Date of birth:
8.  Place of birth (eg Umston, Manchester):
9.  Name of Spouse/Partner:
10. Whether this is spouse or partner: 
11. Year married:
12. Children -- 
a  No of boys:
b  No of girls:
c  No of boys (by previous marriage/relationship):
d  No of girls (by previous marriage/relationship):
13. Education (further and professional -- eg Manchester University: 1978-81 BA English; APMI 1983; FIA 1989; Solicitor 1995):
14. Current main position/role:
15. Date appointed:
16. Current main organisation/employer/firm:
17. Prior career (include other current activities and prior roles with current employer/organisation -- eg Smith & Jones: 1984-86 Actuarial Trainee, 1986-90 Actuary and Consultant, 1990- Partner; Chairman of Trustees XxxCo Pension Fund: 1992-):
18. Professional activities and associations (include honorary positions held, ie chairman, secretary, etc. -- eg NAPF: 1991-93 Chairman, 1987-95 Council; SPC: 1993- Membership Committee):
19. Publications (eg Pensions & Law  {1991, Longmans} co-editor; many articles in pensions journals):
20. Recreations and clubs:
21. Business address (with full postcode):
22. Business telephone:
23. Business fax:
24. Business email:
25. Business website:
26. Home address (with full postcode)
27. Home telephone:
28. Home fax:
29. Home email:
30. Home website:


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