INSTRUCTIONS

Please answer each question clearly and

completely. TYPE OR PRINT LEGIBLY.
Read careully and ollow all directions.

PERSONAL HISTORY
!o not write in this space
". #amily name

#irst name

$iddle name

$aiden name% i any

&. !ate o 'day(month(yr)
Birth
*. Place o +irth

,. Nationality'ies) at +irth

-. Present Nationality'ies)

.. /e0

1. 2ei3ht

4. 5ei3ht

6. $arital /tatus7
/in3le $arried /eparated 5idow'er) !i8orced
"9. Entry into :nited Nations ser8ice mi3ht require assi3nment to any area o the world in which the :nited Nations mi3ht ha8e responsi+ilities.
'a) ;re there any limitations on your a+ility to perorm in your prospecti8e ield o wor<= YE/ NO
'+) ;re there any limitations on your a+ility to en3a3e in all tra8el= YE/ NO
"". Permanent address

Telephone No. ' )
"&. Present address

Telephone(#a0 No. ' )
"*. Oice Telephone No.
' )
",. Oice #a0 No.
' )
E-mail:
"-. !o you ha8e any dependent children= YE/ NO I the answer is >yes?% 3i8e the ollowin3 inormation:
Name o @hildren !ate o Birth 'day(mo(year) Place o Birth Nationality Gender






"-. 'a) Name o /pouse


".. 2a8e you ta<en up le3al permanent residence status in any country other than that o your nationality= YE/ NO
I answer is >yes?% which country=
"1. 2a8e you ta<en any le3al steps towards chan3in3 your present nationality= YE/ NO
I answer is >yes?% e0plain ully7
"4. ;re any o your relati8es employed +y a pu+lic international or3aniAation= YE/ NO
I answer is >yes?% 3i8e the ollowin3 inormation7
N;$E Relationship Name o International Or3aniAation



"6. 5hat is your preerred ield o wor<=

&9. 5ould you accept employment or less than si0 months=
YE/ NO
21. 2a8e you pre8iously su+mitted an application or employment and(or under3one any tests
with :.N.= YE/ NO I so% when=
&&. BNO5LE!GE O# L;NG:;GE/. 5hat is your mother ton3ue=
OT2ER L;NG:;GE/ RE;! 5RITE /PE;B :N!ER/T;N!
Easily Not Easily Easily Not Easily #luently Not #luently Easily Not Easily




&*. #or clerical 3rades only
Indicate speed in words per minute
List any oice machines or equipment and computer
pro3rammes you use.

En3lish #rench
Other lan3ua3es

Typin3

/horthand

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&,. E!:@;TION% Gi8e ull details D N.B. Please 3i8e e0act titles o de3rees in ori3inal lan3ua3e. Please do not translate or equate to other de3rees.
;. :ni8ersity or equi8alent
N;$E% PL;@E ;N! @O:NTRY
Please 3i8e complete address.
;TTEN!E! #RO$(TO !EGREE/ and ;@;!E$I@
!I/TIN@TION/ OBT;INE!
$;IN @O:R/E O# /T:!Y
$onth(Year $onth(Year









B. /@2OOL/ OR OT2ER #OR$;L TR;INING OR E!:@;TION #RO$ ;GE ", 'e.3.% hi3h school% technical school or apprenticeship)
N;$E% PL;@E ;N! @O:NTRY
Please 3i8e complete address.
TYPE
YE;R/ ;TTEN!E! @ERTI#I@;TE/ OR !IPLO$;/
OBT;INE! #RO$ TO






&-. LI/T PRO#E//ION;L /O@IETIE/ ;N! ;@TIEITIE/ IN @IEI@% P:BLI@ OR INTERN;TION;L ;##;IR/

&.. LI/T ;NY /IGNI#I@;NT P:BLI@;TION/ YO: 2;EE 5RITTEN (DO NOT ATTACH)

&1. E$PLOY$ENT RE@OR!7 /tartin3 with your present post% list in REEER/E OR!ER e8ery employment you ha8e had. :se a separate +loc< or each post.
Include also ser8ice in the armed orces and note any period durin3 which you were not 3ainully employed. I you need more space% attach additional pa3es o the
same siAe. Gi8e +oth 3ross and net salaries per annum or your last or present post.
;. PRE/ENT PO/T 'L;/T PO/T% I# NOT PRE/ENTLY IN E$PLOY$ENT)
#RO$ TO /;L;RIE/ PER ;NN:$
EF;@T TITLE O# YO:R PO/T7

$ONT2(YE;R

$ONT2(YE;R

/T;RTING

#IN;L

N;$E O# E$PLOYER7

TYPE O# B:/INE//

;!!RE// O# E$PLOYER7

N;$E O# /:PEREI/OR
E$;IL ;!!RE//7
P2ONE NO.7
NO. ;N! BIN! O# E$PLOYEE/
/:PEREI/E! BY YO:7
RE;/ON #OR LE;EING

!E/@RIPTION O# YO:R !:TIE/7

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B. PREEIO:/ PO/T/ 'IN REEER/E OR!ER)
#RO$ TO /;L;RIE/ PER ;NN:$
EF;@T TITLE O# YO:R PO/T7

$ONT2(YE;R $ONT2(YE;R /T;RTING #IN;L

N;$E O# E$PLOYER7

TYPE O# B:/INE//7

;!!RE// O# E$PLOYER7

N;$E O# /:PEREI/OR
E$;IL ;!!RE//7
P2ONE NO.7
NO. ;N! BIN! O# E$PLOYEE/
/:PEREI/E! BY YO:7
RE;/ON #OR LE;EING7

!E/@RIPTION O# YO:R !:TIE/

#RO$ TO /;L;RIE/ PER ;NN:$
EF;@T TITLE O# YO:R PO/T7

$ONT2(YE;R $ONT2(YE;R /T;RTING #IN;L

N;$E O# E$PLOYER7

TYPE O# B:/INE//7

;!!RE// O# E$PLOYER7

N;$E O# /:PEREI/OR
E$;IL ;!!RE//7
P2ONE NO.7
NO. ;N! BIN! O# E$PLOYEE/
/:PEREI/E! BY YO:7
RE;/ON #OR LE;EING7

!E/@RIPTION O# YO:R !:TIE/

#RO$ TO /;L;RIE/ PER ;NN:$
EF;@T TITLE O# YO:R PO/T7

$ONT2(YE;R $ONT2(YE;R /T;RTING #IN;L

N;$E O# E$PLOYER7

TYPE O# B:/INE//7

;!!RE// O# E$PLOYER7

N;$E O# /:PEREI/OR
E$;IL ;!!RE//7
P2ONE NO.7
NO. ;N! BIN! O# E$PLOYEE/
/:PEREI/E! BY YO:7
RE;/ON #OR LE;EING7

!E/@RIPTION O# YO:R !:TIE/

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#RO$ TO /;L;RIE/ PER ;NN:$
EF;@T TITLE O# YO:R PO/T7

$ONT2(YE;R $ONT2(YE;R /T;RTING #IN;L

N;$E O# E$PLOYER7

TYPE O# B:/INE//7

;!!RE// O# E$PLOYER7

N;$E O# /:PEREI/OR
E$;IL ;!!RE//7
P2ONE NO.7
NO. ;N! BIN! O# E$PLOYEE/
/:PEREI/E! BY YO:7
RE;/ON #OR LE;EING7

!E/@RIPTION O# YO:R !:TIE/

#RO$ TO /;L;RIE/ PER ;NN:$
EF;@T TITLE O# YO:R PO/T7

$ONT2(YE;R $ONT2(YE;R /T;RTING #IN;L

N;$E O# E$PLOYER7

TYPE O# B:/INE//7

;!!RE// O# E$PLOYER7

N;$E O# /:PEREI/OR
E$;IL ;!!RE//7
P2ONE NO.7
NO. ;N! BIN! O# E$PLOYEE/
/:PEREI/E! BY YO:7
RE;/ON #OR LE;EING7

!E/@RIPTION O# YO:R !:TIE/

#RO$ TO /;L;RIE/ PER ;NN:$
EF;@T TITLE O# YO:R PO/T7

$ONT2(YE;R $ONT2(YE;R /T;RTING #IN;L

N;$E O# E$PLOYER7

TYPE O# B:/INE//7

;!!RE// O# E$PLOYER7

N;$E O# /:PEREI/OR
E$;IL ;!!RE//7
P2ONE NO.7
NO. ;N! BIN! O# E$PLOYEE/
/:PEREI/E! BY YO:7
RE;/ON #OR LE;EING7

!E/@RIPTION O# YO:R !:TIE/

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&4. 2;EE YO: ;NY OBGE@TION/ TO O:R $;BING INH:IRIE/ O# YO:R PRE/ENT E$PLOYER= YE/ NO
&6. ;RE YO: NO5 OR 2;EE YO: EEER BEEN ; @IEIL /ERE;NT IN YO:R GOEERN$ENTI/ E$PLOY= YE/ NO
I answer is >yes?% 52EN=

*9. RE#EREN@E/7 List three persons% not related to you% and are not current :nited Nations sta mem+ers% who are amiliar with your character and qualiications.
Do not repeat names of supervisors isted under Item 2!.
#:LL N;$E #:LL ;!!RE// B:/INE// OR O@@:P;TION



*". /T;TE ;NY OT2ER RELEE;NT #;@T/. IN@L:!E IN#OR$;TION REG;R!ING ;NY RE/I!EN@E O:T/I!E T2E @O:NTRY O#
YO:R N;TION;LITY.

*&. 2;EE YO: EEER BEEN ;RRE/TE!% IN!I@TE!% OR /:$$ONE! INTO @O:RT ;/ ; !E#EN!;NT IN ; @RI$IN;L PRO@EE!ING% OR
@ONEI@TE!% #INE! OR I$PRI/ONE! #OR T2E EIOL;TION O# ;NY L;5 'e0cludin3 minor traic 8iolations)= YE/ NO
I >yes?% 3i8e ull particulars o each case in an attached statement.

**. OT2ER ;GEN@IE/ O# T2E :NITE! N;TION/ /Y/TE$ $;Y BE INTERE/TE! IN O:R ;PPLI@;NT/. !O YO: 2;EE ;NY OBGE@TION TO
YO:R PER/ON;L 2I/TORY #OR$ BEING $;!E ;E;IL;BLE TO T2E$= YE/ NO
*,. I certiy that the statements made +y me in answer to the ore3oin3 questions are true% complete and correct to the +est o my
<nowled3e and +elie. I understand that any misrepresentation or material omission made on a Personal 2istory orm or other
document requested +y the Or3aniAation renders a sta mem+er o the :nited Nations lia+le to termination or dismissal.
!;TE
'day% month% year) /IGN;T:RE7
N.B. You will +e requested to supply documentary e8idence which supports the statements you ha8e made a+o8e. !o not% howe8er%
send any documentary e8idence until you ha8e +een as<ed to do so +y the Or3aniAation and% in any e8ent% do not su+mit the ori3inal
te0ts o reerences or testimonials unless they ha8e +een o+tained or the sole use o the Or3aniAation.
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